Surgical Site Infections in Elective Abdominal Operations: Predisposing Factors. A Prospective Randomized Clinical Trial

Alexiou, Konstantinos; Terzopoulou, Maria; Sikalias, Nikolaos; Bethani, D.; Ierapetritakis, E.; Oikonomou, Nikos

doi:10.1007/s13126-018-0443-5

Cited by 1 publication

(3 citation statements)

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“…found an incidence of 25.8% of SSIs in their study done in 2010 [25]. Our incidence is higher than the incidence in some other studies [26,27]. We can explain this relatively high incidence by the fact that more than half of our patients (57%) had emergency procedures; also we count the superficial infections; not only the deep or sitespecific infections, the incidence of deep infections in our study was 8% while the incidence of sitespecific infection was 2.3%, this was consistent with the literature [28].…”

Section: Emergencycontrasting

confidence: 41%

“…There were no statistically significant differences in relation to age, and associated comorbidities. The study done by Alexiou, K., et al showed age and concomitant diseases demonstrated a significantly increased risk of SSIs [27], however, other studies have no statistically significant differences in SSI related to the age and concomitant diseases [24].…”

Section: Emergencymentioning

confidence: 94%

“…The incidence of postoperative infections in developing countries is more than in industrial countries [29,30], this was explained by the lack of control of infection measures [31]. Alexiou, K., et al studied the prevalence of SSI among postoperative patients in Ethiopia and revealed a prevalence of 12.3% in 24 extracted studies [27]. Watanabe, Akihiro, et al revealed that the overall incidence of SSI in developing countries; including post-emergency procedures, was 15.5% [32].…”

Section: Emergencymentioning

confidence: 99%

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Surgical Site Infection after Emergency and Elective Abdominal Surgery: Incidence and Risk Factors

Saad

Alla

ABDELZAHER

2022

Zagazig University Medical Journal

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Background: A surgical site infection (SSI) is an infection occurring in an operative wound within 30 days of the procedure or 1 year if an implant was inserted. Methods: Over a 2-year period from 2019-2021, patients were followed, the incidences of SSI were determined, and multivariate analyses were conducted. Data obtained included age (above or below 65 years), sex, operation class (elective or emergency), and wound type. The diagnosis and classification of SSI (superficial, deep, or sitespecific), and the duration of follow-up (more or less than 15 days) were also recorded. The exclusion criteria were fecal fistula and reoperated patients. Results: In a total of 384 patients undergoing abdominal surgery during the study period, patients diagnosed with SSIs were 34.9%, 54.2% of patients were males while 45.8% were females. There were no statistically significant differences in relation to age, duration of follow-up, duration of pre-operative hospitalization and associated comorbidities. Regarding the emergency state of surgery, the rate of SSIs in urgent operations showed a statistically significant higher incidence of SSIs compared with patients who did elective surgery. Conclusions: Emergency state of the operation, type of operation, and ICU admission were the significant factors to develop SSIs, only the ICU admission and type of operations appeared to be independent prognostic factors that significantly develop SSIs.

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Section: Emergencycontrasting

confidence: 41%

Section: Emergencymentioning

confidence: 94%