Abstract
Backgound and Objectives: Surgical wound infections (SWI) postoperative complications are common and present significant morbidity and mortality with increased time and cost of hospitalization, especially for women undergoing cesarean delivery. Therefore, the aim of this study was to evaluate risk factors for IFC in the reference in high-risk pregnancies from public Belo Horizonte. Methods: A cohort study performed in a referral Maternity - HC / UFMG, 2011-2012, with notification of SWI by active surveillance. All patients undergoing cesarean section were included and telephone contact was performed up to 30 days postpartum. The database was entered in the Statistical Package for Social Sciences. Results: We identified 708 women undergoing cesarean section and telephone contact was achieved with 487 of them during postpartum period. In 14 cases criteria for diagnosis of SWI was full filled (2.9% rate). When comparing groups of women with and without SWI, only the number of digital vaginal examination (≥ 2) was statistically significant for SWI cases. Conclusion: In the case of IFC, the average of digital vaginal examination was below reported in literature. It is emphasized that the procedure should be performed when absolutely necessary, respecting the rules of asepsis. KEYWORDS: Cesarean section. Surgical wound infection. Epidemiological surveillance. Diseases notification. Postpartum period.
Highlights
Study on risk factors for surgical wound infection in mothers undergoing cesarean sections at a teaching hospital of reference
A cohort study performed in a referral Maternity - HC / UFMG, 2011-2012, with notification of Surgical wound infections (SWI) by active surveillance
We identified 708 women undergoing cesarean section and telephone contact was achieved with 487 of them during postpartum period
Summary
Roberta Maia de Castro Romanelli[1], Regina Amélia Lopes Pessoa de Aguiar[1], Henrique Vitor Leite[1], Evilane do Carmo Patrício[1], Klaus Zanuncio Protil[1], Andre Tunes de Paula[1], Lucas Vieira Rodrigues[1], Bruna Barbosa Coimbra[1], Letícia Maria de Oliveira Aleixo Carvalho[1], Lenize Adriana de Jesus[2], Guilherme Augusto Armond[2], Wanessa Trindade Clemente1 1Universidade Federal de Minas Gerais (UFMG), MG, Brasil. 2Hospital das Clínicas da Universidade Federal de Minas Gerais, MG, Brasil. Justificativa e Objetivos: Infecções de ferida cirúrgica (IFC) constituem complicações pós-operatórias comuns e apresentam importante morbimortalidade, com aumento no tempo e custo de hospitalização, especialmente para mulheres submetidas a parto cesariana. O objetivo do presente estudo foi avaliar fatores de risco para IFC em serviço de referência em gestação de alto risco da rede pública de Belo Horizonte. Métodos: Estudo transversal realizado na maternidade do Hospital das Clínicas em Minas Gerais, de 2011 a 2012, com notificação de IFC por vigilância ativa. Todas as pacientes submetidas à cesárea no serviço foram incluídas e contato telefônico foi realizado até 30 dias pós-parto. Na comparação entre grupos de mulheres com e sem IFC, apenas o número de toques vaginais (≥ 2) foi estatisticamente significativo para os casos IFC. Ressalta-se que o procedimento deve ser realizado quando absolutamente necessário, respeitando-se as normas de assepsia
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