Prevalencia de infección de sitio quirúrgico y factores asociados. Hospital José Carrasco Arteaga, 2018 / Surgical site infection prevalence and associated factors. José Carrasco Arteaga Hospital, 2018

Objective: to determine the prevalence of ISQ and the associated factors at the José Carrasco Arteaga Hospital, during the year 2018. Methodology: An analytical, cross-sectional study of prevalence in the area of surgery of the José Carrasco Arteaga Hospital was carried out in 2018. It was carried out with 233 medical records that met the inclusion criteria to establish the prevalence of SSI and factors. Associated as: age, preoperative stay, diabetes mellitus, drainage use, classification of the American Society Anesthesiologists (ASA), obesity, blood transfusion, antibiotic prophylaxis, open surgical approach, degree of wound contamination, surgical time, admission to intensive care. A bivariate and multivariate analysis was performed with the SPSS program, to establish the association between the SSI and the risk factors. The same ones that are specific in tables with their respective statistical analysis. Results: The prevalence of SSI was 16.30%, a statistically significant association was found with surgical time greater than 120 minutes, use of drains, open surgical approach, admission to intensive care unit, ASA III-IV, contaminated and dirty wound, preoperative stay greater than 24h (p <0.05). There was no statistical association with body mass index greater than 25, diabetes mellitus, age over 65 years or with blood transfusion. Conclusions: The SSI is within the reported ranges, the factors for SSI are duration of surgery 120 minutes and more, preoperative stay 24 hours and more, ASA III and IV, contaminated and dirty wound, blood transfusions, use of drains, admission to the intensive care unit, conventional approach and lack of administration of antibiotics before surgery. It was not found as a risk factor for overweight or obesity, diabetes mellitus, the age of 65 years and more; nor who receive blood transfusions.

Construção de manual sobre cirurgia segura para profissionais de saúde* / Construction of a surgical safety manual for health professionals / Construcción de manual de cirugía segura para profesionales de saúde

As tecnologias educacionais, construídas a partir das concepções dos trabalhadores de saúde, podem ser utilizadas em ações educativas e contribuir para a prática profissional cotidiana. O objetivo foi descrever a construção de tecnologia educacional sobre cirurgia segura. Trata-se de estudo de caso da produção de tecnologia educativa do tipo manual, desenvolvido no primeiro semestre de 2015, a partir de dados coletados por entrevistas semiestruturadas, sobre as percepções dos profissionais sobre a segurança cirúrgica atuantes da clínica cirúrgica e centro cirúrgico de Hospital Universitário de Cuiabá, estado do Mato Grosso. A consideração dos saberes dos profissionais propiciou que o material construído atendesse às necessidades do grupo e estivesse apto a ser utilizado na implantação do protocolo de cirurgia segura (AU).

Educational technologies built from conceptions of health workers can be used in educational actions and contribute to improve daily professional practice. The purpose of this study was to describe the construction of educational technology on safe surgery. Case study on the production of educational technology through the construction of a manual, conducted in the first half of 2015, based on data on the perceptions of the staff of the surgery clinic area and surgical center of the University Hospital of Cuiabá, State of Mato Grosso on surgical safety collected through semi-structured interviews. Access to the professionals' knowledge/ expertise has made it possible to produce a material that meets the needs of the group and can be used in the implementation of the surgical safety protoco (AU)l.

Las tecnologías educacionales, elaboradas por medio de las concepciones de los trabajadores de salud, son esenciales en acciones educativas para contribuir con la práctica profesional cotidiana. El objetivo del trabajo fue describir la construcción de tecnología educacional acerca de cirugía segura. Este es un estudio de caso sobre la producción de tecnología educativa del tipo manual, desarrollado en el primer semestre de 2015, con base en datos obtenidos por entrevistas semiestructuradas, considerando las percepciones de los profesionales de la clínica quirúrgica y centro quirúrgico de Hospital Universitario de Cuiabá, estado de Mato Grosso, acerca de la seguridad quirúrgica. La consideración de los saberes de los profesionales posibilitó que el material elaborado atendiera a las necesidades del grupo, así como estuviera apto a ser utilizado en la implantación del protocolo de cirugía segura (AU).

Estudo da flora microbiana de pessoal de enfermagem de uma unidade de centro cirúrgico de um hospital universitário de Belo Horizonte / Study of the microbial flora of a surgical center nursing personnel of an university hospital of Belo Horizonte / El estudio de la flora microbiana de personal deenfermería de una unidad de centro quirúrgicode un hospital-escuela de belo horizonte

Considerando que a infecção hospitalar está relacionada aos trabalhadores de enfermagem, realizou-se este estudo com 27 profissionais de enfermagemde um centro cirúrgico de Belo Horizonte, para identificar a microbiota presente em diferentes sítios, as enterotoxinas produzidas por cepas de S. aureus, o teste de sensibilidade a antimicrobianos. O material coletado foi submetido a exames microbiológicos. Identificou-se trabalhadores comS.aureus; S.epidermidis; Klebsiella sp.; Proteus sp.; Enterobacter sp.; Pseudomonas e S. saprofhyticus. Das cepas de S. aureus encontradas, 83,3% são produtoras de toxinas, TSST e enterotoxinas A e B. A resistência aos antimicrobianos foi desenvolvida, principalmente, por cepas de S.epidermidis e S.aureus.

Considering that the hospital infection is related to the nursing workers, we developed this study with 27 nursing professionals ofa surgical center of Belo Horizonte city to identify the present microbial flora in different ranches, the enterotoxinas produced by stumps of S. aureus and the sensibility test to antimicrobiotics.The collected material was submitted to microbiological exams. We have identified workers with S. aureus; S. epidermidis; Klebsiella sp.; Proteus sp.; Enterobacter sp.; Pseudomonas and S. saprofhyticus. Of the stumps of found S. aureus, 83,3% produce toxins, TSST and entero toxins A and B. The resistance to the antimicrobiotics was developed, mainly by stumps of S.epidermidis and S. aureus.

Considerando que la infección del hospital se relaciona a los obreros de enfermería, nosotros desarrollamos este estudio con 27 profesionales de enfermería de un centro quirúrgico de la ciudad de Belo Horizonte para identificar el microbiota presente en diferentes ranchos, las enterotoxinas producidas por los tocones de S. aureus y la sensibilidad prueban al antimicrobiotics. El material reunido se sometió a los microbiological exámenes. Nosotros hemos identificado obreros con S.aureus; S.epidermidis; Klebsiella sp.; Proteus sp.; Enterobacter sp.; Pseudomonas y S. saprofhyticus. De los tocones de S.aureus encontró, 83,3% producen toxinas TSST y enterotoxins A y B. La resistencia al antimicrobiotics fue desarrollada, principalmente por los tocones de S.epidermidisy S.aureus.