Abstract

ROMANELLI, Roberta Maia de Castro et al. Prospective study of implementation of active surveillance post-cesarean surgical-wound infection in an university hospital in the State of Minas Gerais, Brazil, 2010 to 2011. Epidemiol. Serv. Saúde [online]. 2012, vol.21, n.4, pp.569-578. ISSN 1679-4974.  http://dx.doi.org/10.5123/S1679-49742012000400006.

OBJECTIVE: to evaluate the implementation of active surveillance post-discharge of Cesarean Surgical- Wound Infections(SWI) at Otto Cirne Maternity, Belo Horizonte, state of Minas Gerais, Brazil. METHODS: prospective observational study conducted from March 2010-2011; data was obtained by active surveillance performed by the Hospital Infection Control Committee, including telephone call followed by clinical evaluation when necessary; notification was performed according to National Healthcare Safety Network criteria. RESULTS: 762 patients who underwent cesarean section (29.3%) were identified and 500 women were contacted; 7 SWI were notified by passive surveillance (0.9%) and 34 by active surveillance (6.8%), with a significant increase on identified cases (p<0.0001). CONCLUSION: notification of number of cases of SWI post-cesarean section by active surveillance emphasizes the need to identify cases of surgical-wound infection to reduce underreporting, referring to postpartum care when necessary for a definitive diagnosis and appropriate treatment.

Keywords : Cesarean Section; Surgical Wound Infection; Epidemiological Surveillance; Notice.

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