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A microbiology study of the surgical site infection, at a hospital in Northern Portugal

dc.contributor.authorPreto, Vera Lúcia Sarmento Martins
dc.contributor.authorAlves, Maria José
dc.contributor.authorMagalhães, Carlos Pires
dc.contributor.authorMartins, Matilde
dc.contributor.authorSilva, Norberto Anibal Pires
dc.contributor.authorBastos, Pedro
dc.date.accessioned2016-10-20T15:53:20Z
dc.date.available2016-10-20T15:53:20Z
dc.date.issued2016
dc.description.abstractSurgical site infections (SSIs) remain a major clinical problem in terms of morbidity, mortality, time spent in hospital and overall direct and indirect costs. Objectives: To measure the prevalence of the SSI, by type of surgery and microbiologically characterization, in adult patients undergoing surgery during 2015 at a public hospital in northern Portugal. Methods: A prospective study, attended by 609 adult patients, undergoing surgery. The sociodemographic and clinical data of the population, as well as the surgical procedure and microbiological study were analyzed using Microsoft Access 2013. Results: In the sample of 609 adults undergoing surgery, it was found that 62.89% of surgical wound were cleaned, 15.8% were clean-contaminated, 8.70% were contaminated and 9.36% infected. About 62.52% of the intervened patients had antibiotic prophylaxis prior to surgery. Out of all surgeries, 33.3% were laparoscopic. The percentage of SSI was 5.74%; In these positive cases, only 3.61% was identiied the responsible bacteria. The urgent surgeries have more infections when compared to the programmed ones. In colon surgery the number of infections was 60% after cholecystectomy (22.86%). In hernioplasty, infection occurred in only 2.86% of the patients. The most isolated bacteria was Escherichia coli with 59%, in which 30% are -producing-lactamases of extended spectrum, followed by Pseudomonas aeruginosa (13.6%) and Serratia marcescens (13.6%). The mortality rate was 14.8%. Pseudomonas aeruginosa was isolated in 3 of 4 patients who died. Conclusions: The most microorganisms belong to the group of Gram-negative and are usually linked to infections associated with health care.pt_PT
dc.identifier.citationPreto, Vera; Alves, Maria José; Magalhães, Carlos Pires; Martins, Matilde; Silva, Norberto; Bastos, Pedro (2016). A microbiology study of the surgical site infection, at a hospital in Northern Portugal. Atención Primaria. ISSN 0212-6567. 48 (espec. cong 1), p. 101-101pt_PT
dc.identifier.issn0212-6567
dc.identifier.urihttp://hdl.handle.net/10198/13417
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherElsevierpt_PT
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/pt_PT
dc.subjectSurgical site infectionspt_PT
dc.subjectType of surgerypt_PT
dc.subjectAntibiotic resistancept_PT
dc.titleA microbiology study of the surgical site infection, at a hospital in Northern Portugalpt_PT
dc.typeconference object
dspace.entity.typePublication
oaire.citation.conferencePlaceViseupt_PT
oaire.citation.endPage101pt_PT
oaire.citation.startPage101pt_PT
oaire.citation.titleAtención Primariapt_PT
person.familyNameAlves
person.familyNameMagalhães
person.familyNameMartins
person.familyNameBastos
person.givenNameMaria José
person.givenNameCarlos Pires
person.givenNameMatilde
person.givenNamePedro
person.identifier.ciencia-idD618-B3A9-D312
person.identifier.ciencia-idF515-7F7C-C3DB
person.identifier.ciencia-id8512-BB32-73C5
person.identifier.orcid0000-0001-8506-4393
person.identifier.orcid0000-0003-0170-8062
person.identifier.orcid0000-0003-2656-5897
person.identifier.orcid0000-0002-8445-8398
person.identifier.ridM-6624-2016
person.identifier.scopus-author-id16400584800
person.identifier.scopus-author-id55293441900
person.identifier.scopus-author-id35748310100
rcaap.rightsopenAccesspt_PT
rcaap.typeconferenceObjectpt_PT
relation.isAuthorOfPublication7850f8c2-8834-4d5a-b4a7-df482abd76d3
relation.isAuthorOfPublication032ca57f-1375-46c3-9675-ddb464d9798c
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relation.isAuthorOfPublication.latestForDiscovery032ca57f-1375-46c3-9675-ddb464d9798c

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