Surgical site infection incidence rate related to quality indicators
DOI:
https://doi.org/10.17058/reci.v15i1.19503Keywords:
Surgical Wound Infection, Quality Indicators, Health Care, Perioperative NursingAbstract
Background and Objectives: it is important to measure and relate theory and practice applied in the workplace through health quality indicators such as adequate care for surgical patients and prevention of future infections. This study aimed to analyze quality indicators related to the prevention of surgical site infections in a teaching hospital. Methods: a cross-sectional, analytical, prospective and quantitative study, with a theoretical basis in triad structure, process and outcome. It was carried out in the surgical center of a public, university hospital in southern Brazil, linked to the Brazilian Health System. The study sample included the surgical teams and the surgical center of the study hospital, and its composition was given based on the inclusion criteria, such as surgery performed during the daytime period (from 07:00 to 19:00), from Monday to Friday, on an elective basis, during a period of three months, in 2022 (September to November). Results:there were 283 elective surgical procedures, with emphasis on procedures performed without breaking the aseptic technique of the surgical field reported in the transoperative record (97.53%; 276). The surgical center studied presented an operational structure that was incomplete in accordance with the recommended safe practice standards. The sample identified 22.30% (63) of patients with surgical site infection. Conclusion: the analysis of indicators demonstrated the need to adapt items related to structure and process (adequate antiseptic dispenser and taps operated without manual contact), in addition to reviewing standard operational protocols.
Downloads
References
Von Vogelsang AC, Swenne CL, Gustafsson BÅ, et al. Operating theatre nurse specialist competence to ensure patient safety in the operating theatre: A discursive paper. Nurs Open. 2019; 7 (2): 495-502. DOI: https://doi.org/10.1002/nop2.424
Lee KC, Sokas CM, Streid J, et al. Quality Indicators in Surgical Palliative Care: A Systematic Review. Jurnal Pain Symptom Manage. 2021; 62 (3): 545-58. DOI: https://doi.org/10.1016/j.jpainsymman.2021.01.122
Donabedian, A. An introduction to quality assurance in health care. 1 ed. University Press (UK): Oxford; 1980.
Glowka L, Tanella A, Hyman JB. Quality indicators and outcomes in ambulatory surgery. Current Opinion in Anaesthesiology. 2023; 36 (6): 624-29 DOI: https://doi.org/10.1097/aco.0000000000001304
Báo ACP, Amestoy SC, Mourão GMSS de, et al. Quality indicators: tools for the management of best practices in health. Rev. Bras. Enferm. 2019; 72 (2): 360-6 [Internet]. DOI: https://doi.org/10.1590/0034-7167-2018-0479
Brasil. Agência Nacional de Vigilância Sanitária (ANVISA). Critérios diagnósticos de infecções relacionadas à assistência à saúde. 1. ed. Brasília, 2013 [Internet]. URL: https://bvsms.saude.gov.br/bvs/publicacoes/criterios_diagnosticos_infeccoes_assistencia_saude.pdf
Mengistu DA, Alemu A, Abdukadir AA, et al. Global Incidence of Surgical Site Infection Among Patients: Systematic Review and Meta-Analysis. Inquiry Journal of Health Care Organization, Provision, and Financing. 2023; (60) [Internet]. DOI: https://doi.org/10.1177/00469580231162549
Cavalcanti AC, Freitas JJG, Madeira JF, et al. Atuação do enfermeiro no controle de fatores de riscos e prevenção da infecção de sítio cirúrgico: uma revisão integrativa. Rev. Educ. Ci. e Saúde. 2019; (6)1: 36-55 [Internet]. DOI: http://dx.doi.org/10.20438/ecs.v6i1.162
WHO. Infection prevention and control. World Health Organization. Geneva; 2022. URL: https://www.who.int/publications/i/item/9789240051164
Magalhães Costa EA, Moreira LL, Gusmão MEN. Incidência de infecção de sítio cirúrgico em hospital dia: coorte de 74.213 pacientes monitorados. Rev SOBECC. 2019; 24(4): 211-6 [Internet]. DOI: https://doi.org/10.5327/Z1414-4425201900040006
Gomes JA, Martins MM, Tronchin DMR, et al. Avaliação da qualidade do centro cirúrgico na estrutura, processo e resultados. Rev. Cogitare Enfermagem. 2021; (26) [Internet]. DOI: https://doi.org/10.5380/ce.v26i0.71083
Associação Paulista de Epidemiologia e Controle de Infecção Relacionada à Assistência à Saúde (APECIH). Limpeza, desinfecção e esterilização de produtos para saúde (PPS). 4a ed. São Paulo: APECIH; 2021.
Gomes ACC. Modelagem por redes complexas da dinâmica das infecções de sítio cirúrgico. 94p. 2019. Dissertação (mestrado) – Repositório Universidade Federal de Pernambuco, Centro de Ciências da Saúde. Programa de pós-graduação em Cirurgia. Recife [Internet]. URL: https://repositorio.ufpe.br/bitstream/123456789/35149/1/DISSERTA%c3%87%c3%83O%20Andr%c3%aaza%20Cavalcanti%20Correia%20Gomes.pdf
Hathway A, Papakonstantis I, Bruce-Konuah A, et al. Experimental and Modelling Investigations of Air Exchange and Infection Transfer due to Hinged-Door Motion in Office and Hospital Settings. International Journal of Ventilation. 2015; 14(2): 127–140. DOI: https://doi.org/10.1080/14733315.2015.11684075
Dos Santos Maciel LÍ, da Cruz IP, de Oliveira LSB, et al. A influência da infraestrutura hospitalar na prevenção da infecção relacionadas à assistência de enfermagem. Revista Ibero-Americana de Humanidades, Ciências e Educação. 2024; 10(4): 327-342. DOI: https://doi.org/10.51891/rease.v10i4.13454
De Souza KV, Serrano SQ. Saberes dos enfermeiros sobre prevenção de infecção do sítio cirúrgico. Rev SOBECC. 2020; 25(1): 11-6 [Internet]. DOI: https://doi.org/10.5327/Z1414-4425202000010003
Silveira KB. Adesão á antissepsia cirúrgica das mãos em um hospital universitário. 41p. 2023. Trabalho de Conclusão de Curso (Especialização). Programa de Residência Integrada Multiprofissional em Saúde – Repositório Universidade Federal do Rio Grande do Sul. Porto Alegre [Internet]. URL: https://lume.ufrgs.br/bitstream/handle/10183/271248/001194929.pdf?sequence=1
Wang Q, Cao M, Tao H, et al. Evidence-based guideline for the prevention and management of perioperative infection. Journal Evid Based Med. 2023; 16 (1): 50-67. DOI: https://doi.org/10.1111/jebm.12514
Trentini AH, Schueda MA, Reis MR. Indicadores como aliados na gestão do centro cirúrgico. Brazilian Journal of Development. 2020; 9(6): 69122-29 [Internet]. DOI: https://doi.org/10.34117/bjdv6n9-382
Xavier LFD, Medeiros AS, Melo MCDSF, et al. Projeto de melhoria para redução de infecções de sítio cirúrgico: um estudo de coorte retrospectivo. Revista do Colégio Brasileiro de Cirurgiões. 2023; 5: e20233380. DOI: https://doi.org/10.1590/0100-6991e-20233380-en
Downloads
Published
Issue
Section
License
Copyright (c) 2025 Beatriz Zago Lupepsa, Gabriela Encarnação Leandro, Helenize Ferreira Lima Leachi, Marília Ferrari Conchon, Cibele Cristina Tramontini
This work is licensed under a Creative Commons Attribution 4.0 International License.
The author must state that the paper is original (has not been published previously), not infringing any copyright or other ownership right involving third parties. Once the paper is submitted, the Journal reserves the right to make normative changes, such as spelling and grammar, in order to maintain the language standard, but respecting the author’s style. The published papers become ownership of RECI, considering that all the opinions expressed by the authors are their responsibility. Because we are an open access journal, we allow free use of articles in educational and scientific applications provided the source is cited under the Creative Commons CC-BY license.
