Revista Cubana de Salud Pública
versão impressa ISSN 0864-3466
RAMIS ANDALIA, Rina et al. Incidence of surgical wounds infection in selected general surgery services. Rev. cub. salud pública [online]. 2007, vol.33, n.1, pp. 0-0. ISSN 0864-3466. http://dx.doi.org/10.1590/S0864-34662007000100005.
Surgical wound infection is the second cause of acquired infection in most of the hospitals worldwide. Historically, it has ranged from the second to the third infection site in Cuba. There are intrinsic and extrinsic factors involved in the onset of infection and it seems that there exist no recent research works aimed at identifying these factors and advising preventive measures. To this end, a longitudinal descriptive research was carried out in 4 hospitals located in Havana. The universe of study was all the patients admitted to the general surgery service, who had undergone elective or emergency major surgery. They were followed-up at home for one month after surgery. Surgical wound infection rates were higher than the historical ones recorded in hospitals and higher than those notified by domestic and international studies. The higher incidence regarding intrinsic factors was related to the nutritional condition of obese patients and to the infection on a site very distant from the surgical site. The lack of an adequate surgical schedule and the non-application of refined surgical techniques were the ones with the highest incidence rates among the extrinsic factors. This study showed serve to assess a number of alternatives that will allow overcoming persistent defficiencies in management, prevention and control of surgical site infection-associated factors.
Palavras-chave : Infection; surgical wound; incidence; Havana.