Rate and Risk Factors for Surgical Site Infection in Gynecologic Oncology Surgeries at a Tertiary Care Facility in a Developing Country

Khan, Erum; Irfan, Sheikh; Khalid, Natasha; Mazhar, Syeda Batool

doi:10.5005/jp-journals-10032-1100

Cited by 11 publications

(14 citation statements)

References 15 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The dirty and contaminated wound found on follow-up might be due to substandard care at home. According to the results SSI rates were higher in gastrointestinal surgeries, which is similar to a study conducted at the Khyber Teaching Hospital, Peshawar by Khan et al who also reported high prevalence rate of SSI with gastrointestinal surgeries (13.51%) 16.…”

supporting

confidence: 87%

Frequency of Post-Operative Wound Contamination in Bakhtawar General Hospital, Jamshoro

Hussain¹,

Amna

Brohi³

et al. 2020

JIMDC

View full text Add to dashboard Cite

Background: Surgical site wound infection (SSI) imposes a great challenge worldwide. It is the third most commonly reported nosocomial infection. The objective of the study was to assess the frequency of postoperative wound infections in a newly developed health organization.Material and Methods: This cross-sectional study was conducted from June 2017 to May 2018 in Bakhtawar General Hospital, Jamshoro. A total of 364 cases of surgery, from Obstetrics and Gynecology and General Surgery department were included. Surgical interventions involving an incision were assessed. Infection (SSI) rate was noticed and data was analyzed by SPSS version 18.Results: Healthy discharge rate was 97%. The overall surgical site wound infection rate was 3.1%. These infections were high in genitourinary surgeries (9.09%). Among Obstetrics & Gynecology surgeries, maximum number of SSIs were reported in cases of emergency Lower Segment Cesarean Section (LSCS).Conclusions: The overall rate of SSI for different types of surgeries performed at Bakhtawar General Hospital, Jamshoro was only 3.1%. Frequency of SSI was highest in genitourinary surgeries followed by gastrointestinal and obstetrics and gynecology surgeries, respectively.Key words: General Surgery, Genitourinary surgery, Obstetrics & Gynecology surgery, Post-operative wound contamination

show abstract

supporting

confidence: 87%

Frequency of Post-Operative Wound Contamination in Bakhtawar General Hospital, Jamshoro

Hussain¹,

Amna

Brohi³

et al. 2020

JIMDC

View full text Add to dashboard Cite

show abstract

“…Of these, 195 unique articles were selected by title or abstract data; 98/195 of these did not meet the inclusion criteria. This left a total of 99 articles for evaluation: 34 from Asia (Austin et al, 2004;Duerink et al, 2006;Kanafani et al, 2006;Wu et al, 2006;Ali et al, 2009;Buang and Haspani, 2012;Ee et al, 2014;El Beltagy et al, 2010;Khan et al, 2010Khan et al, , 2011Lee et al, 2007Lee et al, , 2010Lee et al, , 2015Malik et al, 2009;Mathur et al, 2013;Memon et al, 2013;Nausheen et al, 2013;Sangrasi et al, 2008;Saramma et al, 2011;Akhter et al, 2016;Al-Mulhim et al, 2014;Bibi et al, 2015;Hey et al, 2017;Jyothirmayi et al, 2017;Mehrabi Bahar et al, 2015;Mundhada and Tenpe, 2015;Ng et al, 2015;Pardhan et al, 2013;Sahu et al, 2016;Shah et al, 2015Shah et al, , 2017Singh et al, 2015;Vaze et al, 2014;Yu et al, 2015), 27 from LATAM (Alvarez-Moreno et al, 2014;Bannura et al, 2016;Barbosa et al, 2004;Bellusse et al, 2015;da Cunha et al, 2011;…”

Section: Resultsmentioning

confidence: 99%

“…,Gao et al (2010),Gil-Londoño et al (2016),Giri et al (2008),Hafez et al (2012),Hao et al (2013),Hernaiz-Leonardo et al (2017),Hey et al (2017),Ibrahim et al (2014),Jyothirmayi et al (2017),Kanafani et al (2006),Khan et al (2010),Khan et al (2011),Ledur et al (2011),Lee et al (2007),Lee et al (2010),Lee et al (2015),Legesse Laloto et al (2017),Leon et al (2011),Li et al (2013),Liu et al (2017),Lyimo et al (2013),Madu et al (2011), El Maerrawi and Carvalho (2015),Malik et al (2009),Martins et al (2008),Marwa et al (2015),Mathur et al (2013),Mawalla et al (2011),Mehrabi Bahar et al (2015),Memon et al (2013),Mundhada and Tenpe (2015),Nagaya et al (2017),Ng et al (2015),Ning et al (2014),Nwankwo and Edino (2014),Oliveira and Carvalho (2004),Pardhan et al (2013), Porras-Hernandez et al (2008,Portillo-Gallo et al (2014),Qi et al (2013),Qin et al (2014),Qiu et al (2011),Rabiu ...…”

mentioning

confidence: 99%

“…2000),Galal and El-Hindawy (2011),Gao et al (2010),Gil-Londoño et al (2016),Giri et al (2008),Hao et al (2013),Hernaiz-Leonardo et al (2017),Hey et al (2017),Ibrahim et al (2014),Jen et al (2011),Jyothirmayi et al (2017),Kanafani et al (2006),Khan et al (2010),Khan et al (2011),Ledur et al (2011),Lee et al (2007),Lee et al (2010),Lee et al (2015), Legesse Laloto et al (2017), Leon et al (2011), Liu et al (2017), Lyimo et al (2013), Madu et al (2011), El Maerrawi and Carvalho (2015), Malik et al (2009), Martins et al (2008), Marwa et al (2015), Mcharo (2010), Mathur et al (2013), Mawalla et al (2011), Medeiros et al (2005), Mehrabi Bahar et al (2015), Memon et al (2013), Misauno et al (2008), Mundhada and Tenpe (2015), Nausheen et al (2013), Ng et al (2015), Ning et al (2014), Nwankwo and Edino (2014), Oliveira and Carvalho (2004), Pardhan et al (2013), Porras-Hernandez et al (2008), Portillo-Gallo et al (2014), Qi et al (2013), Qin et al (2014), Qiu et al (2011), Rabiu (2017), Ribeiro et al (2013), Richtmann et al (2016), Sahu et al (2016), Sanchez-Arenas et al (2010), Sangrasi et al (2008), Santos et al (2010), Saramma et al (2011), Scherbaum et al (2014), Shah et al (2015), Shah et al (2017), Singh et al (2015), Togo et al (2011), Vaze et al (2014), Vieira et al (2015), Wood et al (2012),Wu et al (2006),Yang et al (2014),Yomayusa et al (2008),Yu et al (2015),Zhou et al (2016),Zhu et al (2001) ASA, American Society of Anesthesiologists status score.…”

mentioning

confidence: 99%

See 1 more Smart Citation

Surgical site infection in elective clean and clean-contaminated surgeries in developing countries

Curcio

Cané

Fernández³

et al. 2019

International Journal of Infectious Diseases

View full text Add to dashboard Cite

Background: Surgical site infection (SSI) is both the most frequently studied healthcare-associated infection and the most common healthcare-associated infection in the developing world. A systematic review and meta-analysis was conducted to evaluate the relative size of this burden and to estimate the prevalence of SSI in clean and clean-contaminated surgeries in a large sample of countries in the developing world. Methods: A systematic search of the MEDLINE/PubMed, Scopus, and LILACS databases was conducted to identify studies providing the prevalence of SSI in elective clean and clean-contaminated surgeries in 39 countries or regions around the world. Data of interest were limited to publications from January 2000 to December 2017. Studies with information on the number of cases of SSI and number of total elective clean and clean-contaminated surgeries during the same period were included in this evaluation. Studies lacking clear definition of the total number of exposed patients were excluded. Results: Based on the combined data from the 99 articles evaluated in this analysis, the overall prevalence of SSI in elective clean and clean-contaminated surgeries was estimated to be 6% (95% confidence interval (CI) 5-7%). This increased to 15% (95% CI 6-27%) when considering only those reports with post-discharge surveillance data. The overall prevalence of SSI in Africa/Middle East, Latin America, Asia, and China was 10% (95% CI 6-15%), 7% (95% CI 5-10%), 4% (95% CI 4-5%), and 4% (95% CI 2-6%), respectively. Significant variability in the data was confirmed by both the funnel plot and the Egger test (p = 0.008). Conclusions: Although the data are variable, it is clear that the incidence of SSI in the developing world is higher than that in the developed world.

show abstract

“…10 Considering the lack of evidence that prolonged antibiotic prophylaxis prevents SSI and the possible associated side effects of antibiotics, the WHO expert panel unanimously agreed that antibiotic prophylaxis should not be continued in the presence of a wound drain. Similarly regarding the removal of drain, very low quality evidence shows that the early removal of wound drains has neither benefit nor harm in reducing the SSI rate when compared to late removal of drains (at postoperative day 6 or 4 later). Results were also similar when comparing early removal with removal determined according to the volume of drainage.…”

Section: Discussionmentioning

confidence: 99%

Emergency Laparotomy; With or Without Drains Which Option to Select for Prevention of Deep Surgical Site Infection

Niaz¹,

Talib²,

Sultan³

et al. 2017

TPMJ

View full text Add to dashboard Cite

ABSTRACT… Objectives: Emergency laparotomy followed by placement of drain is a common procedure in tertiary care hospitals but there are contradictory evidences regarding its association with deep surgical site infection. Thus current study was planned with an objective to compare the frequency of deep surgical site infection among patients with and without postoperative drains after undergoing an emergency laparotomy at a tertiary care hospital. Data source: Primary data based on patients undergoing emergency laparotomy at tertiary care hospital. Study design: Randomized control trial. Setting: Department of surgical unit-III, Jinnah Hospital Lahore. Duration of study: Study was conducted from January 2016 to December 2016. Subjects & methods: About 400 patients of 15-70 years undergoing emergency laparotomy were selected using non-probability consecutive sampling technique after informed consent. Information regarding their demographic characteristics and study variable was recorded in a structured proforma. All the subjects were randomized into two groups i.e. with and without post-operative drains using table of random number. Frequency of deep surgical site infection was assessed on 7 th post operative day and data was analyzed using SPSS version 21.0. Result: The mean age of patients was 38.92 ± 6.246 years with about 229(57.2%) male patients. The frequency of development of deep surgical site infection in first postoperative week was 51(12.7%) overall, with 24(12%) patients in the group of postoperative drains and 27(13.5%) patients without post-operative drains. The differences between two groups were statistically insignificant. Moreover, it was not significantly related to the age, gender, duration of stay in the hospital and smoking. Conclusion: It can be concluded from the study that there is no significantly increased risk of deep surgical site wound infection with or without placement of drain. So it is reasonable and safe approach to place a drain in the wound for the early detection of bleeding or leakage to decrease the morbidity and complication in the patients. Keywords:Deep Surgical Site Infection, Emergency Laparotomy, Postoperative Drains, Peritonitis

show abstract

Rate and Risk Factors for Surgical Site Infection in Gynecologic Oncology Surgeries at a Tertiary Care Facility in a Developing Country

Cited by 11 publications

References 15 publications

Frequency of Post-Operative Wound Contamination in Bakhtawar General Hospital, Jamshoro

Frequency of Post-Operative Wound Contamination in Bakhtawar General Hospital, Jamshoro

Surgical site infection in elective clean and clean-contaminated surgeries in developing countries

Emergency Laparotomy; With or Without Drains Which Option to Select for Prevention of Deep Surgical Site Infection

Contact Info

Product

Resources

About