Abdominal surgical site infections: incidence and risk factors at an Iranian teaching hospital

Razavi, Seyd Mansour; Ibrahimpoor, Mohammad; Kashani, Ahmad Sabouri; Jafarian, Ali

doi:10.1186/1471-2482-5-2

Cited by 78 publications

(99 citation statements)

References 5 publications

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“…Some other reports are in agreement with the finding in this study. 13,16 Position of patient on operation list did not influence the rate of infection in this study. This refers to the sequence in which operations are taken during surgery sessions.…”

Section: Discussioncontrasting

confidence: 45%

“…This report is at variance with the finding from Iran. 13 In the present study, obesity was associated with SSI to the extent that an obese patient was five times more likely to be infected than non-obese patients. a researcher at Iran reported the same finding.…”

Section: Discussionmentioning

confidence: 47%

“…a researcher at Iran reported the same finding. 13 Multiple logistic regression analysis showed that anaemic patients have three and a half times the risk of postoperative infection than those without anaemia. another researcher reported a low haematocrit value pre surgery as a risk factor which agrees with the findings in this study.…”

Section: Discussionmentioning

confidence: 99%

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Incidence and risk factors of surgical site infection in a tertiary health institution in Kano, Northwestern Nigeria

Nwankwo

Ibeh

Enabulele

2012

Int. j. infect. control

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Surgical site infection (SSI) is the most common complication following surgical procedures. The aim of this study was to determine the incidence and associated risk factors of surgical site infection in a tertiary health institution in Kano, Nigeria.The study was carried out between January 2008 and December 2010. Data was collected in a predesigned questionnaire forms which focused on demographic details, socioeconomic background and lifestyle while the diagnosis, surgical procedure, duration of surgery, prophylactic antibiotics, postoperative antibiotics and co-morbidity were obtained from the patients hospital records. all the patients who underwent surgery in the male and female surgical wards, gynaecology and maternity wards including paediatric wards were enrolled in the study after informed consent of patients or parents in the case of children. all patients were followed up for 30 days for development of surgical site infection. Infected cases were identified using CDC, USA definition for surgical site infections. Out of 2880 patients, 585 (20.3%) were confirmed to be clinically infected (SSI). There were 1,016 (35.3%) males with a mean age of 38.3±16.3 and 1864 females (64.9%), mean age 30.6 ± 12.3yrs. There were 65% Superficial Incisional SSI, 30% deep Incisional SSI and 5% Organ Space SSI. Incidence related to clean, clean contaminated, contaminated and dirty were 5.8%, 30.5%, 40.6%, and 64.8% wounds respectively. Age, anaemia, obesity, number of persons in operating room and duration of surgery were all significantly associated with SSI. Effective infection control measures and good regular surveillance will improve the SSI rate to an acceptable level.

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Section: Discussioncontrasting

confidence: 45%

Section: Discussionmentioning

confidence: 47%

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Incidence and risk factors of surgical site infection in a tertiary health institution in Kano, Northwestern Nigeria

Nwankwo

Ibeh

Enabulele

2012

Int. j. infect. control

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“…13 The variables associated with the risk of SSI were duration of antibiotic prophylaxis, age, elevated American Association of Anaesthetists (ASA) score, prolonged preoperative hospital stay, duration of operation, emergency surgery, and sex. [14][15][16] Bivariate analysis between leucocyte count and SSI showed that leucocyte count had no significant relationship with SSI. An abnormal leucocyte count had the possibility of 3.295 times higher than the normal one.…”

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confidence: 97%

Sensitivity and specificity of serum procalcitonin level compared to leucocyte count for diagnosis of surgical site infection on patients undergoing major surgery

2013

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Surgical site infection (SSI) is one of the most serious complications on sugical procedure. However, its diagnosis is still based on the clinical and laboratory examination that take more time and less sensitive and specific. Therefore, early diagnosis that is more accurate and precise is needed. Some biomarker such as serum procalcitonin (PCT) is promoted for diagnosis SSI. The aim of the study was to evaluate the sensitivity and specificity of serum PCT compared with leucocyte for diagnosis of SSI on patients undergoing major surgery. This was a descriptive analytical study with a prospective observational design. Patients who underwent a major surgery between October 30 th and December 31 st , 2011 and fulfilled the inclusion and exclusion criteria were recruited. Clinical and laboratory examinations including leucocyte count were conducted presurgery. On 3 rd day postsurgery, blood sample was taken for PCT and leucocyte count measurement. A blood bacterial culture was performed on patients suffering from SSI according to Centers for Disease Control (CDC) criteria. Patients were then followed until 30 days postsurgery. A total of 49 patients consisting of 22 men and 27 women were involved in this study. Surgical site infection was found in 16 patients consisting of 8 (50%) patients with clean surgical wound, 3 (19%) patients with clean surgical contamination wound, 4 (25%) patients with surgical contamination wound and 1 (6%) patient with dirty surgical wound. Furthermore, laboratory examination found that 9 patients had abnormal leucocyte with 6 of them suffering from SSI, whereas from 15 patients with serum PCT abnormal, and 11 patients suffered from SSI. Diagnostic test showed that the sensitivity and specificity of serum PCT for diagnosis of SSI were 68.75 and 90.90%, respectively, whereas the sensitivity and specificity of leucocyte were 31.25 and 87.87%, respectively. In conclusion, serum PCT has better sensitivity and specificity compared with leucocyte for the diagnosis of SSI in patients with major surgery. ABSTRAKInfeksi luka operasi (ILO) merupakan salah satu komplikasi paling serius pada pembedahan. Namun demikian, diagnosis ILO masih bedasarkan pemeriksaan klinik dan laboratorium yang butuh waktu lama dan kurang sensitif maupun spesifik. Oleh karena itu, diagnosis dini yang lebih akurat dan tepat diperlukan. Beberapa biomarker seperti kadar prokalsitonin (PCT) dipromosikan untuk diagnosis SSI. Penelitian ini bertujuan untuk mengkaji sensitivitas dan spesifisitas PCT serum dibandingkan leukosit untuk diagnosis ILO pada pasien yang menjalani bedah mayor. Penelitian ini merupakan penelitian deskriptif analitik dengan rancangan observasional prospektif. Pasien yang menjalani bedah mayor antara 30 Oktober dan 31 Desember 2011 dan memenuhi kriteria inklusi dan eksklusi dilibatkan dalam penelitian. Hari ke 3 setelah 19%) pasien dengan luka operasi bersih kontaminasi, 4 (25%) pasien dengan luka operasi kontaminasi dan 1 (6%) pasien dengan luka operasi kotor. Pada pemeriksaan laboratorium dite...

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“…Surgical site infection defined as the presence of at least one of the following criteria: Pain or tenderness, localized swelling, erythema, localized heat, purulent drainage, accompanied by the fever and anorexia with a positive culture from the superficial incision or subcutaneous tissue which occurs within 30 days after the surgery (1). There has been estimated that, about 234 million operations performed annually throughout the world (2).…”

Section: Contextmentioning

confidence: 99%

Comprehensive Preventive Approach to Surgical Site Infections (SSIs): A Review

2018

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Background: To deal with health problems, using an approach, based on prevention perspective, consist of different types of prevention, can be a proper way to manage the health problems such as surgical site infections (SSIs). Objective: Introducing an action plan from the perspective of "prevention" for dealing with surgical site infections (SSIs). Evidence Acquisition: We have used 5 known prevention levels as a simple approach for dealing with surgical site infections. For gathering information, electronic databases, including Scopus, Medline, ISI, IranMedex, and Irandoc sites were used. Results: For prevention of surgical site infection, a comprehensive evidence based instruction, consist of 75 related factors and 74 proposed measurable and operational preventive activities was developed. Conclusions: We concluded that, to deal with surgical site infections use of the proposed action plan may be useful. Even we believe that, this approach can be used to deal with any health problems including diseases, disorders, accidents and events.

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Abdominal surgical site infections: incidence and risk factors at an Iranian teaching hospital

Cited by 78 publications

References 5 publications

Incidence and risk factors of surgical site infection in a tertiary health institution in Kano, Northwestern Nigeria

Incidence and risk factors of surgical site infection in a tertiary health institution in Kano, Northwestern Nigeria

Sensitivity and specificity of serum procalcitonin level compared to leucocyte count for diagnosis of surgical site infection on patients undergoing major surgery

Comprehensive Preventive Approach to Surgical Site Infections (SSIs): A Review

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