Incidencia de infección nosocomial en cirugía abierta de próstata

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 48hours 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.