[Comparative study of surgical wound infection diagnosed in-hospital and post discharge].
OBJECTIVE
Surgical wound infection (SWI) is a serious hospital infection due to its incidence, morbidity and mortality. Because of the short hospital stay, the majority of SWI appears post-discharge, and its incidence is often underreported when there is no follow-up of the surgical patient post discharge. The need of a surveillance system for surgical patient after discharge is critical for infection control. The study objective was to determine the incidence of SWI in surgical patients and to compare the frequency of SWI diagnosed in-hospital and after discharge.


METHODS
A prospective cohort study was carried out in a university hospital. Patients admitted to the general surgery unit (504) and underwent digestive tract surgery in the first semester of the year 2000 were followed up during their hospital stay and after discharge.


RESULTS
Of 504 surgical patients, 398 (79.0%) returned to follow up in the post discharge outpatient clinic. Of the total surgical wound infections diagnosed, most (62.9%) was detected in the post discharge outpatient clinic, and 88% of SWI diagnosed were classified as superficial, and 67% reported up to day 7 after discharge.


CONCLUSIONS
This study showed the importance of following up surgical patients after discharge to achieve reliable incidence data on surgical wound infection because of the late occurrence of infection in the majority of cases, which results in underreporting when the patient is followed up only during the hospital stay.
Oliveira
Adriana Cristina
AC
Escola de Enfermagem, Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brasil. acgaivota@hotmail.com
Martins
Maria Aparecida
MA
Martinho
Gláucia Helena
GH
Clemente
Wanessa Trindade
WT
Lacerda
Rúbia Aparecida
RA
D000359:Aftercare; D001938:Brazil / Q000453:epidemiology; D015331:Cohort Studies; D003428:Cross Infection / Q000453:epidemiology*; D013505:Digestive System Surgical Procedures / Q000009:adverse effects*; D016021:Epidemiologic Studies; D005500:Follow-Up Studies; D006801:Humans; D015994:Incidence; D010351:Patient Discharge; D019990:Perioperative Care; D011446:Prospective Studies; D013530:Surgical Wound Infection / Q000453:epidemiology*