CUSTO DA INFECÇÃO EM CIRURGIA ORTOPÉDICA: REVISÃO INTEGRATIVA DA LITERATURA

Abstract

OBJECTIVE: To analyze, based on scientific literature, the cost of infection related to health care (IRAS) in orthopaedic surgery. METHODS: We conducted a study of integrative review of publications on infection in orthopaedic surgery from January 1990 to December 2011. Sixteen papers were considered in its entirety. The indexing databases were used to search PubMed and the Latin American and Caribbean Health Sciences (LILACS). RESULTS: We found in the databases searched 21,490 publications on cost of infections, considering several sites and etiologies. Only 16 of these articles refer to the cost of surgical site infection in orthopaedic. The surgical sites were most commonly studied hip and knee, making a total of 14 publications. The infection rate in knee arthroplasty is 0.92%, while the hip is 0.88%. The growing cost of surgical site infection in orthopaedic is 1.5 to five times and the hospitalization may represent more than half of these costs. Mortality increases in cases of infection related to large procedures, reaching a rate of 15.4% in hip surgery. CONCLUSIONS: Infection in orthopaedic surgery increases the length of stay, mortality and costs. Patients undergoing arthroplasty have higher costs. Pathogens resistant to antimicrobial have higher costs when compared to infections by sensitive germs.