Guanche GH, Gutiérrez GF, Pisonero SJJ, Rubiera JR, Suárez CA

Language: Spanish
References: 19
Page: 1-14
PDF size: 156.83 Kb.

ABSTRACT

Introduction: Surgical site infections can be prevented with the application of the best scientific evidence, which includes, as a key element, the education of health professionals.
Objective: To assess the extent to which aspects related to the prevention of surgical site infections are included into the curricula of medical students and of general surgery residents, and the extent to which knowledge and skills are addressed by professors.
Methods: Descriptive and cross-sectional study, which included documentary review of the training programs for students and residents. In addition, a questionnaire was applied to nine professors of the subject General Surgery from Joaquín Albarrán Clinical-Surgical Hospital and Manuel Fajardo Clinical-Surgical Hospital, in the period from May to June 2018.
Results: In the General Surgery rotation and in the medical internship, the objective of preventing surgical site infections was made explicit, while less emphasis on the subject was made in the residence. Teaching hand hygiene, antibiotic prophylaxis, and notification of infections were a priority. Differences were observed among students and residents regarding the way they address topics, while the prevention practices chosen were not systematically addressed in both groups of learners. The skills required for the prevention of surgical site infections were systematically considered by the majority of professors.
Conclusions: The existence of gaps in training curricula was shown, as well as regarding the development of knowledge and skills related to the prevention of surgical site infections in medical students and General Surgery residents.

REFERENCES

1. Berríos Torres SI, Umscheid CA, Bratzler DW, Leas B, Stone EC, Kelz RR, et al. For the Healthcare Infection Control Practices Advisory Committee Centers for Disease Control and Prevention Guideline for the Prevention of Surgical Site Infection, 2017. JAMA Surg. 2017;152:784-91.

2. Prevent Surgical Site Infections. Cambridge, MA: Institute for Healthcare Improvement; 2012 [acceso 29/03/2018]. Disponible en: http://www.ihi.org/resources/Pages/Tools/HowtoGuidePreventSurgicalSiteInfection.asp x.

3. Brenner P, Nercelles P. Chapter 15. Prevention of Surgical Site Infections. In: IFIC Basic Concepts of Infection Control 2nd Edition-Revised 2011. International Federation of Infection Control; 2011. P. 225-36.

4. The Joint Commission’s Implementation Guide for NPSG.07.05.01 on Surgical Site Infections: The SSI Change Project. The Joint Commission; 2013 [acceso 19/01/2019]. Disponible en: http://www.jointcommission.org

5. Ministerio de Salud Pública. Programa de prevención y control de las infecciones asociadas con la asistencia sanitaria (Versión 0.5). La Habana: Viceministerio de Higiene, Epidemiología y Microbiología. Dirección Nacional de Epidemiología; 2011.

6. Rosenthal VD, Richtmann R, Singh S, Apisarnthanarak A, Kubler A, Viet-Hung N, et al. On behalf of the International Nosocomial Infection Control Consortium. Surgical Site Infections, International Nosocomial Infection Control Consortium Report, Data Summary of 30 Countries, 2005-2010. Infect Control Hosp Epidemiol. 2013;34:597-604.

7. García Zapata MRC, Silva e Souza AC, Valadares Guimarães A, Ferreira Veiga Tipple A, Aparecida Prado M, García Zapata MTA. Standard precautions: knowledge and practice among nursing and medical students in a teaching hospital in Brazil. Int J Infect Control. 2010; v6:i1.

8. Ibrahim AA, Elshafie SS. Knowledge, awareness, and attitude regarding infection prevention and control among medical students: a call for educational intervention. Advances in Medical Education and Practice. 2016;7:505-10.

9. Kotwal A, Tareja DK. Healthcare workers and universal precautions perception and determinants of non-compliance. Indian J Community Med. 2010;35(4):551-3.

10. Ragnar Norrby S, Carbon C. Report of working group 3: Specialist training and continuing medical education/professional development in the infection disciplines. Clin Microbiol Infect. 2005;11(Suppl. 1):46-9.

11. Resolución Ministerial No. 23/2013. Anexo No. 1. Plan de estudios perfeccionado. Carrera de Medicina. Área de Docencia e Investigaciones, Ministerio de Salud Pública, 2015.

12. Ministerio de Salud Pública. Resolución Ministerial No. 344/2015. Plan de estudio y Programa de la Especialidad. Cirugía general. La Habana: Universidad de Ciencias Médicas de La Habana. Dirección Nacional de Postgrado. Area de Docencia e Investigaciones; 2015.

13. Ministerio de Salud Pública. Universidad de Ciencias Médicas de La Habana. Comisión Nacional de Carrera. Plan de estudio “D”. Carrera de Medicina; 2016.

14. Moriyama IM. Indicator of social change. Problems in the measurements of health status. New York: Rusell Sage Foundation;1968.

15. Guanche Garcell H, González Valdés A, Pisonero Socias JJ, Gutiérrez García F, Pérez Díaz CR. Incidencia de infección del sitio quirúrgico y cumplimiento de prácticas de prevención en apendicectomía y cirugía de hernia. Rev Cub Cir. 2018 Oct-Dic [acceso 15/11/2018];57(4). Disponible en: http://www.revcirugia.sld.cu/index.php/cir/article/view/754

16. Ottawa Charter for Health Promotion. Ottawa: WHO; 1986 [acceso 15/11/2018]. Disponible en: http://www.who.int/hpr/NPH/docs/ottawa_charter_hp.pdf

17. Anderson DJ, Podgorny K, Berrios Torres SI, Bratzler DW, Dellinger EP, Greene L, et al. Strategies to prevent surgical site infections in acute care hospitals. Infect Control Hosp Epidemiol. 2014;35(6):605-27.

18. Surgical site infection. Evidence update 43. London: National Institute for Clinical Excellence; 2013 [acceso 08/05/2016]. Disponible en: https://www.nice.org.uk/guidance/qs49/resources/surgical-site-infection- 2098675107781

19. World Health Organization. Global Guidelines for the Prevention of Surgical Site Infection. Geneva, Switzerland: WHO Press; 2016 [acceso 27/12/2018]. Disponible en: http://www.who.int/gpsc/ssi-prevention-guidelines/en/