Surgical risk index and surgical site infection in postpartum women submitted to cesarean section.

Authors

• Luana Machado Chianca Hospital das Clinicas da Universidade Federal de Minas Gerais
• Roberta Maia de Castro Romanelli Universidade Federal de Minas Gerais
• Tais Marina de Souza Universidade Federal de MInas Gerais
• Werlley Meira de Oliveira Universidade Federal de Minas Gerais
• Eduarda Almeida Wakabayashi Universidade Federal de Minas Gerais
• Lucas Vieira Rodrigues Universidade Federal de Minas Gerais
• Stella D'Ávila de Souza Ramos Universidade Federal de Minas Gerais
• Renata Paixão Pio Fernandes Universidade Federal de Minas Gerais
• Letícia Maria de Oliveira Aleixo Carvalho Universidade Federal de Minas Gerais
• André Tunes de Paula Universidade Federal de Minas Gerais
• Viviane Rosado Hospital das Clínicas da Universidade Federal de Minas Gerais
• Henrique Vitor Leite Universidade Federal de Minas Gerais
• Regina Amelia Lopes Pessoa de Aguiar Universidade Federal de Minas Gerais
• Bruna Barbosa Coimbra Universidade Federal de Minas Gerais
• Wanessa Trindade Clemente Universidade Federal de Minas Gerais

DOI:

https://doi.org/10.17058/reci.v5i1.4898

Abstract

Backgound and Objectives: Considering the use of active surveillance assists in infection identification and the need for studies that use Surgical Risk Index (SRI) for assessment of Surgical Site Infection (SSI) in cesareans, this study aims to determine the incidence of SSI and analyze the applicability of SRI in the prediction of SSI in women in the postpartum period after being submitted to a cesarean section at a university hospital between April 2012 and March of 2013. Methods: Prospective cohort study. Information notifying SSI by active surveillance was collected daily from the medical records. After hospital discharge, the mothers were contacted through telephone calls to identify infection criteria within 30 days after the cesarean. Descriptive and comparative analyses were performed. The chi-square test was used to compare groups. Results: 737 cesareans were performed. Telephone contact was achieved with 507 (68.8%) women up to 30 days postpartum, with loss of follow-up of 230 cases (31.2%). The medical consultation in the post-partum period occurred with 188 (37.08%) women, with whom telephone contact was obtained, on average, 17.28 days (SD=8.39) after delivery. It was verified that 21 patients met the criteria for SSI, with a 4.14% rate. A total of 12 cases (57.1%) were classified as superficial SSI, 5 (23.8%) as deep and 4 (19.1%) as infection of organs and cavities. The SRI and its risk variables were not associated with SSI in patients submitted to cesarean sections. Conclusion: The SRI and the risk variables included in this index were not associated to SSI in patients submitted to cesarean sections. KEYWORDS: Cesarean Section; Surgical Wound Infection; Epidemiological Surveillance; Infection Control; Risk Index; Disease Notification.