Nursing interventions to reduce surgical site infection in potentially contaminated surgeries: an integrative review

Author:

Martins Tatiana1ORCID,Amante Lúcia Nazareth2ORCID,Vicente Camila3ORCID,Sousa Gabrielle Maciel de4ORCID,Caurio Emanuele Pozzebon4ORCID,Guanilo Maria Elena Echevarría1ORCID,Girondi Juliana Balbinot Reis2ORCID

Affiliation:

1. Universidade Federal de Santa Catarina – Programa de Pós-Graduação em Enfermagem – Florianópolis (SC), Brazil

2. Universidade Federal de Santa Catarina – Programa de Pós-Graduação em Gestão do Cuidado em Enfermagem – Modalidade Profissional – Florianópolis (SC), Brazil

3. Universidade Federal de Santa Catarina – Residência Multiprofissional Integrada em Saúde – Florianópolis (SC), Brazil

4. Universidade Federal de Santa Catarina – Graduação em Enfermagem – Florianópolis (SC), Brazil

Abstract

Objective: Identify nursing interventions that contribute to the reduction of surgical site infections in potentially contaminated surgeries. Methods: Integrative review, carried out in four databases. There were 5,888 articles published in the period from January 2008 to July 2018, in English, Portuguese and Spanish, from which nine articles were selected after final analysis. Results: The nursing interventions appeared according to the perioperative periods: preoperative (55.55%), intraoperative (33.33%), postoperative (66.66%), being associated with: antibiotic therapy, trichotomy, alcoholic chlorhexidine bathing, hand hygiene, sterile glove/wear/ package change for fascia and skin closure, degermination, antisepsis, surgical classification, surgical time, care with dressings and drains, temperature and blood glucose control, patient education, discharge and post-hospital discharge orientation. Conclusions: Nursing interventions were identified in each perioperative period, proving to be essential for the qualification of nursing care and effective in reducing surgical site infection in potentially contaminated surgeries.

Publisher

SOBEST Associacao Brasileira de Estomaterapia

Reference92 articles.

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2. 2015;1(1):76-88.

3. 2. [WHO] World Health Organization. Global guidelines on the prevention of surgical site infection. Geneva: WHO; 2016. [cited on 4 Abr 2019]. Available at: https://apps.who.int/

4. iris/bitstream/handle/10665/250680/9789241549882-eng.pdf?sequence=8

5. 3. Brasil. Agência Nacional de Vigilância Sanitária (Anvisa). Sítio Cirúrgico – Critérios Nacionais de Infecções relacionadas à assistência à saúde: Gerência Geral de Tecnologia em Serviços de Saúde, Gerência de Investigação e Prevenção das Infecções e dos Eventos Adversos. Brasília: Anvisa; 2009. [cited on 20 Out 2019]. Available at: http://www.anvisa.gov.

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