ABSTRACT
Surgical site infection (SSI) is an actual reality that has consequences, both economically and on the patient's wellbeing. An exploratory descriptive survey design was used in this research. The aim of the study is to evaluate and analyse the effectiveness of bundle implementation in the patient's undergoing laparoscopic cholecystectomy. This work emerged under a project "Stop Hospital Infection", created with the intent of implementing best practices and improve measures, to achieve a decrease in incidence and thus morbidity and mortality associated with acquired infections in patients at some Portuguese hospitals. A total of 333 patients who underwent laparoscopic cholecystectomy were studied from February 1, 2016 to May 31, 2018. The data was collected during June 2018, through consultation of the clinical file and respective clinical audit with a checklist. The checklist was prepared in accordance with the evidence-based guidelines for the prevention of SSIs by the Department of Public Health in Portugal and included the patient demographic data. Of the total participants, 63% were female, aged between 20 and 87 years and with an average age of 60 years. We recorded an overall rate of SSI of 2% (n = 5), and the rate at start stage for this type of surgery was 13%. Given these results and accordingly to scientific evidence, holds that the implementation of a bundle with adherence rates that are greater than 95% reduces the SSI, we suggest that the surgical bundles should be performed and we should further study with a larger sample including comorbidities
No disponible
Subject(s)
Humans , Male , Female , Young Adult , Adult , Middle Aged , Aged , Aged, 80 and over , Cholecystectomy, Laparoscopic/statistics & numerical data , Cholecystitis/surgery , Surgical Wound Infection/epidemiology , Comorbidity , Nursing Care/methods , Safety Management/standards , Cross Infection/prevention & control , Antibiotic Prophylaxis/methods , Disinfection/methodsABSTRACT
O objectivo principal da pesquisa foi o conhecimento sobre a realidade concreta da violencia de genero; denunciada no espaco policial; especificamente nas esquadras onde foram criados os Gabinetes de Atendimento da Mulher e da Crianca; vitima de violencia
