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ORIGINAL ARTICLE
Factors associated with surgical site infection in myocardial revascularization: a retrospective longitudinal study
- Amanda Gubert Pereira
, - Juliana Martins Lopes ,
- Lorena Cristina Silva Pereira ,
- Aline Guarato da Cunha Bragato ,
- Suely Amorim de Araújo , [ ... ],
- Maria Beatriz Guimarães Raponi
12-08-2023
Resumo
ORIGINAL ARTICLEFactors associated with surgical site infection in myocardial revascularization: a retrospective longitudinal study
Revista Brasileira de Enfermagem. 2023;76(Suppl 4):e20230108
12-08-2023DOI 10.1590/0034-7167-2023-0108
- Amanda Gubert Pereira ,
- Juliana Martins Lopes ,
- Lorena Cristina Silva Pereira ,
- Aline Guarato da Cunha Bragato ,
- Suely Amorim de Araújo ,
- Valéria Nasser Figueiredo ,
- Vanderlei José Haas ,
- Maria Beatriz Guimarães Raponi
Visualizações0ABSTRACT
Objectives:
to analyze the influence of sociodemographic and clinical variables, as well as the surgical checklist adherence score, on the occurrence of surgical site infection among patients undergoing myocardial revascularization.
Methods:
an observational, longitudinal, retrospective study was conducted at a university hospital, involving 266 medical records of patients who underwent myocardial revascularization surgery. Instruments containing sociodemographic, clinical, and infection-related variables were used, along with the Perioperative Surgical Safety Checklist. Descriptive, bivariate, and logistic regression analyses were employed.
Results:
surgical site infection occurred in 89 (33.5%) patients. There was a statistically significant association between body temperature outside the range of 36 degrees Celsius to 36.5 degrees Celsius (p=0.01), the presence of invasive devices (p=0.05), surgical procedures with the anticipation of critical events (p<0.001), and the occurrence of infection.
Conclusions:
body temperature, the presence of invasive devices, and surgical procedures with the anticipation of critical events were significant factors contributing to an increased risk of infection.
Palavras-chave: Cardiac Surgical ProceduresIncidenceInfectionsPatient SafetySurgical Wound InfectionVer maisVisualizações0
Resumo
ORIGINAL ARTICLEFactors associated with surgical site infection in myocardial revascularization: a retrospective longitudinal study
Revista Brasileira de Enfermagem. 2023;76(Suppl 4):e20230108
12-08-2023DOI 10.1590/0034-7167-2023-0108
- Amanda Gubert Pereira ,
- Juliana Martins Lopes ,
- Lorena Cristina Silva Pereira ,
- Aline Guarato da Cunha Bragato ,
- Suely Amorim de Araújo ,
- Valéria Nasser Figueiredo ,
- Vanderlei José Haas ,
- Maria Beatriz Guimarães Raponi
Visualizações0ABSTRACT
Objectives:
to analyze the influence of sociodemographic and clinical variables, as well as the surgical checklist adherence score, on the occurrence of surgical site infection among patients undergoing myocardial revascularization.
Methods:
an observational, longitudinal, retrospective study was conducted at a university hospital, involving 266 medical records of patients who underwent myocardial revascularization surgery. Instruments containing sociodemographic, clinical, and infection-related variables were used, along with the Perioperative Surgical Safety Checklist. Descriptive, bivariate, and logistic regression analyses were employed.
Results:
surgical site infection occurred in 89 (33.5%) patients. There was a statistically significant association between body temperature outside the range of 36 degrees Celsius to 36.5 degrees Celsius (p=0.01), the presence of invasive devices (p=0.05), surgical procedures with the anticipation of critical events (p<0.001), and the occurrence of infection.
Conclusions:
body temperature, the presence of invasive devices, and surgical procedures with the anticipation of critical events were significant factors contributing to an increased risk of infection.
Palavras-chave: Cardiac Surgical ProceduresIncidenceInfectionsPatient SafetySurgical Wound InfectionVer mais - Amanda Gubert Pereira
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REVIEW
Use of technology for self-care in surgical wound infection surveillance: integrative review
- Lia Pacheco de Oliveira ,
- Ana Laura Serra Lucato ,
- Daiane Rubinato Fernandes ,
- Leticia Genova Vieira ,
- Bruna Nogueira dos Santos , [ ... ],
- Renata Cristina de Campos Pereira Silveira
02-02-2022
Resumo
REVIEWUse of technology for self-care in surgical wound infection surveillance: integrative review
Revista Brasileira de Enfermagem. 2022;75(3):e20210208
02-02-2022DOI 10.1590/0034-7167-2021-0208
- Lia Pacheco de Oliveira ,
- Ana Laura Serra Lucato ,
- Daiane Rubinato Fernandes ,
- Leticia Genova Vieira ,
- Bruna Nogueira dos Santos ,
- Renata Cristina de Campos Pereira Silveira
Visualizações0Ver maisABSTRACT
Objectives:
to synthesize knowledge about technology for self-care in surgical wound infection surveillance.
Methods:
integrative review conducted in CINAHL, Embase, LILACS, PubMed, Scopus and Web of Science databases with the descriptors “surgical wound infection” and “self-care”, in addition to manual search in the references of the included studies. The selection and evaluation of the methodological quality of the studies and data collection were performed by two independent reviewers; conflicts were resolved by a third reviewer.
Results:
nine primary studies were included, published between 2011 and 2019. Six are cross-sectional, two are randomized clinical trials, and one is a case report. Mobile, text messaging, and imaging applications, computer software, assessments, and data storage capacity stand out.
Conclusions:
the technologies identified for self-care in surgical wound infection surveillance were the creation and use of mHealth and the use of health apps on mobile devices. Effective technologies in surveillance of surgical wound infection that enable rapprochement with the healthcare team, encourage a greater number of surgical wound assessments, enhance self-care actions, and decrease patient anxiety. Technology is also a monitored and recorded form of patient care, one of the main axes of infection surveillance.
Visualizações0Resumo
REVIEWUse of technology for self-care in surgical wound infection surveillance: integrative review
Revista Brasileira de Enfermagem. 2022;75(3):e20210208
02-02-2022DOI 10.1590/0034-7167-2021-0208
- Lia Pacheco de Oliveira ,
- Ana Laura Serra Lucato ,
- Daiane Rubinato Fernandes ,
- Leticia Genova Vieira ,
- Bruna Nogueira dos Santos ,
- Renata Cristina de Campos Pereira Silveira
Visualizações0Ver maisABSTRACT
Objectives:
to synthesize knowledge about technology for self-care in surgical wound infection surveillance.
Methods:
integrative review conducted in CINAHL, Embase, LILACS, PubMed, Scopus and Web of Science databases with the descriptors “surgical wound infection” and “self-care”, in addition to manual search in the references of the included studies. The selection and evaluation of the methodological quality of the studies and data collection were performed by two independent reviewers; conflicts were resolved by a third reviewer.
Results:
nine primary studies were included, published between 2011 and 2019. Six are cross-sectional, two are randomized clinical trials, and one is a case report. Mobile, text messaging, and imaging applications, computer software, assessments, and data storage capacity stand out.
Conclusions:
the technologies identified for self-care in surgical wound infection surveillance were the creation and use of mHealth and the use of health apps on mobile devices. Effective technologies in surveillance of surgical wound infection that enable rapprochement with the healthcare team, encourage a greater number of surgical wound assessments, enhance self-care actions, and decrease patient anxiety. Technology is also a monitored and recorded form of patient care, one of the main axes of infection surveillance.
- Lia Pacheco de Oliveira
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ORIGINAL ARTICLE
Negative pressure wound therapy in the treatment of surgical site infection in cardiac surgery
- Mayra de Castro Oliveira ,
- Alessandra Yuri Takehana de Andrade ,
- Ruth Natalia Teresa Turrini ,
- Vanessa de Brito Poveda
07-01-2020
Resumo
ORIGINAL ARTICLENegative pressure wound therapy in the treatment of surgical site infection in cardiac surgery
Revista Brasileira de Enfermagem. 2020;73(5):e20190331
07-01-2020DOI 10.1590/0034-7167-2019-0331
- Mayra de Castro Oliveira ,
- Alessandra Yuri Takehana de Andrade ,
- Ruth Natalia Teresa Turrini ,
- Vanessa de Brito Poveda
Visualizações0ABSTRACT
Objectives:
to describe the relationship between epidemiological and clinical characteristics of postoperative cardiac surgery patients undergoing negative pressure wound therapy for the treatment of surgical site infection.
Methods:
an observational, cross-sectional analytical study including a convenience sample consisting of medical records of patients undergoing sternal cardiac surgery with surgical site infection diagnosed in medical records treated by negative pressure wound therapy.
Results:
medical records of 117 patients, mainly submitted to myocardial revascularization surgery and with deep incisional surgical site infection (88; 75.2%). Negative pressure wound therapy was used on mean for 16 (±9.5) days/patient; 1.7% had complications associated with therapy and 53.8% had discomfort, especially pain (93.6%). The duration of therapy was related to the severity of SSI (p=0.010) and the number of exchanges performed (p=0.045).
Conclusions:
negative pressure wound therapy has few complications, but with discomfort to patients.
Palavras-chave: CardiologyNegative-Pressure Wound TherapySternotomySurgical Wound InfectionThoracic Surgical ProceduresVer maisVisualizações0Resumo
ORIGINAL ARTICLENegative pressure wound therapy in the treatment of surgical site infection in cardiac surgery
Revista Brasileira de Enfermagem. 2020;73(5):e20190331
07-01-2020DOI 10.1590/0034-7167-2019-0331
- Mayra de Castro Oliveira ,
- Alessandra Yuri Takehana de Andrade ,
- Ruth Natalia Teresa Turrini ,
- Vanessa de Brito Poveda
Visualizações0ABSTRACT
Objectives:
to describe the relationship between epidemiological and clinical characteristics of postoperative cardiac surgery patients undergoing negative pressure wound therapy for the treatment of surgical site infection.
Methods:
an observational, cross-sectional analytical study including a convenience sample consisting of medical records of patients undergoing sternal cardiac surgery with surgical site infection diagnosed in medical records treated by negative pressure wound therapy.
Results:
medical records of 117 patients, mainly submitted to myocardial revascularization surgery and with deep incisional surgical site infection (88; 75.2%). Negative pressure wound therapy was used on mean for 16 (±9.5) days/patient; 1.7% had complications associated with therapy and 53.8% had discomfort, especially pain (93.6%). The duration of therapy was related to the severity of SSI (p=0.010) and the number of exchanges performed (p=0.045).
Conclusions:
negative pressure wound therapy has few complications, but with discomfort to patients.
Palavras-chave: CardiologyNegative-Pressure Wound TherapySternotomySurgical Wound InfectionThoracic Surgical ProceduresVer mais - Mayra de Castro Oliveira
Surgical Wound Infection Archives - Revista Brasileira de Enfermagem
