Profile of surgical site infections in cancer patients undergoing conventional abdominal surgeries
DOI:
https://doi.org/10.5327/Z1414-4425202529932%20Keywords:
Surgical wound infection, Medical Oncology, General SurgeryAbstract
Objective: To characterize the profile of Surgical Site Infection (SSI) cases in oncological surgical patients undergoing elective conventional abdominal surgeries. Methods: A retrospective cohort study analyzed elective conventional abdominal surgeries performed from 2020 to 2021. SSI cases were identified according to the criteria set by the Center for Epidemiological Surveillance of the state of São Paulo. Results: A total of 100 surgical procedures were analyzed, and 19 SSI cases were identified, with the majority being organ/site infections. The profile of patients affected by SSI consisted mainly of male individuals, with comorbidities (ASA 3), smokers, and those diagnosed with spleno-pancreatic or hepatic neoplasia. The risk factors associated with SSI included the duration of the procedure (p=0.015) and surgical re-intervention (p<0.001). The most frequently identified microorganism was Enterococcus faecalis, followed by Gram-negative bacteria. The most commonly used antibiotic for treatment was ceftriaxone. Conclusion: The patient profile was associated with the presence of comorbidities, spleno-pancreatic neoplasia diagnosis, longer anesthetic-surgical procedure duration, and surgical re-intervention. The majority of cases were classified as organ/site infections, associated with Enterococcus faecalis and treated with ceftriaxone.
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