2026-03-172026-03-172025-08-22SANTOS, Jade Pinto dos. Infecção de sítio cirúrgico em cirurgias abdominais: uma revisão integrativa de fatores de risco, epidemiológicos e medidas preventivas. Orientadora: Amanda Caroline Duarte Ferreira; Coorientador: Denis Vieira Gomes Ferreira. 2025. 48 f. Trabalho de Conclusão de Curso (Bacharelado em Medicina) - Faculdade de Medicina, Campus Universitário de Altamira, Universidade Federal do Pará, Altamira, 2025. Disponível em: https://bdm.ufpa.br/handle/prefix/9366. Acesso em:.https://bdm.ufpa.br/handle/prefix/9366Surgical Site Infection (SSI) is a prevalent complication in abdominal surgeries, with a significant impact on morbidity, mortality, and hospital costs. This study aimed to analyze the risk factors, epidemiology, prevalent microorganisms, and preventive measures for SSI. For this purpose, an integrative literature review was conducted, with searches in SciELO, LILACS, Medline, and Google Scholar databases. Nine articles published between 2015 and 2025 were selected. The results indicated that the incidence of SSI is heterogeneous, varying from 1% in bariatric surgeries to 19% in oncological patients. Laparoscopic surgeries showed rates of 0.5%, significantly lower than open surgeries (3%) in bariatric procedures. Underreporting of cases after hospital discharge was an identified challenge. Risk factors were categorized as intrinsic (advanced age, uncontrolled Diabetes Mellitus, obesity, ASA classification, smoking, malnutrition, perioperative hyperglycemia, and living alone post-operatively) and extrinsic (long procedure duration, type of access, need for reoperation, contamination potential, prolonged pre-operative hospital stay, use of drains and bladder catheterization, blood loss, and need for ICU admission). The predominant microbiological profile included Enterococcus faecalis and Gram-negative bacteria such as Pseudomonas aeruginosa, Enterobacter cloacae, and Escherichia coli. The discussion highlighted the heterogeneity of incidence and the challenge of underreporting, the complexity of risk factors and the importance of the microbiological profile for antibiotic prophylaxis. Effective preventive measures, implemented in care bundles, include adequate antibiotic prophylaxis, pre-operative bathing with chlorhexidine, judicious hair removal, rigorous control of perioperative glycemia and normothermia, adherence to the WHO Surgical Safety Checklist, and the use of special dressings. Persistent challenges involve the lack of conclusive studies in specific surgical niches and the sustainability of improvement programs. Multiprofessional collaboration is essential. It is concluded that SSI prevention is multifactorial, requiring the rigorous implementation of evidence-based protocols, continuous surveillance, and adaptability of healthcare teams, in addition to hospital discharge planning that considers the patient's home support. Investment in training, monitoring, and research is crucial to improve the quality of care and ensure favorable clinical outcomesAcesso AbertoInfecção de sítio cirúrgicoCirurgia abdominalFatores de riscoPrevenção de doençasComplicações pós-operatóriasSurgical Site infectionAbdominal surgeryRisk factorsDisease preventionPostoperative complicationsCNPQ::CIENCIAS DA SAUDE::SAUDE COLETIVATrabalho de Curso - Graduação - MonografiaAttribution-NonCommercial-NoDerivs 3.0 Brazil