<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0034-7493</journal-id>
<journal-title><![CDATA[Revista Cubana de Cirugía]]></journal-title>
<abbrev-journal-title><![CDATA[Rev Cubana Cir]]></abbrev-journal-title>
<issn>0034-7493</issn>
<publisher>
<publisher-name><![CDATA[Editorial Ciencias Médicas]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0034-74932018000400004</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Incidencia de infección del sitio quirúrgico y cumplimiento de prácticas de prevención en apendicectomía y cirugía herniaria]]></article-title>
<article-title xml:lang="en"><![CDATA[Incidence of the surgical infection site and fulfillment of preventive practices in appendicectomy and hernial surgery]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Guanche Garcell]]></surname>
<given-names><![CDATA[Humberto]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[González Valdés]]></surname>
<given-names><![CDATA[Anaika]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Pisonero Socias]]></surname>
<given-names><![CDATA[Juan José]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Gutiérrez García]]></surname>
<given-names><![CDATA[Francisco]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Pérez Díaz]]></surname>
<given-names><![CDATA[Carlos]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Clínico Quirúrgico Universitario &#8220;Joaquín Albarrán&#8221;  ]]></institution>
<addr-line><![CDATA[La Habana ]]></addr-line>
<country>Cuba</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2018</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2018</year>
</pub-date>
<volume>57</volume>
<numero>4</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S0034-74932018000400004&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S0034-74932018000400004&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S0034-74932018000400004&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción:  La vigilancia de infección del sitio quirúrgico en procederes quirúrgicos frecuentes es esencial para su prevención.  Objetivo:  Determinar la incidencia de infección del sitio quirúrgico y el cumplimiento de las prácticas de prevención en apendicectomía y cirugía de hernia.  Método:  Estudio descriptivo de pacientes intervenidos de estos procederes desde enero 2017 hasta marzo 2018 en Hospital Clínico Quirúrgico Universitario &#8220;Joaquín Albarrán&#8221;. La Habana, Cuba. Se recolectó información de las características demográficas de los pacientes, los procederes y el CPP (profilaxis antibiótica, normoglicemia, normotermia y eliminación del pelo). Se utilizaron técnicas de vigilancia durante el ingreso y posterior al egreso para identificar los pacientes con infección del sitio quirúrgico. Se calculó la tasa total de infección del sitio quirúrgico y según índice de riesgo (por cada100 procederes quirúrgicos), para cada proceder y el CPP por cada 100 procederes quirúrgicos.  Resultados:  Se evaluaron 174 pacientes con apendicectomía y 389 de cirugía de hernia, con tasas de infección de 13,8 % y 5,7 %, respectivamente. El cumplimiento del tiempo de administración del antibiótico profiláctico, la selección y dosis, y la discontinuación fueron respectivamente de 53,3 %, 83,3 % y 80,0 %, en apendicectomía, y de 46,3 %, 72,9 % y 63 %, en cirugía de hernia. La normotermia fue alcanzada en 32,4 % y 27,1 % de los casos. La mayoría de los pacientes con infección del sitio quirúrgico fueron diagnosticados utilizando métodos de vigilancia posterior al egreso.  Conclusión:  Se ha identificado la incidencia de infección del sitio quirúrgico y brechas en el cumplimiento de las prácticas de prevención que requieren acciones correctivas, que incluyan fortalecimiento del sistema de vigilancia y capacitación de los profesionales.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction:  Surveillance of the surgical site infection in frequent surgical procedures is essential for its prevention.  Objective:  To determine the incidence of surgical site infection and the fulfillment of prevention practices in appendicectomy and hernial surgery.  Method:  Descriptive study of patients operated on by these procedures from January 2017 to March 2018 in &#8220;Joaquin Albarran&#8221; clinical, surgical and university hospital in Havana, Cuba. Data on demographic characteristics of patients, the types of procedures and the CPP (antibiotic prophylaxis, normoglycemia, normothermia and hair removal) were collected. The use of surveillance techniques during hospitalization and after discharge allowed identifying the patients with surgical site infection. The total surgical site infection rate and the risk index (per 100 surgical procedures) for each procedure and the CPP per 100 surgical procedures were all estimated.  Results:  One hundred and seventy-four patients with appendicectomy and 389 with hernial surgery were evaluated and their infection rates were 13.8% and 5.7%, respectively. The compliance with the time of administration of prophylactic antibiotic, selection and dosage, and discontinuation of treatment were 53.3%, 83.3% and 80%, respectively in appendicectomy where those of hernial surgery were 46.3%,72.9 and 63%, respectively. Normothermia was reached in 32.4% and 27.1% of cases. Most of the patients with surgical site infection were diagnosed by using the surveillance methods after discharge from hospital.  Conclusions:  The incidence of the surgical site infection and gaps in the fulfillment of prevention practices has been identified, which require corrective actions including strengthening of the surveillance system and professional training.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[apendicectomía]]></kwd>
<kwd lng="es"><![CDATA[cirugía de hernia]]></kwd>
<kwd lng="es"><![CDATA[infección del sitio quirúrgico]]></kwd>
<kwd lng="es"><![CDATA[paquete de prevención]]></kwd>
<kwd lng="es"><![CDATA[cumplimiento]]></kwd>
<kwd lng="es"><![CDATA[vigilancia posterior al egreso]]></kwd>
<kwd lng="es"><![CDATA[Cuba]]></kwd>
<kwd lng="en"><![CDATA[appendicectomy]]></kwd>
<kwd lng="en"><![CDATA[hernial surgery]]></kwd>
<kwd lng="en"><![CDATA[surgical site infection]]></kwd>
<kwd lng="en"><![CDATA[prevention package]]></kwd>
<kwd lng="en"><![CDATA[fulfillment]]></kwd>
<kwd lng="en"><![CDATA[post discharge surveillance]]></kwd>
<kwd lng="en"><![CDATA[Cuba]]></kwd>
</kwd-group>
</article-meta>
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