Incidencia de infección nosocomial quirúrgica en ginecología y obstetricia en un hospital comarcal

Abstract

Introduction: Nosocomial infections in obstetrics and gynecology are an important cause of morbidity and mortality, the most frequent in the surgical site. Objective: To analyze the incidence of nosocomial infections related to major interventions most frequently performed in the service of Obstetrics and Gynaecology. Methods: Prospective study of 715 patients undergoing surgery, of caesarean section and abdominal or vaginal hysterectomy at the Hospital La Inmaculada of Huercal-Overa (Almería, Spain) in the period from October 31, 2008 and August 30, 2011. Variables were analyzed as Cumulative Incidence and Incidence Density for each type of nosocomial infection detected, separately for each type of intervention. Also calculated adjusted incidences NNIS index (Nacional Nosocomial Infection Surveillance System). Results: We detected 30 nosocomial infections (4.2%). The nosocomial infection most frequently diagnosed in our study was the endometritis after cesarean, being the most frequent microorganism detected E. Coli. Conclusions: Nosocomial infections, particularly surgical site infections are a potentially serious problem and relatively frequent, which is related to increased morbidity, is important to perform adequate prophylaxis and make a correct surveillance for diagnosis and an early start of treatment.