Surgical site infection following hysterectomy: adjusted rankings in a regional collaborative

Morgan, Daniel M.; Swenson, Carolyn W.; Streifel, K.M.; Kamdar, Neil; Uppal, Shitanshu; Burgunder-Zdravkovski, Lorraine; Pearlman, Mark D.; Fenner, Dee E.; Campbell, Darrell A.

doi:10.1016/j.ajog.2015.10.002

Cited by 31 publications

(31 citation statements)

References 14 publications

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“…This may be due to the patient mix in our study, which included both gynecological and obstetric surgeries. A regional collaborative data from USA did not show any difference in age of the women having SSI following hysterectomy [28]…”

Section: Discussionmentioning

confidence: 99%

“…Longer operative time by more than 30 min increases the risk for SSI (OR 1.30) [28]. Another study identified that an operative time longer than 75th percentile increased the risk of SSI by 1.84 times compared to vaginal approach [4].…”

Section: Discussionmentioning

confidence: 99%

“…Risk factors including medical diseases identified for SSI from two large studies are: obesity, diabetes, smoking, respiratory infection, poor nutrition, ASA score greater than 2, and low socio-economic status [4, 7]. An ASA score of more than three was reported to increase the risk of SSI by 1.52 times [28]. A study on SSI following cesarean section from Tanzania showed that ASA score more than 3 had about 2.7 times higher risk for SSI [11].…”

Section: Discussionmentioning

confidence: 99%

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Incidence and risk factors for surgical site infections in obstetric and gynecological surgeries from a teaching hospital in rural India

Pathak

Mahadik

Swami

et al. 2017

Antimicrob Resist Infect Control

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BackgroundSurgical site infections (SSI) are one of the most common healthcare associated infections in the low-middle income countries. Data on incidence and risk factors for SSI following surgeries in general and Obstetric and Gynecological surgeries in particular are scare. This study set out to identify risk factors for SSI in patients undergoing Obstetric and Gynecological surgeries in an Indian rural hospital.MethodsPatients who underwent a surgical procedure between September 2010 to February 2013 in the 60-bedded ward of Obstetric and Gynecology department were included. Surveillance for SSI was based on the Centre for Disease Control (CDC) definition and methodology. Incidence and risk factors for SSI, including those for specific procedure, were calculated from data collected on daily ward rounds.ResultsA total of 1173 patients underwent a surgical procedure during the study period. The incidence of SSI in the cohort was 7.84% (95% CI 6.30–9.38). Majority of SSI were superficial. Obstetric surgeries had a lower SSI incidence compared to gynecological surgeries (1.2% versus 10.3% respectively). The risk factors for SSI identified in the multivariate logistic regression model were age (OR 1.03), vaginal examination (OR 1.31); presence of vaginal discharge (OR 4.04); medical disease (OR 5.76); American Society of Anesthesia score greater than 3 (OR 12.8); concurrent surgical procedure (OR 3.26); each increase in hour of surgery, after the first hour, doubled the risk of SSI; inappropriate antibiotic prophylaxis increased the risk of SSI by nearly 5 times. Each day increase in stay in the hospital after the surgery increased the risk of contacting an SSI by 5%.ConclusionsIncidence and risk factors from prospective SSI surveillance can be reported simultaneously for the Obstetric and Gynecological surgeries and can be part of routine practice in resource-constrained settings. The incidence of SSI was lower for Obstetric surgeries compared to Gynecological surgeries. Multiple risk factors identified in the present study can be helpful for SSI risk stratification in low-middle income countries.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Incidence and risk factors for surgical site infections in obstetric and gynecological surgeries from a teaching hospital in rural India

Pathak

Mahadik

Swami

et al. 2017

Antimicrob Resist Infect Control

View full text Add to dashboard Cite

show abstract

“…In present study, a significant association was 144 observed between higher ASA grade and prevalence of SSI (Grade I, II and III: 4.3%, 23.1% & 20%; p<0.05). Various studies have shown that ASA score greater than 2 is a risk factor for development of SSIs [28][29][30][31]. Morgan et al [28] in their study observed that ASA score of more than two was associated with increase in risk of SSI by 1.52 times.…”

Section: Discussion:-mentioning

confidence: 98%

“…Various studies have shown that ASA score greater than 2 is a risk factor for development of SSIs [28][29][30][31]. Morgan et al [28] in their study observed that ASA score of more than two was associated with increase in risk of SSI by 1.52 times. A study on SSI following cesarean section from Tanzania showed that ASA score more than 3 had about 2.7 times higher risk for SSI [29].…”

Section: Discussion:-mentioning

confidence: 98%