Hostname: page-component-cd9895bd7-gbm5v Total loading time: 0 Render date: 2024-12-28T04:44:57.766Z Has data issue: false hasContentIssue false
  • English
  • Français

The Control of Infection in General Surgery: A Four-Year Prospective Study in Brazil

Published online by Cambridge University Press:  02 January 2015

Edmundo M. Ferraz ,
José F. Correa Lima ,
Lourdes Porfirio  and
Salomão Kelner
Edmundo M. Ferraz*
Affiliation:
Division of General Surgery of theFederal University of Pernam, -bueo-, Brazil
José F. Correa Lima
Affiliation:
Division of General Surgery of theFederal University of Pernam, -bueo-, Brazil
Lourdes Porfirio
Affiliation:
Division of General Surgery of theFederal University of Pernam, -bueo-, Brazil
Salomão Kelner
Affiliation:
Division of General Surgery of theFederal University of Pernam, -bueo-, Brazil
*
RUA Hermogenes de Morias 304, Recife-Pernambuco, 50.000, Brazil
Get access Rights & Permissions [Opens in a new window]

Extract

Infection is an inherent complication in surgery. The high cost, the morbidity and the mortality to which it gives rise require that an effort be made to reduce its incidence. The control of the rates of infection constitutes today a parameter of the quality of the service provided by a hospital. In Brazil the unstructured nature of the vast majority of hospitals makes the recording of hospital infection and any attempt to control it a difficult task.

Isolated studies have appeared in the Brazilian literature such as those of Hultzler et al on data from the São Paulo University Hospital, Zanon et al2 from Ipanema Hospital, Rio de Janeiro, and Ferraz et al from the Federal University of Pernambuco Teaching Hospital. Hultzler et al reported in 1973 that the incidence of acquired infection in the patients admitted to the São Paulo University Hospital was 5.95%. The overall rate of post-operative infection in 4,746 operations performed was 6.59%, while that of wound infection was 3.08%.

In 1979 Zanon et al reported a 7.5% incidence of wound infection in the Division of General Surgery at Ipanema Hospital (Rio de Janeiro).

In 1980 the National Enquiry on Post-Operative Infection was organized under the auspices of the Brazilian College of Surgeons. A questionnaire was sent to 3,225 members of the College throughout the country. Of the 107 questionnaires duly completed and returned (3.31%) only 86 (2.66%) reported controlling infection, and of these, 61 (1.89%) included the outpatient department within the scope of their control of infection. Only 20 of the 107 questionnaires returned gave what were considered answers with regard to surgical wound infection.

Type
Original Articles
Information
Infection Control & Hospital Epidemiology , Volume 6 , Issue 9 , September 1985 , pp. 356 - 360
Copyright
Copyright © The Society for Healthcare Epidemiology of America 1985

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1.Hultzler, RU, Vasconcelos, RF, Stape, DDB, et al: Incidência de infeccōes hospitalares. Rev Hosp Clinicas Fac Med S Paulo 1973;28(suppl): 1. (Brazil)Google Scholar
2.Ferraz, EM, Correa Lima Filho, JF: Inquérito Nacional sobre Infeccōes Pós-operatórias. Rev Col Bras Cirurgiōes 1981;8(5):253–262. (Brazil)Google Scholar
3.Altemeier, WA, Burke, JF, Pruitt, BA, et al: Manual on Control of Infection in Surgical Patients. American College of Surgeons, Philadelphia, JB Lippincott, 1976.Google Scholar
4.Correa Lima Filho, JF, Ferraz, EM, Santos, LR, et al: Modelo de ficha de controle de infeccão para pacientes cirúrgicos. Rev Col Bras Cirurgiōes 1980;6(6):251–254. (Brazil)Google Scholar
5.Brote, L, Gillquist, J, Tärnvik, A: Wound infections in general surgery. Acta Chir Scand 1976;142:99–106.Google Scholar
6.Correa Lima Filho, JF, Ferraz, EM: A responsabilidade do cirurgiāo nos Indices elevados de infeccāo cirúrgica. Rev Centres Aperf Equipes Saúde (INAMPS-PE) 1980;1(1):57–59. (Brazil)Google Scholar
7.Ferraz, EM, Correa Lima Filho, JF, Porfirio, L, et al: Etiologia das infeccôes pós-operatorias do aparelho digestivo. Rev Col Bras Cirurgioes 1980;7(3):13–116. (Brazil)Google Scholar