Revista Cubana de Higiene y Epidemiología
versión On-line ISSN 1561-3003
LOPEZ TAGLE, Daimilé; RAMIS ANDALIA, Rina; BAYARRE VEA, Héctor y GUANCHE GARCELL, Humberto. Incidence of infection in surgical wounds in a hospital of Havana City: January-june, 2004. Rev Cubana Hig Epidemiol [online]. 2007, vol.45, n.3, pp. 0-0. ISSN 1561-3003.
OBJECTIVE: to characterize the incidence of infection of the surgical wound in patients operated on at the general surgery service from january 1 to june 30, 2004. METHODS: a descriptive, longitudinal and prospective study was conducted. The studied group consisted of 654 patients admitted in the general surgery service of a clinical and surgical hospital. They underwent major, elective or emergency surgery. These patients were followed-up at home for a month after the operation. The study incorporated the community epidemiological surveillance and proposed to assess alternatives that allow to solve the deficiencies existing in the management, prevention and control of the factors connected with surgical wound infection. RESULTS: the surgical wound infection rates were higher than the historical rates of the hospital and than those reported by national and international studies. The highest incidence as regards the intrinsic factors was related to the infection in a remote place, obesity and the alterations caused by therapeutical regimes. As to the extrinsic factors, the greatest rates were obtained in the inadequate surgical techniques, the duration of surgery and the prolonged hospitalization. CONCLUSIONS: the elevated surgical wound infection rates resulted from fails in the planning and organization of the service, in the fulfilment of the norms and in the search of alternatives to face the existing material difficulties.
Palabras llave : Intrahospital infections; surgical wound infection; risk factors.