Surgical Site Infections in Gynecology

Black, Jonathan; Haydu, Christopher de; Fan, Lei; Sheth, Sangini S.

doi:10.1097/ogx.0000000000000102

Cited by 26 publications

(44 citation statements)

References 62 publications

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“…Patients of diabetes especially with poor glycemic control share much comorbidity, like obesity, poor nutritional status, poor peripheral oxygen supply, and metabolic derangements. 32 Our study did not find an association between preoperative blood transfusion and SSI. An explanation for risk for SSI following blood transfusion remains unclear and probably reflects a proxy for severe anemia and consequent low oxygen carrying capacity and delivery to the tissues, potential contamination, and transfusion related immunomodulation in presence of critical illness.…”

Section: Discussioncontrasting

confidence: 34%

Prevalence of surgical site infections in general surgery in a tertiary care centre in Eastern India

Dasgupta¹

2018

jmscr

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Section: Discussioncontrasting

confidence: 34%

Prevalence of surgical site infections in general surgery in a tertiary care centre in Eastern India

Dasgupta¹

2018

jmscr

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“…In high-income countries the SSI rates for gynecological surgeries are similar to that of other surgical procedures [3]. Hysterectomy for gynecological causes is reported to have a SSI rate of 1.7% according to the Centre for Disease Control (CDC), USA data [3–5].…”

Section: Introductionmentioning

confidence: 99%

“…Hysterectomy for gynecological causes is reported to have a SSI rate of 1.7% according to the Centre for Disease Control (CDC), USA data [3–5]. SSIs are the second most common complication after urinary tract infections as HAI in cesarean delivery (CD) with reported rates between 3 to 15% in USA [6–8] and a cumulative rate of 2.9% in European Centre for Disease Control data from 20 networks in 15 European Union countries [9].…”

Section: Introductionmentioning

confidence: 99%

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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“…Efforts should focus on reducing surgical time and increasing the use of minimally invasive surgery (MIS), both of which decrease SSI [9][10][11]. Currently, MIS includes and is not restricted to standard laparoscopy, robotic surgery, mini-laparoscopy, single-port laparoscopy and sentinel lymph node mapping (SLN).…”

Section: Site Infections In Gynecologic Oncologymentioning

confidence: 99%

“…Specifically, they could be penalized twice: once for a higher SSI rate, and then again for a higher readmission rate resulting from the higher SSI rate. Therefore, efforts to curb rates of readmission should focus on reducing surgical time and increasing the use of minimally invasive surgery, both of which have been firmly established to decrease SSI [7][8][9][10][11].…”

Section: Site Infections In Gynecologic Oncologymentioning

confidence: 99%