RESUMEN
OBJECTIVE: Understanding the reality of surgical site infections post-discharge surveillance in Brazilian teaching hospitals. METHOD: A cross-sectional study conducted by sending an online questionnaire to nurses from the Hospital Infection Control Committee of Brazilian teaching hospitals registered in the National Registry of Health Establishments. RESULTS: Of the 193 teaching hospitals in Brazil, eight declined to take part as they did not conduct post-discharge surveillance and 36 did not respond. Twenty five of the remaining 149 hospitals provided detailed responses and 96% of responding institutions performed surgical site infection surveillance during hospitalization; active search (29.3%) was the main method, while 84% reported performing post-discharge surveillance mainly by telephone (42.8%). Both surveillance actions have nurses as the main responsible professionals. CONCLUSION: Nurses play a prominent role in surgical site infection identification/screening actions, and active search during hospitalization allied with post-discharge surveillance by telephone were the preferred methods.
Asunto(s)
Cuidados Posteriores/estadística & datos numéricos , Alta del Paciente , Vigilancia de la Población/métodos , Infección de la Herida Quirúrgica/diagnóstico , Adulto , Anciano , Brasil , Estudios Transversales , Femenino , Hospitales de Enseñanza , Humanos , Masculino , Persona de Mediana Edad , Rol de la Enfermera , Encuestas y Cuestionarios , Teléfono , Adulto JovenRESUMEN
Abstract Objective: Understanding the reality of surgical site infections post-discharge surveillance in Brazilian teaching hospitals. Method: A cross-sectional study conducted by sending an online questionnaire to nurses from the Hospital Infection Control Committee of Brazilian teaching hospitals registered in the National Registry of Health Establishments. Results: Of the 193 teaching hospitals in Brazil, eight declined to take part as they did not conduct post-discharge surveillance and 36 did not respond. Twenty five of the remaining 149 hospitals provided detailed responses and 96% of responding institutions performed surgical site infection surveillance during hospitalization; active search (29.3%) was the main method, while 84% reported performing post-discharge surveillance mainly by telephone (42.8%). Both surveillance actions have nurses as the main responsible professionals. Conclusion: Nurses play a prominent role in surgical site infection identification/screening actions, and active search during hospitalization allied with post-discharge surveillance by telephone were the preferred methods.
Resumo Objetivo: Compreender a realidade da vigilância pós-alta hospitalar das infecções do sítio cirúrgico em hospitais universitários brasileiros. Método: Estudo transversal conduzido por envio de um questionário on-line para enfermeiros do Comitê de Controle de Infecção Hospitalar dos hospitais universitários brasileiros registrados no Cadastro Nacional de Estabelecimentos de Saúde. Resultados: Dos 193 hospitais universitários do Brasil, oito declinaram participar, já que não fazem vigilância pós-alta, e 36 não responderam. Vinte e cinco dos 149 hospitais restantes forneceram respostas detalhadas e 96% das instituições que responderam realizavam vigilância das infecções do sítio cirúrgico durante a hospitalização; a busca ativa (29,3%) foi o método principal, ao passo que 84% relataram realizar vigilância pós-alta basicamente por telefone (42,8%). Ambas as ações de vigilância tiveram os enfermeiros como os principais profissionais responsáveis. Conclusão: Os enfermeiros têm um papel proeminente nas ações de identificação/triagem das infecções do sítio cirúrgico, e a busca ativa durante a hospitalização aliada à vigilância por telefone pós-alta foram os métodos preferenciais.
Resumen Objetivo: Comprender la realidad de la vigilancia post alta hospitalaria de las infecciones del sitio quirúrgico en hospitales universitarios brasileños. Método: Estudio transversal realizado mediante el envío de un cuestionario en línea a los enfermeros del Comité de Control de Infección Hospitalaria de los hospitales universitarios brasileños inscritos en el Registro Nacional de Establecimientos Sanitarios. Resultados: De los 193 hospitales universitarios de Brasil, ocho declinaron participar, puesto que no hacen vigilancia post alta, y 36 no respondieron. Veinticinco de los 149 hospitales restantes proporcionaron respuestas detalladas y el 96% de los centros que respondieron realizaban vigilancia de las infecciones del sitio quirúrgico durante la hospitalización; la búsqueda activa (29,3%) fue el método principal, mientras que el 84% relataron llevar a cabo vigilancia post alta básicamente por teléfono (42,8%). Ambas acciones de vigilancia tuvieron a los enfermeros como los principales profesionales responsables. Conclusión: Los enfermeros juegan un rol prominente en las acciones de identificación/cribado de las infecciones del sitio quirúrgico, y la búsqueda activa durante la hospitalización aliada a la vigilancia por teléfono fueron los métodos preferentes.
