Resumo
Objetivo: Desenvolver um aplicativo móvel para a vigilância pós-alta hospitalar de infecção de sítio cirúrgico. Método: Estudo metodológico de construção tecnológica realizado em três etapas: levantamento de fundamentações científicas, análise situacional de aplicativos existentes e desenvolvimento de um protótipo. Resultados: Foi criado o aplicativo móvel InfectoPrev, que inclui conceitos e orientações, além de possibilitar a interação com o paciente. O aplicativo permite o registro da evolução cirúrgica e o envio de informações ao profissional de saúde, incluindo fotografias da ferida cirúrgica. Conclusão: O InfectoPrev é um aplicativo digital pioneiro no Brasil para acompanhamento, registro e elaboração de indicadores epidemiológicos relacionados a infecções de sítio cirúrgico.
Referências
Agência Nacional de Vigilância Sanitária (BR). Programa Nacional de Prevenção e Controle de Infecções Relacionadas à Assistência à Saúde (PNPCIRAS) 2021 a 2025 [Internet]. Brasília: Anvisa; 2021 [citado 2024 abr 20]. Disponível em: https://www.gov.br/anvisa/pt-br/assuntos/servicosdesaude/prevencao-e-controle-de- infeccao-e-resistencia-microbiana/pnpciras-e-pan-servicos-de-saude.
Centers for Disease Control and Prevention (US). National Healthcare Safety Network: Patient Safety Component Manual [Internet]. Atlanta: NHSN; 2024 [citado 2024 abr 20]. Chapter 9, Surgical Site Infection (SSI) Event; p. 126-64. Disponível em: https://www.cdc.gov/nhsn/pdfs/pscmanual/pcsmanual_current.pdf.
Taherpour N, Mehrabi Y, Seifi A, Eshrati B, Nazari SSH. Epidemiologic characteristics of orthopedic surgical site infections and under-reporting estimation of registries using capture-recapture analysis. BMC Infect Dis. 2021;21(1):e1-7. https://dx.doi.org/10.1186/s12879-020-05687-z.
Costa AC, Santa-Cruz F, Ferraz AAB. What’s new in infection on surgical site and antibioprophylaxis in surgery? ABCD Arq Bras Cir Dig. 2020;33(4):e1558. https://doi.org/10.1590/0102-672020200004e1558.
Machado RCG, Turrini RNT, Sousa CS. Mobile applications in surgical patient health education: an integrative review. Rev Esc Enferm USP. 2020;54:e03555. https://doi.org/10.1590/S1980-220X2018032803555.
Mendes KDS, Silveira RCCP, Galvão CM. Revisão integrativa: método de pesquisa para a incorporação de evidências na saúde e na enfermagem. Texto Contexto Enferm. 2008;17(4):758-764. https://doi.org/10.1590/S0104-07072008000400018.
Page MJ, McKenzie JE, Bossuyt PM, Boutron I, Hoffmann TC, Mulrow CD, Shamseer L, Tetzlaff JM, Akl EA, Brennan SE, Chou R, Glanville J, Grimshaw JM, Hróbjartsson A, Lalu
MM, Li T, Loder EW, Mayo-Wilson E, McDonald S, McGuinness LA, Stewart LA, Thomas J, Tricco AC, Welch VA, Whiting P, Moher D. The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. BMJ. 2021;372. https://doi.org/10.1136/bmj.n71.
Melnyk BM, Fineout-Overholt E. Evidence-based practice in nursing & healthcare: a guide to best practice. 2nd ed. Philadelphia, PA: Lippincott Williams & Wilkins; 2010.
Ursi E, Gavão C. Perioperative prevention of skin injury: an integrative literature review. Rev Latino-Am Enferm. 2006;14(1). https://doi.org/10.1590/S0104- 11692006000100017.
Rodrigues LN, Santos AS, Gomes PPS, Silva WCP, Chaves EMC. Construction and validation of an educational booklet on care for children with gastrostomy. Rev Bras Enferm. 2020;73(3):e20190108. https://doi.org/10.1590/0034-7167-2019-0108.
Lins MLR, Evangelista CB, Gomes GLL, Macedo JQ. Home self-care after gynecological surgeries: elaboration and validation of educational material. Acta Paul Enferm. 2021;34:eAPE03154. https://doi.org/10.37689/acta-ape/2021AO03154.
Ferreira AP, Coelho KR, Schlosser TCM, Poveda VB, Silva LLT. Construction and validation of a booklet of perioperative orientation and patient safety. Rev Gaúcha Enferm. 2022;43:e20210175. https://doi.org/10.1590/1983-1447.2022.20210175.pt.
Guatura GMGBS, Poveda VB. Post-dishcarge surveillance in surgical site infection: validation of an instrument. Texto Contexto Enferm. 2021;30:1-12. https://doi.org/10.1590/1980-265X-TCE-2019-0317.
Feitosa YS, Sampaio LRL, Moraes JT, Moreira TMM, Rolim KMC, Dantas TP, et al. Construction and validation of educational technology to prevent complications in intestinal ostomies/periestomy skin. Rev Bras Enferm. 2020;73:e20190825. http://dx.doi.org/10.1590/0034-7167-2019-0825.
Mathur P, Mittal S, Trikha V, Srivastav S, Pandey Rm, Katyal S, et al. Surveillance for surgical site infections in orthopedic trauma surgeries at an Indian hospital. Indian J Med Microbiol. 2022;40(2):268-73. https://doi.org/10.1016/j.ijmmb.2021.12.016.
Amaral PPB, Coelho AS, Silva TA, Custódio DCGG, Miranda ODO. Incidence of surgical site infection in a hospital in the interior of Rondônia. Enferm Bras. 2020;19(3):211-19. https://doi.org/10.33233/eb.v19i3.3072.
Abu-Sheasha GA, Bedwani RN, Anwar MM, Yassine OG. Cost-effectiveness analysis of three methods of surgical-site infection surveillance: Less is more. Am J Infect Control. 2020;48(10):1220-4. https://doi.org/10.1016/j.ajic.2019.12.022.
Silva IGL, Araújo KM, Borges RM, Gomes JRAA, Castro JPO, Oliveira MHB, et al. Bundle Method in reducing surgical site infection: systematic review. Health Resid J. 2022;3(14):1104-24. https://doi.org/10.51723/hrj.v3i14.312.
Bediako-Bowan A, Owusu E, Debrah S, Kjerulf A, Newman MJ, Kurtzhals JAL, et al. Surveillance of surgical site infection in a teaching hospital in Ghana: a prospective cohort study. J Hosp Infect. 2020;104(3):321-327. https://doi.org/10.1016/j.jhin.2020.01.004.
Oliveira LP, Lucato ALS, Fernandes DR, Vieira LG, Santos BN, Silveira RCCP. Use of technology for self-care in surgical wound infection surveillance: integrative review. Rev Bras Enferm. 2022;75(3):e20210208. https://doi.org/10.1590/0034-7167-2021-0208.
Rochon M, Jawarchan A, Fagan F, Otter JA, Tanner J. Image-based digital post- discharge surveillance in England: measuring patient enrolment, engagement, clinician response times, surgical site infection, and carbon footprint. J Hosp Infect. 2023;133:15-
https://doi.org/10.1016/j.jhin.2023.01.001.
World Health Organization. Protocol for surgical site infection surveillance with a focus on settings with limited resources [Internet]. Geneva: WHO; 2018 [citado 2022 out 30].
p. Disponível em: https://cdn.who.int/media/docs/default-source/integrated-health- services-(ihs)/ipc/ssi-surveillance-protocol.pdf?sfvrsn=d24a1d1c_3&download=true.
Machado ME, Paz AA, Linch GFC. Use of health information and communication technologies by brazilian nurses. Enferm Foco [Internet]. 2019 [citado 2022 dez 02];10(5):1-6. Disponível em: http://revista.cofen.gov.br/index.php/enfermagem/article/view/2543/639.
Silva RKS, Rocha GA, Neto FJC, Fontes JH, Silva MMA, Machado RS, et al. Mobile apps focused on patient care safety. Res Soc Dev. 2020;9(2):e166922179. http://dx.doi.org/10.33448/rsd-v9i2.2179.
Marques ADB, Moreira TMM, Carvalho REFL, Chaves EMC, Felipe GF, Silveira JAN. PEDCARE: validation of a mobile application on diabetic foot self-care. Rev Bras Enferm. 2021;74(suppl5):e20200856. https://doi.org/10.1590/0034-7167-2020-0856.

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