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Learning Objective 1: consider the need of discussing, between professionals, about the results of the educative action by the epidemiological vigilance nurse, on the Nosocomial Institution.
Learning Objective 2: analyse critically the results obtained, focusing on the epidemiological vigilance.
Methods: This is a descriptive, prospective, quantitative field study, developed on the surgical ambulatory of a philanthropic school hospital, in the city of
Results: Of the 4308 (100%) patients that returned to the surgical ambulatory, 230 (5,33%) presented ISS. Of these, 137 (59,56%) were inpatients and 93 (40,43%) were ambulatorial patients. The patients were classified according to the topography of their hernias: inguinal (97 – 42,17%); umbilical (60 – 26,08%); incisory (48 – 20,86%) and others ( 25 –10,86%). The ISS index for the five surgical teams ranged from 4,33% to 9,16%. The annual incidence, observed over a 6 years period, had the following distribution: first year – 8,94%; 2 – 9,86%; 3 – 5,98%; 4 – 4,38%; 5 – 2,06%; and, in the last year, 1,25%.
Conclusion: The incidence of ISS in patients submitted to hernia surgery, detected by the epidemiologic vigilance, was 230 (5,33%) of the patients during the period of 6 years. Considering the work developed by the Nosocomial Infection Control Service we can see a reduction of incidence from 8,37% (first year) to 1,25% ( last year).