Abstract
Inoperable site infection is a serious problem in surgical departments
- Katedra Pielęgniarstwa Zabiegowego, Zakład Pielęgniarstwa Chirurgicznego i Leczenia Ran Przewlekłych, Wydział Nauk o Zdrowiu Collegium Medicum w Bydgoszczy, Uniwersytet Mikołaja Kopernika w Toruniu
- Katedra Pielęgniarstwa Zabiegowego, Zakład Pielęgniarstwa Neurologicznego i Neurochirurgicznego, Wydział Nauk o Zdrowiu Collegium Medicum w Bydgoszczy, Uniwersytet Mikołaja Kopernika w Toruniu
- Studenckie Koło Naukowe Katedry Pielęgniarstwa Zabiegowego, Wydział Nauk o Zdrowiu Collegium Medicum w Bydgoszczy, Uniwersytet Mikołaja Kopernika w Toruniu
Introduction
The risk factors that increase the infection of an operable site are divided into: patient-related, related to surgery or dependent on treatment. The aim of the study was to evaluate the incidence of infection of the operative site and the factors contributing to its development in patients after surgery in the neurosurgical ward.
Material and methods
The study group consisted of 50 patients treated surgically because of neurosurgical disorders. A sheet was used to collect the data, which was filled in by the research team on the basis of a patient interview, observation, and access to the medical records.
Results
The infection occurred in 2 men, which accounted for 4% of the study group. Patients who had been infected with the operated site were operated for more than 180 min, had a catheter for the bladder and central vein, one of them was obese, which was important for the infection of the surgical site. The mean overall duration of hospitalization was slightly longer in patients with active site infection (10.00 vs. 7.88 days). However, the difference was not statistically significant (p = 0.29).
Conclusions
Infection of the surgical site in the neurosurgical ward concerned 4% of the study group. The development of infection of the operable site has contributed significantly to the duration of the surgery, the obesity of the sick and the male. In addition, a significant relationship was observed between infection of the operated site and bladder catheterization and central catheter catheterization. Other risk factors, including hospitalization and diabetes, did not affect the incidence of infection in the study group. Infection of the surgical site resulted in prolonged hospitalization of patients.
Keywords
infection of surgical site, prophylaxis of infections, nursing care, treatment of postoperative wound
