Revista Cubana de Cirugía
version ISSN 0034-7493
PASCUAL BESTARD, Manuel; RODRIGUEZ FERNANDEZ, Zenén; RICARDO RAMIREZ, José Manuel and DESPAIGNE ALBA, Izvieta. Prediction factors of the postoperative infections. Rev Cubana Cir [online]. 2011, vol.50, n.3, pp. 257-265. ISSN 0034-7493.
Introduction: the genesis of the postsurgical infections is multifactor. The are many international studies evidencing the different prediction factors related to the appearance of these complications, which still involve a significant number of patients operated on, thus justifying the interest in the conduction of present paper. Objective: to describe the behavior the some of the prediction factors related to appearance of the postoperative infections in our practice. Methods: a cross-sectional, descriptive and observational study was conducted in admitted and operated on patients with postsurgical infections in the general surgery service of the "Saturnino Lora" Teaching Provincial Hospital over 2008, according to the selected prediction factors. Results: in relation to the contamination, the global rate of postoperative infection and that of the clean wounds are within the universally accepted limits, although are higher in the urgent, dirty and contaminated interventions for that located in the surgical site, as well as in patients with an ASA II and ASA III physical condition according the American Society of Anaesthesiology (ASA) independently of its nutritional status and the surgical time of interventions. Conclusions: the postsurgical infection rates increase as far as the conditions to operate on are unfavourable and the selected prediction factors are related mainly to that located in the surgical site, with de contamination level, the type of intervention and the physical preoperative status of patient.
Keywords : postoperative infection; prediction factors; contamination level; elective and urgent operations; infection at the operative site; physical status and nutritional status.