Incidência de infecções de sítio cirúrgico em neurocirurgias em pacientes oncológicos
2020
Objective: To investigate the incidence of surgical site infection (SCI) in cancer neurosurgeries in a publicteaching hospital in the North Region, highlighting the main etiological agents and risk factors involved in the onset of infections. Methods: This is a descriptive and cross-sectional study, carried out with 1,181neurosurgery patients, in the period 2013-2017. Data collection was performed in the files of the HospitalInfection Control Commission. The variables studied were: sex, age, underlying disease, surgical procedure,etiologic agent, risk factors and antibiotics. Microsoft Office software and SPSS, version 20.0 were used forstorage and statistical analysis. The study was approved by the Research Ethics Committee. Results: Thestudy found that 63 (5.32%) patients had infections, of which 31 (49.21%) were female and 32 (50.79%) male.38 (60.32%) had brain cancer and 33 (52.38%) underwent intracranial tumor microsurgery. Acinetobacterbaumannii (7.94%) and Enterobacter sp (7.94%) were the most reported etiologic agents. The most usedantibiotics were Ceftriaxone and Vancomycin. Peripheral venous access (44.44%) was the main risk factor forinfection. Conclusion: The rate of SCI observed was low, reflecting the preventive measures implemented inthe hospital service.
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