Identification of post-cesarean surgical site infection: nursing consultation

ABSTRACT Objective: To describe the profile of women in relation to their living conditions, health status and socio-demographic profile, correlating it with the presence of signs and symptoms suggestive of post-cesarean surgical site infection, identifying information to be considered in the puerperium consultation performed by nurses and proposing a roadmap for the systematization of care. Method: Quantitative, exploratory, descriptive, cross-sectional and retrospective review of medical records of women who had cesarean deliveries in 2014, in the city of São Paulo. Results: 89 medical records were analyzed, 62 of them with incomplete information. In 11, there was at least one of the signs and symptoms suggestive of infection. Conclusion: Given the results of the study, the systematization of puerperal consultation is essential. The roadmap is an instrument that can potentially improve the quality of service and the recording of information.

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Surgical site infection risk following cesarean deliveries covered by Medicaid or private insurance

Infection Control and Hospital Epidemiology ◽

10.1017/ice.2019.66 ◽

2019 ◽

Vol 40 (6) ◽

pp. 639-648 ◽

Cited By ~ 3

Author(s):

Sarah H. Yi ◽

Kiran M. Perkins ◽

Sophia V. Kazakova ◽

Kelly M. Hatfield ◽

David G. Kleinbaum ◽

...

Keyword(s):

Surgical Site Infection ◽

Cesarean Delivery ◽

Private Insurance ◽

Site Infection ◽

Cesarean Deliveries ◽

Need To Evaluate ◽

Study Population ◽

Facility Level ◽

Primary Payer

AbstractObjective:To compare risk of surgical site infection (SSI) following cesarean delivery between women covered by Medicaid and private health insurance.Study design:Retrospective cohort.Study population:Cesarean deliveries covered by Medicaid or private insurance and reported to the National Healthcare Safety Network (NHSN) and state inpatient discharge databases by hospitals in California (2011–2013).Methods:Deliveries reported to NHSN and state inpatient discharge databases were linked to identify SSIs in the 30 days following cesarean delivery, primary payer, and patient and procedure characteristics. Additional hospital-level characteristics were obtained from public databases. Relative risk of SSI by primary payer primary payer was assessed using multivariable logistic regression adjusting for patient, procedure, and hospital characteristics, accounting for facility-level clustering.Results:Of 291,757 cesarean deliveries included, 48% were covered by Medicaid. SSIs were detected following 1,055 deliveries covered by Medicaid (0.75%) and 955 deliveries covered by private insurance (0.63%) (unadjusted odds ratio, 1.2; 95% confidence interval [CI], 1.1–1.3; P < .0001). The adjusted odds of SSI following cesarean deliveries covered by Medicaid was 1.4 (95% CI, 1.2–1.6; P < .0001) times the odds of those covered by private insurance.Conclusions:In this, the largest and only multicenter study to investigate SSI risk following cesarean delivery by primary payer, Medicaid-insured women had a higher risk of infection than privately insured women. These findings suggest the need to evaluate and better characterize the quality of maternal healthcare for and needs of women covered by Medicaid to inform targeted infection prevention and policy.

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Validation of Surgical Site Infection Surveillance in The Netherlands

Infection Control and Hospital Epidemiology ◽

10.1086/509847 ◽

2007 ◽

Vol 28 (1) ◽

pp. 36-41 ◽

Cited By ~ 26

Author(s):

J. Manniën ◽

A. E. van der Zeeuw ◽

J. C. Wille ◽

S. van den Hof

Keyword(s):

Surgical Site Infection ◽

Predictive Value ◽

Medical Records ◽

Surveillance System ◽

Structured Interview ◽

Surveillance Data ◽

National Nosocomial Infection Surveillance ◽

Site Infection ◽

Infection Surveillance

Objectives.To describe how continuous validation of data on surgical site infection (SSI) is being performed in the Dutch National Nosocomial Infection Surveillance System (Preventie Ziekenhuisinfecties door Surveillance [PREZIES]), to assess the quality and accuracy of the PREZIES data, and to present the corresponding outcomes of the assessment.Design.Mandatory, 1-day on-site validation visit to participating hospitals every 3 years. The process of surveillance, including the quality of the method of data collection, is validated by means of a structured interview. The use of SSI criteria is validated by review of medical records, with the judgment of the validation team as the criterion standard.Setting.Hospitals participating in PREZIES.Results.During 1999-2004, the validation team visited 40 hospitals and reviewed 859 medical charts. There was no deviation between reports of SSI by infection control professionals and findings by the PREZIES validation team at 30 hospitals and 1 deviation in each of 10 hospitals; the positive predictive value was 0.97, and the negative predictive value was 0.99. The validation team often gave advice to the hospital, aimed at perfecting the process of surveillance. On 2 occasions, data were removed from the PREZIES database after the validation visit revealed deviations from the SSI surveillance protocol that could have resulted in nonrepresentative SSI rate data.Conclusions.PREZIES is confident that the assembled Dutch SSI surveillance data are reliable and robust and are sufficiently accurate to be used as a reference for interhospital comparison. PREZIES will continue performing on-site validation visits, to improve the process of surveillance and ensure the reliability of the surveillance data.

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Surgical site infection and its risk factors in colon surgeries

Revista da Escola de Enfermagem da USP ◽

10.1590/s0080-623420160000100006 ◽

2016 ◽

Vol 50 (1) ◽

pp. 43-49 ◽

Cited By ~ 6

Author(s):

Suzimar de Fátima Benato Fusco ◽

Natiara Medolago Massarico ◽

Maria Virginia Martins Faria Fadul Alves ◽

Carlos Magno Castelo Branco Fortaleza ◽

Érika Cibele Pereira Pavan ◽

...

Keyword(s):

Risk Factors ◽

Surgical Site Infection ◽

Medical Records ◽

Mechanical Bowel Preparation ◽

Colon Surgery ◽

Tertiary Hospital ◽

Male Gender ◽

Surgical Patients ◽

Site Infection

Abstract OBJECTIVE To identify the occurrence of surgical site infection (SSI) and its risk factors in patients undergoing colon surgery in a tertiary hospital located in the countryside of the state of São Paulo. METHOD Retrospective cohort study, with collection of information contained in the medical records of patients undergoing colon surgery in the period between January 2010 and December 2013. The studied variables were the possible risk factors related to the patient, to demographic characteristics and the surgical procedure. RESULTS In total, were evaluated 155 patients with an overall SSI incidence of 16.7%. A statistically significant association was found both in the univariate as in the multivariate analysis between the SSI and the following variables: male gender, Charlson index and mechanical bowel preparation. CONCLUSION The understanding of health professionals about the factors that influence the incidence of SSI in colon surgery may contribute to the quality of care provided to surgical patients, from effective actions to minimize the risk of infections.

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KUALITAS PELAYANAN DALAM PEMBANGUNAN INFRASTRUKTUR DI KECAMATAN CIAWI, KABUPATEN BOGOR

JURNAL GOVERNANSI ◽

10.30997/jgs.v4i2.1398 ◽

2018 ◽

Vol 4 (2) ◽

pp. 101

Author(s):

Muhamad Alfian ◽

Nandang Saefudin Zenju ◽

Irma Purnamasari

Keyword(s):

Quality Of Service ◽

National Development ◽

Infrastructure Development ◽

National Unity ◽

The People ◽

Driving Wheel ◽

Alternative Routes ◽

The City ◽

Quality Infrastructure

Infrastructure development is an integral part of national development and the driving wheel of economic growth. Infrastructure also has an important role in strengthening national unity and unity (Bappenas: 2009). The banjarwaru, banjarwangi, and telukpinang highways are the access roads traversed by 8 villages including alternative routes for the cicurug-sukabumi area. This road is always passed by the people who headed to the city. Therefore, the benefits of this road is very important because it is often passed from the cicurug-sukabumi area due to the diversion of traffic flow so that the intensity of high road users.In this study the author uses the theory of Ridwan and Sudrajat. Quality of service is the level of incompatibility between expectations with customer desires and also the perceptions of these customers. Quality of service here can be assessed by looking at the dimensions. These dimensions include the quality of service, the ability of officials, and service convenience. During the observation to the community through the survey to direct approach with the community, most people complained that the development service to build the kecamatan should be further improved and the results of this study showed that the Quality Assessment of Service in Road Infrastructure Development in Ciawi Sub-district Bogor Regency is categorized Fair Good this is because the assessment of the quality of development services by the Subdistrict Apparatus itself and from the community assess the ability of District Officers still have to be improved in conducting the service and its implementation.Keywords: Service Quality, Infrastructure Development.

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Chlorhexidine Cloths to Reduce Surgical Site Infection in Cesarean Deliveries

Case Medical Research ◽

10.31525/ct1-nct04202471 ◽

2019 ◽

Author(s):

Keyword(s):

Surgical Site Infection ◽

Site Infection ◽

Cesarean Deliveries

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HOSPITAL INFECTION IN SURGICAL DEPARTMENTS AT HUE UNIVERSITY HOSPITAL IN 2015

Journal of Medicine and Pharmacy ◽

10.34071/jmp.2016.5.6 ◽

2016 ◽

pp. 39-43

Author(s):

Dinh Binh Tran ◽

Dinh Tan Tran

Keyword(s):

Surgical Site Infection ◽

Surgical Intervention ◽

University Hospital ◽

Hospital Infections ◽

Site Infection ◽

Cross Sectional ◽

Surgical Interventions ◽

Hospital Acquired Infections ◽

Tract Infections ◽

Hospital Acquired

Objective: To study nosocomial infections and identify the main agents causing hospital infections at Hue University Hospital. Subjects and Methods: A cross-sectional descriptive study of 385 patients with surgical interventions. Results: The prevalence of hospital infections was 5.2%, surgical site infection was the most common (60%), followed by skin and soft tissue infections (35%), urinary tract infections (5%). Surgical site infection (11.6%) in dirty surgery. There were 3 bacterial pathogens isolated, including Staphylococcus aureus (50%), Pseudomonas aeruginosa and Enterococcusspp (25%). Conclusion: Surgical site infection was high in hospital-acquired infections. Key words: hospital infections, surgical intervention, surgical site infection, bacteria

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Skull and Face Injuries and Associated Factors in Pedestrian Victims of Traffic Accidents: A Single Trauma Center Analysis

Current Dentistry ◽

10.2174/2542579x02999200608131337 ◽

2020 ◽

Vol 2 (1) ◽

pp. 53-59

Author(s):

Josimara A. de Araújo Varela ◽

Tatiana F.T. Palitot ◽

Smyrna L.X. de Souza ◽

Alidianne F.C. Cavalcanti ◽

Alessandro L. Cavalcanti

Keyword(s):

Medical Records ◽

Associated Factors ◽

Traffic Accidents ◽

Age Group ◽

Chi Square ◽

Cross Sectional ◽

Significance Level ◽

The Face ◽

Chi Square Test ◽

The City

Objective: This study aimed to analyze the presence of lesions in the skull and face and the associated factors in pedestrian victims of traffic accidents. Methods: A cross-sectional, descriptive-analytical study carried out through the analysis of medical records of pedestrian victims of traffic accidents in an emergency service in the city of Campina Grande, Brazil, during the year of 2016. Information was collected regarding gender, age group, day of the week, time of the accident, type of vehicle involved, presence of trauma to the skull and face, and outcomes. The Chi-square and Fisher's Exact tests were used, with a significance level of 5%. Results: A total of 1,884 medical records were evaluated, out of which 7.1% (n = 133) involved pedestrians. Men were the most frequent victims (68.4%), and victims of age 60 years old or over (30.5%) predominated. Almost one-third of the cases were recorded during the weekends (30.5%), and the most prevalent time was at night (52.7%). Regarding the type of vehicle involved, motorcycles predominated (47.4%). Head trauma was present in 37.6% of victims, while facial injuries corresponded to 8.2%. In 12% of cases, the victims died. The variables of gender, age group, occurrence on weekends, and trauma to the face showed a statistically significant association with the occurrence of traffic accidents (Chi-square test; p<0.05). Conclusion: Among pedestrian victims of traffic accidents, there is a predominance of men aged 65 years or over. Accidents are frequent at night, and motorcycles are the main vehicles involved. The presence of trauma to the skull and face regions is high.

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Health Status and Quality of Health Care Services of Congolese Refugees in Nakivale, Uganda

Journal of Food Research ◽

10.5539/jfr.v5n3p39 ◽

2016 ◽

Vol 5 (3) ◽

pp. 39

Author(s):

Amegovu K. Andrew

Keyword(s):

Health Status ◽

Health Services ◽

Resource Constraints ◽

Service Providers ◽

Geographic Origin ◽

Health Service Delivery ◽

Health Facilities ◽

Cross Sectional ◽

Adequate Food

Physical and emotional wellness, as well as access to healthcare, are foundations for successful resettlement. Without feeling healthy, it is difficult to work, to go school, or take care of a family. Many factors can affect refugee health, including geographic origin and refugee camp conditions. Refugees may face a wide variety of acute or chronic health issues (Office of Refugee Resettlement, ORR Annual Report to Congress 2014; http://www.acf.hhs.gov). Resettlement of refugees in Uganda is usually supported by concerted efforts of UNHCR, Governments through the Office of the Prime Minister, OPM with support from host communities, local and international Non-Governmental Organizations. Due to resource constraints and local factors, immigrants are often subjected to poor living conditions which coupled with inadequacy inessential medical supplies might significantly affects quality of care and health service delivery and hence, rendering refugees to poor health status. This study was conducted from 2013-2014 to assess the determinants of health status of Congolese refugees living in Nakivale refugee settlement, in Isingiro district- South Western Uganda. A cross-sectional study design was used involving mixed techniques of both qualitative and quantitative KAP survey. The study focussed on Congolese refugee population in Nakivale Refugee settlement. 2401 key informants’ interviews and 8 focus group discussions respectively were conducted targeting service providers and beneficiaries/Congolese refugees in this case. The data was analysed using SPSS ver.20, 2011. Although majority (97%) of respondents sought medical services from established health facilities, findings confirm a high level of ill health prevalence among Congolese refugees in Nakivale camp, however, the difference in health services and perceived health status in camp versus the one in DRcongo is insignificant ( p=0.000) with respondents perceiving their health status as worse than when they were their own Country before the resettlement. Identified key challenges affecting access & uptake of available health services includes: language barrier; inadequate drugs; and the long distances to access health facilities. The health status of refugees could be improved by addressing the challenges related to language, drug supplies in addition to humanising conditions of shelter, providing appropriate waste disposal facilities while proving adequate food rations and clean & safe drinking water.

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