Surgical site infection in colorectal surgery
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abstract
Surgical Site Infection is one of the most common
infection associated with health care, but can also be the most
preventable situation. Surgical site infection in patients undergoing
colorectal surgery varies according to the literature, from 3.5
to 21.3%, being identiied as the highest rate of infection among
elective procedures and emergency.
Objectives: To identify and characterize the occurrence of surgical
site infection in patients undergoing colorectal surgery at a hospital
in northern Portugal.
Methods: A prospective study in a hospital in the north of Portugal
in 2015, patients admitted to the surgical service who underwent
colorectal surgery. Patients were selected more than 24
hours of admission, obtaining a sample of 102 participants. The
characterization of the patient and the surgery was done using
a search in the irst 24 hours after surgery and the registration
of the infection at the time of occurrence and 30 days after the
intervention.
Results: 102 participants, 67 (65.7%) were male with a mean age of
71.92 years (37-93 years) and 40.2% underwent emergency surgery.
There was a prevalence of surgical site infection in 21 patients
(20.6%). Among these 15 were male (71.4%) with mean age of 72.24
years. They were hospitalized on average 22 days, with an average
of 19 days of hospitalization after surgery. Escherichia-coli was the
microorganism most frequently isolated in culture studies with 13
(60.0%) cases of surgical site infection and organ/space was the
main site identiied with infection - 38.1%.
Conclusions: The prevalence of surgical site infection was 5.1% and
Escherichia coli most common etiologic agent. It is suggested that
other studies can analyze the associated factors with this type of
infection.