Occurrence of surgical site infection and associated factors in videolaparoscopic cholecystectomy

Keywords: Surgical Wound Infection; Cholecystectomy, Laparoscopic; Risk Factors; Perioperative Nursing.

Abstract

Objective: identify the occurrence and risk factors related with surgical site infection in patients submitted to videolaparoscopic cholecystectomy. Methods: descriptive study developed at a private hospital, involving 118 patients. For the data collection, a tool was elaborated that was submitted to face and content validation. For the data analysis, the software Statistical Package for the Social Sciences was used. Results: the occurrence of infection amounted to 5.9% (n=7). The cases were diagnosed during post-discharge surveillance. The results showed no statistically significant difference between the research variables and the presence of surgical site infection (bivariate analysis). Conclusion: at the place of study, the occurrence of surgical site infection was high, without an association between the research factors and the presence of this type of infection.

References

Agência Nacional de Vigilância Sanitária. Critérios diagnósticos de infecção relacionada à assistência à saúde [Internet]. 2017 [citado 2019 jan. 20]. Disponível em: http://portal.anvisa.gov.br/documents/33852/3507912/Caderno+2+-+Crit%C3%A9rios+Diagn%C3%B3sticos+de+Infec%C3%A7%C3%A3o+Relacionada+%C3%A0+Assist%C3%AAncia+%C3%A0+Sa%C3%BAde/7485b45a-074f-4b34-8868-61f1e5724501

World Health Organization. Global guidelines for the prevention of surgical site infection [Internet]. 2016 [cited Jan. 20, 2019]. Available from: http://www.who.int/infection-prevention/publications/ssi-prevention-guidelines/en

Anderson DJ, Podgorny K, Berríos-Torres SI, Bratzler DW, Dellinger EP, Greene L, et al. Strategies to prevent surgical site infections in acute care hospitals: 2014 update. Infect Control Hosp Epidemiol. 2014; 35(6):605-27. doi: https://dx.doi.org/10.1086/676022

Ohya J, Oshima Y, Chicuda H, Oichi T, Matsui H, Fushimi K, et al. Does the microendoscopic technique reduce mortality and major complications in patients undergoing lumbar discectomy? A propensity score-matched analysis using a nationwide administrative database. Neurosurg Focus. 2016; 40(2):e5. doi: https://dx.doi.org/10.3171/2015.10.FOCUS15479

Senne ECV. Avaliação de prevalência e fatores associados à infecção de sítio cirúrgico em colecistectomia videolaparoscópica antes e após a implantação de vigilância pós-alta. Liph Sci [Internet]. 2015 [citado 2019 jan. 17]; 2(3):126-91. Disponível em: http://old.liphscience.com/submissoes/GTWft6PDepu5hpPJ.pdf

Ministério da Saúde (BR). DATASUS: tecnologia da informação a serviço do SUS [Internet]. 2012 [ci- tado 2019 abr. 13]. Disponível em: http://tabnet.datasus.gov.br/cgi/tabcgi.exe?sih/cnv/qiuf.def

Warren DK, Nickel KB, Wallace AE, Mines D, Tian F, Symons WJ, et al. Risk factors for surgical site infection after cholecystectomy. Open Forum Infect Dis. 2017; 4(2):ofx036. doi: https://dx.doi.org/10.1093/ofid/ofx036

Fahrner R, Malinka T, Klasen J, Candinas D, Beldi G. Additional surgical procedure is a risk factor for surgical site infections laparoscopic cholecystectomy. Langenbecks Arch Surg. 2014; 399(5):595-9. doi: https://doi.org/10.1007/s00423-014-1197-3

Olsen MA, Nickel KB, Wallace AE, Mines D, Fraser VJ, Warren DK. Surgical infection after cholecystectomy: rates and operative risk factors. Value Health. 2014; 17(3):A35. doi: https://doi.org/10.1016/j.jval.2014.03.214

Silva AMB, Andrade D, Wysocki AD, Nicolussi AC, Haas VJ, Miranzi MAS. Knowledge about prevention and control of infection related to health care: hospital context. Rev Rene. 2017; 18(3):353-60. doi: https://dx.doi.org/10.15253/2175-6783.2017000300010

Ribeiro JC, Santos CB, Bellusse GC, Rezende VFR, Galvão CM. Occurrence and risk factors for surgical site infection in orthopedic surgery. Acta Paul Enferm. 2013; 26(4):353-9. doi: http://dx.doi.org/10.1590/S0103-21002013000400009

Chong JU, Lee JH, Yoon YC, Kwon KH, Cho JY, Kim SJ, et al. Influencing factors on postoperative hospital stay after laparoscopic cholecystectomy. Korean J Hepatobiliary Pancreat Surg. 2016; 20(1):12-6. doi: https://doi.org/10.14701/kjhbps.2016.20.1.12

Matsui Y, Satoi S, Kaibori M, Toyokawa H, Yana- gimoto H, Matsui K, et al. Antibiotic prophylaxis in laparoscopic cholecystectomy: a randomized controlled trial. PloS One. 2014; 9(9):e106702. doi: https://doi.org/10.1371/journal.pone.0106702

Stadler DV, Zanardo RR, Paulino GME, Sonobe HM, Giordani AT. Métodos de vigilância ativa de infecção de sítio cirúrgico: evidências de potencialidades e fragilidades. Rev Eletr Gestão Saúde [Internet]. 2016 [citado 2019 abr 28]; 7(Supl.1):993-1010. Disponível em: http://periodicos.unb.br/index.php/rgs/article/view/3565/3248

Sullivan E, Gupta A, Cook CH. Cost and consequences of surgical site infections: a call to arms. Surg Infect. 2017; 18(4):451-4. doi: https://doi.org/10.1089/sur.2017.072

Tandon A, Sunderland G, Nunes QM, Misra N, Shrotri M. Day case laparoscopic cholecystectomy in patients with high BMI: experience from a UK centre. Ann R Coll Surg Engl. 2016; 98(5):329-33. doi: https://doi.org/10.1308/rcsann.2016.0125

Castro PMV, Akerman D, Munhoz CB, Sacramento I, Mazzurana M, Alvarez GA. Laparoscopic cholecystectomy versus minilaparotomy in cholelithiasis: systematic review and meta-analysis. Arq Bras Cir Dig. 2014; 27(2):148-53. doi: https://dx.doi.org/10.1590/S0102-67202014000200013

Published
2019-05-23
Section
Research Article