Detección precoz de infección de herida operatoria postapendicectomías en el Hospital Vicente Corral Moscoso, Cuenca 2012

Abstract

Acute appendicitis (AA) affects up to 12% of the population, morbidity and treatment produces suffering. Bacterial colonization of the appendix wall is multifactorial, depends on: guest, surgeon, hospital environment, and clinical stage, the frequency of surgical site infection (SSI) varies from 2 to 10%, it may be associated with appendix bacteriology.

The SSI is the most common postoperative complication in open appendectomy which was raised in the use of sentinel predictor of surgical site infections in post appendectomy, determining the bacterial load of the abdominal wall.

OBJECTIVE: To determine the utility of point guard, as predictor of surgical site infection in post appendectomy patients at Hospital Vicente Corral Moscoso. Methodology: It is a cross-sectional study, that determined whether the use of a guard point, helped as predictor of surgical site infection in patients undergoing appendectomy.

RESULTS: The sensitivity of point guard (with positive bacterial load) for prediction of surgical wound infection was 100%, with a specificity of 99.32%, higher in patients with drilled appendicitis (73.3%), surgery time > 60 minutes (28.3%), antibiotic prophylaxis (18.4%) and incision infra-umbilical (50%).

CONCLUSIONS: The point guard crop was projected as a predictive tool of surgical wound infection in patients undergoing appendectomy, and it is most useful in advanced stages of the disease, and long periods of surgery when the incision is infra umbilical

DeCS: APPENDECTOMY- ADVERSE EFFECTS; SURGICAL WOUND INFECTION-DIAGNOSIS; EARLY DIAGNOSIS; PREDICTIVE VALUE OF TESTS; SENSITIVITY AND SPECIFICITY; EPIDEMIOLOGY, DESCRIPTIVE; HOSPITAL REGIONAL VICENTE CORRAL MOSCOSO; CUENCA-ECUADOR