Predictive factors of post-discharge surgical site infections among patients from a teaching hospital
Gomes, Adriana Estela Biasotti; Cavalcante, Ricardo de Souza; Pavan, Érika Cibele Pereira; Freitas, Elaine da Silva; Fortaleza, Carlos Magno Castelo Branco.
Rev. Soc. Bras. Med. Trop;
47(2): 235-238, Mar-Apr/2014. tab
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| LILACS | ID: lil-710349
Introduction Surgical site infections (SSIs) often manifest after patients are discharged and are missed by hospital-based surveillance. Methods We conducted a case-reference study nested in a prospective cohort of patients from six surgical specialties in a teaching hospital. The factors related to SSI were compared for cases identified during the hospital stay and after discharge. Results Among 3,427 patients, 222 (6.4%) acquired an SSI. In 138 of these patients, the onset of the SSI occurred after discharge. Neurological surgery and the use of steroids were independently associated with a greater likelihood of SSI diagnosis during the hospital stay. Conclusions Our results support the idea of a specialty-based strategy for post-discharge SSI surveillance. .
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