Análise da profilaxia antimicrobiana para a prevenção da infecção do sítio cirúrgico em um hospital do centro-oeste brasileiro
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Data
2014
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Resumo
The purpose of this study was to analyze preoperative antimicrobial prophylaxis in clean surgery, at a university
hospital in Centre-West Brazil. This cross-sectional, descriptive study was completed using 700 records of
patients 18 years of age or older undergoing clean surgery between 2008 and 2010. The study used a previously
evaluated, structured form for data collection. Two indicators were analyzed: antimicrobial prophylaxis within
one hour of incision, and antimicrobial prophylaxis 24 hours postoperatively, considering the following variables:
antimicrobial selected; dose according to the weight of the patient, additional doses during surgery, and surgical
procedures taking longer than four hours. Records completed within 30 days of the surgical procedure were
considered, 12 months in cases of prosthetic implants and like ones. It was found that 86.6 % had received
antimicrobial prophylaxis, in 75.1%, the first dose was administered within the recommended timeframe, and
in 96.9%, the antibiotic of choice was Cefazolin. Inadequacies were present in 70.6% for duration of prophylaxis,
96.8% in the dose according to the weight, and 70% in additional doses. The rate of surgical site infection was
10%, methicillin resistant Staphylococcus aureus was the most common etiologic agent. Despite guidelines
that advise caution with regard to antimicrobial prophylaxis, the study found inadequacies that may negatively
impact patient safety.
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Indicadores de qualidade em assistência à saúde, Antibioticoprofilaxia, Segurança do paciente, Infecção da ferida operatória, Enfermagem perioperatória, Quality indicators, Health care, Patient safety, Antibiotic prophylaxis, Surgical wound infection, Perioperative nursing
Citação
GEBRIM, Cyanéa Ferreira Lima; RODRIGUES, Jéssica Guimarães; QUEIROZ, Maressa Noemia Rodrigues; BARRETO, Regiane Aparecida Santos Soares; PRADO, Marinésia Aparecida do. Análise da profilaxia antimicrobiana para a prevenção da infecção do sítio cirúrgico em um hospital do centro-oeste brasileiro. Ciencia Y Enfermería, Casilla, v. 20, n. 2, p.103-115, 2014.