Surgical site infection in emergency and elective patients and it’s major risk factor in resource limited tertiary care center
A multicentric study
Keywords:
SSI, anemia, hypoalbuminemia, diabetes mellitus, surface surgeryAbstract
Postoperative surgical site infection (SSI) is major threat for surgeons. In this study, we measure the incidence of SSI in emergency and elective surgical patients and evaluation of any significant relation to anemia, hypoalbuminemia, Diabetes mellites, alcohol and tobacco user. This study was a prospective comparative study of 200 patients, studied during a twelve-month duration who were admitted and operated in our departments. Data collected including demographic profile and presence of SSI up to 30 postoperative days. In this prospective study of 200 patients (100 patients in each emergency and elective surgical case) surgical site infection was present in 17% (n=34) of patients, out of 34 SSI patients 64.7% (22 Patients) were male and 35.3% (12 Patients) were female. SSI was present in 73.5% and 26.5% of emergency and elective surgical cases respectively. Emergency and elective surgical cases were compared in SSI and non SSI cases and data showed a statistically significant difference (X2= 9.0716, P value .00256). Patients having SSI were compared with non SSI for anemia, hypoalbuminemia and diabetes mellites data showed statistically significant difference (X2=66.6, P value< 0.00001, X2=78.5, P value< 0.00001 and X2 =61.7, P value< 0.00001 respectively).
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Alkaaki A, Al-Radi OO, Khoja A, Alnawawi A, Alnawawi A, Maghrabi A, Altaf A, Aljiffry M. Surgical site infection following abdominal surgery: a prospective cohort study. Canadian Journal of Surgery. 2019 Apr;62(2):111.
B.Mawalla,S.E.Mshana,P.L.Chalya,C.Imirzalioglu,andW. Mahalu, “Predictors of surgical site infections among patients undergoing major surgery at Bugando Medical Centre in Northwestern Tanzania,” BMC Surgery,vol.11,no.1,article21, 2011
Blumetti J, Luu M, Sarosi G, et al. Surgical site infections after colorectal surgery: do risk factors vary depending on the type of infection considered? Surgery. 2007; 142(5): 704-711.
D. Ac´ın-Gandara, G. Rodr´ ´ıguez-Caravaca, M. Duran-Poveda´ et al., “Incidence of surgical site infection in colon surgery: comparison with regional, National Spanish, and United States standards,” Surgical Infections, vol. 14, no. 4, pp. 339–344, 2013.
Fan Y, Wei Z, Wang W, et al. The incidence and distribution of surgical site infection in mainland China: a meta-analysis of 84 prospective observational studies. Sci Rep. 2014; 4: 6783.
Giri S, Kandel BP, Pant S, Lakhey PJ, Singh YP, Vaidya P. Risk factors for surgical site infections in abdominal surgery: a study in Nepal. Surgical infections. 2013 Jun 1;14(3):313-8.
Khan M, Muqim R, Zarin M, Khalil J, Salman M. Influence of ASA Score and Charlson Comorbidity index on the surgical site infection Rates. J Coll Physicians Surg Pak. 2010; 20(8): 506-950.
Klevens RM, Edwards JR, Richards CL Jr, et al. Estimating health care- associated infections and deaths in U.S. hospitals, 2002. Public Health Rep 2007;122:160–6.
Lubega A, Joel B, Justina Lucy N. Incidence and etiology of surgical site infections among emergency postoperative patients in mbarara regional referral hospital, South Western Uganda. Surgery research and practice. 2017 Jan 12;2017.
Mundhada AS, Tenpe S. A study of organisms causing surgical site infections and their antimicrobial susceptibility in a tertiary care government hospital. Indian Journal of Pathology and Microbiology. 2015 Apr 1;58(2):195
Nespoli A, Geroulanos S, Nardone A, Coppola S, Nespoli L. The History of Surgical Infections. Surgical Infection Society - Europe Presidential Address. Surgical Infections. 2011; 12(1): 3-13
Ng RS, Chong CP. Surgeons’ adherence to guidelines for surgical antimicrobial prophylaxis - a review. Australas Med J. 2012; 5(10): 534-540.
Oh AL, Goh LM, Nik Azim NA, Tee CS, Shehab Phung CW. Antibiotic usage in surgical prophylaxis: a prospective surveillance of surgical wards at a tertiary hospital in Malaysia. J Infect Dev Ctries. 2014; 8(2): 193-201.
S.J.Jeong,H.W.Ann,J.K.Kimetal.,“Incidenceandriskfactors for surgical site infection after gastric surgery: a multicenter prospective cohort study,” Infection & Chemotherapy,vol.45, no. 4, pp. 422–430, 2013.
Singh R, Singla P, Chaudhary U. Surgical Site Infection: Classification, Risk factors, Pathogenesis and Preventive Management. International Journal of Pharma Research and Health Sciences. 2014; 2(3): 203-214.
Staszewicz W, Eisenring MC, Bettschart V, Harbarth S, Troillet N. Thirteen years of surgical site infection surveillance in Swiss hospitals. J Hosp Infect. 2014; 88(1): 40-47.
Tan LT, Shiang F, Wong J, Azmah Tuan Mat TN, Gandhi A. A Prospective Study of Surgical Site Infection in Elective and Emergency General Surgery in a Tertiary Public Hospital in Malaysia-A Preliminary Report. Madridge J Surg. 2019 Jan 10;2(1):52-8.
Tang R, Chen HH, Wang YL, et al. Risk factors for surgical site infection after elective resection of the colon and rectum: a single-center prospective study of 2,809 consecutive patients. Ann Surg. 2001; 234(2): 181-189
Y. Fan, Z. Wei, W. Wang et al., “The incidence and distribution of surgical site infection in mainland China: a meta-analysis of 84 prospective observational studies,” Scientific Reports,vol.4, article 6783, 2014.
Young B, Ng TM, Teng C, Ang B, Tai HY, Lye DC. Noncorcordance with surgical site infection prevention guidelines and rates of surgical site infections for general surgical, neurological, and orthopedic procedures. Antimicrob Agents Chemother. 2011; 55(10): 4659-4663.
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