EPIDEMIOLOŠKO SPREMLJANJE OKUŽB KIRURŠKE RANE KOT VODILNI KAZALNIK KAKOVOSTI ZDRAVSTVENE NEGE OTROK PO KIRURŠKEM POSEGU

Abstract

Introduction: The European Centre for Disease Prevention and Control (ECDC) ranks surgical wound infection among the most common hospital infections, which, as a result, can prolong the hospitalization time, requires additional surgical interventions, treatments and intensive therapy, or even increases mortality. Implementation of epidemiological monitoring reduces the incidence rate of surgical wound infections, and monitoring the incidence rate enables assessment of the quality of medical care. After increasing importance of verification levels of quality of medical care, the University Clinical Centre Department of Paediatric Surgery decided for the project of systematic prospective monitoring of surgical wound infections in children. Methods: A quantitative research method was used with a prospective and retrospective data analysis for certain interventions. The research project was divided into several phases. The research sample included children at the Department of Paediatric Surgery for planned and emergency surgical interventions. The children were monitored for 30 days after the intervention (in the case of an implant for 90 days). The goal of the research was to establish clinical practice of monitoring surgical wound infections in children, and the introduction of appropriate preventive measures for reducing the incidence of surgical wound infections. Results: In two months, 74 surgical interventions were analysed. Analyse showed a 4.05 % incidence of surgical wound infection. In all cases it was superficial incisional surgical wound infection. Discussion: Prevention of surgical wound infections is becoming an important part of the national health strategies in many developed countries. Expert knowledge teaches us, that a significant part of healthcare-related infections can be prevented, often by following simple rules. With the project of prospective monitoring of surgical wound infection, we first of all want to define the incidence of surgical wound infection after various surgical interventions in children, to recognize risk factors for the occurrence of surgical wound infection and introduce appropriate preventive measures to reduce the incidence of surgical wound infection.