Factores de riesgo asociados a infección de sitio quirúrgico en pacientes postcesáreas
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2016
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Universidad de Guayaquil. Facultad de Ciencias Médicas. Escuela de Graduados
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El objetivo de este: determinar la incidencia y los principales factores de riesgo asociados a la infección de sitio quirúrgico en las pacientes de post cesárea en el Hospital Gineco-Obstétrico Enrique C. Sotomayor en el periodo 2013- 2014. Resultados: La tasa de cesáreas por 100 partos para el 2013 fue de 63.9% y en el 2014 de 61.68%, la incidencia de infecciones fue del 0.29% 2013 y 0.31% 2014, menor a la hipótesis de trabajo De los 100 casos identificados de infección de herida de cesárea, la edad media de las pacientes fue de 26.68 años, con edades entre 14 y 43 años ± 19,19, el 41% tuvo ≤ 5 controles prenatales y el promedio de controles prenatales fue de 6.07 ± 1.83. Las patología asociadas fueron anemia 25%, eclampsia 2% y ruptura de membranas 27%, el 13% las pacientes tenían una cesárea anterior, 81% dos cesáreas y sin cesárea anterior el 6%, 65% recibió antibióticos en el último trimestre del embrazo, en la valoración ASA solo 1 paciente fue clasificada en clase III, el 7% no recibió profilaxis antibiótica. El tipo de cesárea tipo corporal el 5% y segmentaria 94%, 2% no registra el tipo. El promedio de tiempo de la cirugía 68.41 minutos ± 11.79. La ILQ fue de tipo I 57%, tipo II 41%, Tipo III 2%. El promedio de días de hospitalización en esta serie fue de 7.81 días ± 5,27 días, presentaron los signos y síntomas entre las 48 horas hasta los 12 días. La manipulación de la herida fue en el 37% en el hogar, 52% en otra institución de salud y 10% en la institución en estudio. El cultivo de la herida se realizó en el 23% de los pacientes de los cuales el 11% no tuvo crecimiento bacteriano dentro de las 48 horas el 11%, E coli el 9%, Stapylococus aureus 2% y Margonella margini el 1%, al 77% no se le realizaron cultivo.
Infection at the surgical site and complications resulting from it have been an inseparable surgical practice from its rudimentary beginnings to the present done This study aimed to determine the incidence and the main risk factors associated with the infection site surgical patients in post cesarean section in ObstetricGynecologic Hospital Enrique C. Sotomayor in the period 2013- 2014. the rate of caesarean sections per 100 births for 2013 was 63.9% and in 2014 of 61.68%, the incidence infection was 0.29% 0.31% 2013 and 2014, less than the working hypothesis of the 100 identified cases of caesarean section wound infection, the mean age of patients was 26.68 years aged 14 and 19.19 ± 43 years, 41% had ≤ 5 antenatal and prenatal checkups average was 6.07 ± 1.83. The pathology associated were anemia 25%, eclampsia 2% and rupture of membranes 27%, 13% patients had a previous cesarean section, 81% had two cesareans without previous caesarean 6%, 65% received antibiotics in the last quarter of embrazo in the ASA rating only 1 patient was classified in class III, 7% did not receive antibiotic prophylaxis. The type of caesarean body type 5% and 94% Segmental, 2% do not register the type. The average time of surgery 11.79 ± 68.41 minutes. The SSI was 57% type I, type II 41%, Type III 2%. The average days of hospitalization in this series was 7.81 days ± 5.27 days, showed signs and symptoms within 48 hours to 12 days. The manipulation of the wound was at 37% in the home, 52% in other health institutions and 10% in the institution under study. The wound culture was performed in 23% of patients of whom 11% had no bacterial growth within 48 hours 11%, E coli 9%, Stapylococus aureus 2% and Margonella margini 1% 77% you were not conducted crop.
Infection at the surgical site and complications resulting from it have been an inseparable surgical practice from its rudimentary beginnings to the present done This study aimed to determine the incidence and the main risk factors associated with the infection site surgical patients in post cesarean section in ObstetricGynecologic Hospital Enrique C. Sotomayor in the period 2013- 2014. the rate of caesarean sections per 100 births for 2013 was 63.9% and in 2014 of 61.68%, the incidence infection was 0.29% 0.31% 2013 and 2014, less than the working hypothesis of the 100 identified cases of caesarean section wound infection, the mean age of patients was 26.68 years aged 14 and 19.19 ± 43 years, 41% had ≤ 5 antenatal and prenatal checkups average was 6.07 ± 1.83. The pathology associated were anemia 25%, eclampsia 2% and rupture of membranes 27%, 13% patients had a previous cesarean section, 81% had two cesareans without previous caesarean 6%, 65% received antibiotics in the last quarter of embrazo in the ASA rating only 1 patient was classified in class III, 7% did not receive antibiotic prophylaxis. The type of caesarean body type 5% and 94% Segmental, 2% do not register the type. The average time of surgery 11.79 ± 68.41 minutes. The SSI was 57% type I, type II 41%, Type III 2%. The average days of hospitalization in this series was 7.81 days ± 5.27 days, showed signs and symptoms within 48 hours to 12 days. The manipulation of the wound was at 37% in the home, 52% in other health institutions and 10% in the institution under study. The wound culture was performed in 23% of patients of whom 11% had no bacterial growth within 48 hours 11%, E coli 9%, Stapylococus aureus 2% and Margonella margini 1% 77% you were not conducted crop.
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Infección, Poscesárea, Hospital Gineco-Obstétrico Enrique C. Sotomayor, Cantón Guayaquil, Ecuador