Incidencia de infecciones de heridas quirúrgicas post apendicetomía en pacientes atendidos en el servicio de hospitalización de un hospital pediátrico de la ciudad de Guayaquil.

Abstract

Surgical site infections are one of the complications that occur in operated patients, which is a problem at the institutional level and worldwide. Objective: To determine the incidence of infections in post-appendectomy surgical wounds in pediatric patients treated in the inpatient service of a hospital in the city of Guayaquil. Methodology: Level: Descriptive. Method: Quantitative. Design: Retrospective and Transversal. Technique: Indirect observation. Instrument: Observation sheet. Results: This study determined that of 173 children, 21 appeared wound infections in the surgical site, showing the sociodemographic characteristics 62% (n=13) corresponded to the male sex and 38% (n=8) female, of ethnic group. mestizo 76% (n=16), from the coastal region 90% (n=19), being the type of scheduled surgery 67% (n=14) and emergency 33% (n=7). The frequent pathogenic germs were Escherichia coli 76%, Staphylococcus epidermidis 14% y Enterococcus faecalis 10%. The clinical manifestations presented, within the symptoms, pain was identified in 86% and itching in 10%, with respect to the signs, fever was present in 95% of children, inflammation in 90%, sepsis in 10%, edema in 24%, swelling 38%, suppuration 52%, pus 29%, redness and heat 71%. Conclusion: The incidence of post-appendectomy pediatric surgical site infections was 12%.