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[Incidence of nosocomial infection in open prostate surgery]. / Incidencia de infección nosocomial en cirugía abierta de próstata.
Díaz-Agero, C; Pita-López, M J; Robustillo-Rodela, A; Rodríguez-Caravaca, G; Martínez-Mondéjar, B; Monge-Jodra, V.
Afiliación
  • Díaz-Agero C; Servicio de Medicina Preventiva, Hospital Universitario Ramón y Cajal, Madrid, España. cdiaza.hrc@salud.madrid.org
Actas Urol Esp ; 35(5): 266-71, 2011 May.
Article en Es | MEDLINE | ID: mdl-21474203
OBJECTIVES: To know the rate of nosocomial infections in open prostate surgery and to assess the application of pre-surgery preparation and preoperative antibiotic prophylaxis protocols at three public hospitals in the Autonomous Community of Madrid. MATERIALS AND METHODS: Prospective observational and multicentre study, including all the patients operated on at the services monitored and admitted for more than 48 hours between 1 January and 31 December 2009. They were monitored from admittance until their discharge. RESULTS: The rate of hospital infection observed was 3.38%. The most frequent infection was surgical localization, with an incidence rate of 2.77% (superficial=1.23%; deep=0.31%; organ-space=1.23%). The percentage of appropriate surgical prophylaxis, both in the indication and in the selection of antibiotics, initiation and duration, with respect to all those patients that received it, was 47.42%. According to the data obtained from their clinical records, the percentage of patients in which the pre-surgery preparation protocol was correctly complied with, was 92%. CONCLUSIONS: The results obtained in this multicentre study can serve not only as a reference to other public hospitals, but they are also comparable to other international monitoring systems. Monitoring and controlling infections associated with healthcare must be a key aspect in Patient Care and Safety programmes.
Asunto(s)

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Próstata / Prostatectomía / Infección de la Herida Quirúrgica / Infecciones Urinarias / Biopsia / Infección Hospitalaria Tipo de estudio: Clinical_trials / Etiology_studies / Guideline / Incidence_studies / Observational_studies / Risk_factors_studies / Screening_studies Límite: Aged / Humans / Male / Middle aged Idioma: Es Revista: Actas Urol Esp Año: 2011 Tipo del documento: Article Pais de publicación: España

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Próstata / Prostatectomía / Infección de la Herida Quirúrgica / Infecciones Urinarias / Biopsia / Infección Hospitalaria Tipo de estudio: Clinical_trials / Etiology_studies / Guideline / Incidence_studies / Observational_studies / Risk_factors_studies / Screening_studies Límite: Aged / Humans / Male / Middle aged Idioma: Es Revista: Actas Urol Esp Año: 2011 Tipo del documento: Article Pais de publicación: España