Revista Colombiana de Cirugía
Print version ISSN 2011-7582
Surgical site infection (SSI) is the second most common type of nosocomial infection. The Committee on Epidemiologic Surveillance of Hospital Mario Correa Rengifo, Cali, Colombia, began activities in December, 2001, including surveillance of SSI. The purpose of this study was to describe the situation of SSI at this hospital. One hundred and thirty three patients with SSI were identified in a two year period, corresponding to an average incidence of 1.84%; 53.4% of patients were male, with ages between 14 and 85 years. Most common surgical procedures were open cholecystectomy (15.8%), appendectomy (12.8%), and intestinal suture repair (9.8%). Among the risk factors described in the literature we found the use of drains (17.4%), preoperative hospital stay longer than 72 hours (14.4%), previous surgery (14.4%), and age older than 65 years (12.9%). Most frequent diagnostic criteria of infection were seropurulent secretion (75.2%), positive culture (26.3%), and erythema (19.5%). Most frequent isolate was E.coli (36%), followed by S. areus (27%). Mortality rate was 3.76%.
Keywords : surgical site infection; surgery; epidemiology; survaillance.