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14 - PERFIL EPIDEMIOLÓGICO DE INFECÇÃO PÓS-CESÁREA EM PUÉRPERAS NO HOSPITAL DE BASE DR. ARY PINHEIRO, 2025

Doi: 10.47094/978-65-284-0427-8/14

PALAVRAS CHAVE: Infecção de ferida operatória. Cesárea. Infecção Puerperal.

KEYWORDS: Surgical wound infection. Cesarean section. Puerperal infection.

ABSTRACT:
INTRODUCTION: The postpartum period is characterized by intense changes and adaptations. This encompasses physiological and psychological aspects, highlighting the vulnerability and various risks faced by postpartum women. Among these risks, surgical site infection in women after cesarean section stands out; its occurrence is influenced by extrinsic and intrinsic factors that significantly impact morbidity and length of hospital stay. OBJECTIVE: To describe the epidemiological profile of postpartum women with surgical site infection after cesarean section at the Dr. Ary Pinheiro Base Hospital. METHODOLOGY: Observational, descriptive study with a quantitative approach. Data collection was carried out using a pre-established form based on the CDC/NHSN Surgical Site Infection (SSI) Surveillance Definition (Centers for Disease Control and Prevention - National Healthcare Safety Network). The researchers conducted an active search for postpartum women who underwent cesarean section and developed a Surgical Site Infection diagnosed within 30 days of the procedure and who were hospitalized in the maternity ward of the hospital in question. The data collected were sourced from interviews conducted with the patients and information from their medical records. The data were stored in a database and analyzed using the Epi Info program (version 7.2 CDC/2023). In this preliminary analysis, frequencies and means of the most important variables were estimated. RESULTS: Data collection began in May 2025, obtaining preliminary information on 9 postpartum women who developed a surgical site infection. Among the data analyzed, race/color was: 88% (8) self-identified as mixed-race and 11% (1) as white. Regarding age, 55% (5) were between 15 and 25 years old and 44% (4) were over 26 years old. Regarding BMI, 33% (3) were classified as eutrophic; 33% (3) grade III obesity; 22% (2) overweight and 11% (1) grade I obesity. Associated comorbidities, 33% (3) obesity; 22% (2) reported pre-eclampsia and eclampsia; 22% gestational hypertension; 22% (2) denied associated comorbidities; 22% (2) Diabetes Mellitus and Gestational Diabetes Mellitus; 11% (1) chronic hypertension. Regarding surgical wound care, 89% (8) reported having received instructions and 11% (1) reported not having received instructions. CONCLUSION: Initial data show that the majority of postpartum women with surgical infection are brown, young (15-25 years), obese and have co-morbidities. Although 89% received guidance on wound care, there were reports of incorrect cleaning, indicating possible failures in the quality or understanding of the information provided. CAAE: 85263724.3.0000.0011 Opinion number: 7.518.287.

Autores

  • Elileide Fróes Jacome

  • Isabela De Oliveira Partelli

  • Lícia Fernanda Reis De Oliveira

  • Sarah Isabelle Johnson Cabral Dos Santos Lima

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