Importance of Southampton Wound Grading System in Surgical Site Infection

Tiwari, Shaleen; Chauhan, Mahendra; Shahapurkar,; Akhtar, Javed; Grover, Ankur; Prashad, Shiv; Nerkar, Eshan

doi:10.14260/jemds/2014/2618

Cited by 8 publications

(9 citation statements)

References 2 publications

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“…In India, Tiwari et al found 12.06% SSI rate in their study conducted in a rural hospital in Maharashtra, while two separate studies in Mumbai reported 9.6% and 11% incidence rate respectively. 15,16,17 Nur-e-Elahi M et al found 20.16% SSI incidence rate in surgery department of BSMMU, which is almost similar to this study. 18 In 2018, a comparative study in two tertiary care hospitals in Dhaka reported rates of only 3.0-8.92%.…”

Section: Discussionsupporting

confidence: 90%

Outcome of Surgical Site Infection in General Surgical Practice in a District Hospital

Rahman

Joty²

2021

J. Bangladesh Coll. Phys.

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Background: Surgical site infection (SSI) can affect the surgical procedures in the peripheral hospital adversely and adequate data can help in the management of this unwanted complication. Aim & Objective: The study was conducted with the aim to identify the outcome of surgical site infection (SSI) in a secondary level district hospital. Materials & Methods: A total of 192 patients, underwent general surgical procedures in the 100-bedded district hospital, Shariatpur, Bangladesh from January to December, 2016. All were observed for development of SSI for a period of 30 days after their surgical procedure. SSI cases were identified according to National Healthcare Safety Network (CDC/NHSN) guideline and Southampton wound scoring system. Univariate and multivariate analysis was done to identify significant risk factors for development of SSI. Results: Overall incidence of SSI was 20.31%. Significant risk factors for development of SSI were age, BMI, ASA grade, wound classification, diabetes, type of surgery, duration of surgery and perioperative transfusion (p<0.05). Among them, BMI (OR=1.434), diabetes (OR=8.126), type of surgery (routine/emergency) (OR=6.097), duration of surgery (OR=1.023) and perioperative transfusion (OR=2.130) were determined as independent risk factors on logistic regression. Conclusion: SSI has a relatively high incidence in rural surgical practice. Identification and control of predictable risk factors would help to reduce the incidence of SSI. J Bangladesh Coll Phys Surg 2021; 39(3): 171-177

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Section: Discussionsupporting

confidence: 90%

Outcome of Surgical Site Infection in General Surgical Practice in a District Hospital

Rahman

Joty²

2021

J. Bangladesh Coll. Phys.

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“…The condition of the surgical wound was assessed clinically by localized tenderness, increased temperature, discharge, bruising, or tissue breakdown at POD 1, POD 10 (at the time of suture removal), and at six months (at follow-up visit). The severity of wound infection was graded using Southampton Scoring System (SSS), wherein grade 0 implies normal healing, grade 1 wounds have normal healing with mild erythema/bruising, grade 2 wounds have erythema plus other signs of inflammation, grade 3 wounds have haemoserous discharge, grade 4 wounds have purulent discharge, and grade 5 wounds are severe wound infections with tissue breakdown [ 8 ]. The ADL were defined as walking, bathing, dressing, household activities, and returning to work.…”

Section: Methodsmentioning

confidence: 99%

A Comparative Study of Desarda’s Versus Lichtenstein’s Technique for Uncomplicated Inguinal Hernia Repair

Moghe¹,

Prajapati²,

Banker³

et al. 2022

Cureus

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Purpose Since mesh-related long-term morbidity like chronic groin pain and vas entrapment in patients with an inguinal hernia is a concern, tissue-based repairs should be revaluated. There have been few prospective studies comparing the outcomes of Lichtenstein's technique and Desarda's technique for the repair of uncomplicated inguinal hernias. So, we conducted this prospective study comparing the two techniques. Methods This is a single-center prospective observational study conducted for a period of one year (2019). The patients who underwent surgery for uncomplicated inguinal hernia either by Lichtenstein's technique or Desarda's technique were included in the study. The two techniques were compared with respect to recurrence rates, immediate postoperative pain, chronic groin pain, wound infection, and the time taken to return to activities of daily living (ADL). Results There was no significant difference in the recurrence rates, chronic groin pain, wound infection, or return to ADL between Lichtenstein's technique and Desarda's technique of inguinal hernia repair. The mean duration to return to ADL was lesser when patients underwent Desarda's repair though this difference was not significant. Conclusion Desarda's tissue repair was found comparable to Lichtenstein's mesh repair in terms of recurrence and postoperative morbidity, immediate postoperative pain, chronic groin pain, wound infection, and the time taken to return to ADL. Desarda's technique may be considered as an alternative to mesh-based repairs to avoid long-term mesh-related morbidity for uncomplicated indirect hernias in the younger population.

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“…Time taken for skin closure, rate of wound infection assessed by Southampton Grade [ 3 ], pain during suture\staple removal on POD1, 10, and 30 were evaluated by a numeric rating scale [ 4 ], the post-op scar was evaluated using the Stony Brook scar evaluation scale (SBSES) [ 5 ], rate of readmission, the requirement of secondary procedures like wound debridement, wound wash and resuturing were assessed for outcome measures.…”

Section: Methodsmentioning

confidence: 99%

Staples Versus Sutures for Skin Closure in Standard Four Port Laparoscopic Cholecystectomy: A Prospective Cohort Study

Huda¹,

Gajula²,

Singh³

et al. 2021

Cureus

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Introduction Many studies have been done comparing sutures versus skin staples in various wounds. To the author's knowledge, there is no study comparing these two in an laparoscopic cholecystectomy (LC) wound. Our study aims at comparing the clinical outcome of skin closure by monofilament nylon suture and stainlesssteel skin stapler in standard four-port LC. The results of this study can help in developing guidelines for skin closure in LC. Objective To compare the clinical outcome of skin closure by monofilament nylon suture and stainless-steel skin stapler in standard four-port LC. Methods The study was conducted as a time-bound prospective cohort study on diagnosed patients of cholelithiasis admitted in a single unit of the

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Importance of Southampton Wound Grading System in Surgical Site Infection

Cited by 8 publications

References 2 publications

Outcome of Surgical Site Infection in General Surgical Practice in a District Hospital

Outcome of Surgical Site Infection in General Surgical Practice in a District Hospital

A Comparative Study of Desarda’s Versus Lichtenstein’s Technique for Uncomplicated Inguinal Hernia Repair

Staples Versus Sutures for Skin Closure in Standard Four Port Laparoscopic Cholecystectomy: A Prospective Cohort Study

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