Surgical site infections and affiliated factors in individuals taking general surgeries
Objective: To determine contributing factors towards development of surgical site infections in patients taking general surgeries.
Materials and Methods: The study included patients with surgical site infections, developed after undergoing general surgeries. The information such as obesity, surgical duration, hospital stay duration, hypertension, diabetes mellitus, smoking and number of blood transfusions was noted.
Results: The study included 80 patients with age more than 18 years. About 52% of patients had age range of 45 to 60 years, whereas, 15% were above 60 years. The remaining cases belonged to age ranges of 18-30 and 31-45 years. The study included 57 (71.25%) males and 33 (41.25%) females. The factors responsible for causing surgical site infection were smoking (20.1%), multiple blood transfusions (14.2%), obesity (14.2%), and prolonged hospital stay (16.2%). Hypertension was present in 11.1% patients and diabetes was prevalent in 12.4% patients. Other 11.8% cases belonged to unknown causes.
Conclusion: The contributing factors found associated with development of surgical site infection included multiple blood transfusions, prolonged hospital stay, smoking, obesity, and emergency surgery.
Alfonso-Sanchez, J, Martinez, I, Martín-Moreno, J, González, R & Botía, F 2017, 'Analyzing the risk factors influencing surgical site infections: the site of environmental factors', Canadian J Surg, vol 60, no. 3, p. 155.
Ansar, A 2013, 'Surgical Site Infection in Obstetrics Practice', J Surg Pak, vol 18, no. 2.
Ata, A, Lee, J, Bestle, S, Desemone, J & Stain, S 2010, 'Postoperative hyperglycemia and surgical site infection in general surgery patients', Archives of Surg, vol 145, no. 9, pp. 858-64.
Bibi, S, Channa, G, Siddiqui, T & Ahmed, W 2011, 'Frequency and risk factors of surgical site infections in general surgery ward of a tertiary care hospital of Karachi, Pakistan', Int J Infect Control, vol 7, no. 3, p. 5.
Bruce, J, Russell, E & Mollison, J 2001, 'The quality of measurement of surgical wound infection as the basis for monitoring: a systematic review', J Hosp Infect, vol 49, pp. 99-108.
Burnett, J, Gustilo, R, Williams, D & Kind, A 1980, 'Prophylactic antibiotic in hip fractures: a double— blind prospective study', J Bone Joint Surg Am, vol 62, pp. 457–462.
de Lissovoy, G, Fraeman, K, Hutchins, V, Murphy, D, Song, D & Vaughn, B 2009, 'Surgical site infection: incidence and impact on hospital utilization and treatment costs', Am J Infect Control, vol 37, pp. 387–397.
Fiorio, M, Marvaso, A, Viganò, F & Marchetti, F 2006, 'Incidence of surgical site infections in general surgery in Italy', Infect , vol 34, no. 6, p. 310.
Gravante, G, Araco, A & Sorge, R 2008, 'Postoperative wound infections after breast reductions: The role of smoking and the amount of tissue removed', Aesthetic Plastic Surg, vol 32, pp. 25– 31.
Jenks, P, Laurent, M, Mcquarry, S & Watkins, R 2014, 'Clinical and economic burden of surgical site infection (SSI) and predicted financial consequences of elimination of SSI from an English hospital', J Hospital Infec, vol 86, pp. 24-29.
Khan, M, Rehman, S, Ali, M, Sultan, B & Sultan, S 2008, 'Infection in Orthopedic Implant Surgery, Its Risk Factors and Outcome', J Ayub Med Coll Abbottabad , vol 20, no. 1, pp. 23-5.
Malik, A 2015, 'Surgical Site Infections after Elective Surgery in Pakistan: SURGIPAK Study', J Rawalpindi Med Coll, vol 19, no. 3, pp. 209-14.
Michael, M 2017, 'Red Blood Cell Transfusion and Surgical Site Infection After Colon Resection Surgery: A Cohort Study. ', Anesthesia and analgesia, vol 125, no. 4.
Neumayer, L, Hosokawa, P & Itani, K 2007, 'Multivariable predictors of postoperative surgical site infection after general and vascular surgery: results from the patient safety in surgery study', J Am Coll Surgeons , vol 204, pp. 1178–87.
Nichols, R 2004, 'Preventing surgical site infections', Clin Med Res, vol 2, no. 2, pp. 115-8.
Noordzij, P, Boersma, E & Schreiner, F 2007, 'Increased preoperativeglucoselevels are associated with perioperative mortality in patients undergoing noncardiac, nonvascular surgery', Eur J Endocrinol , vol 156, pp. 137–142.
Olsen, M, Mayfield, J & Lauryssen, C 2003, 'Risk factors for surgical site infection in spinal surgery', J Neurosurg, vol 98, pp. 149–55.
Pear, S 2007, 'Patient risk factors and best practices for surgical site infection prevention', Managing Infection Control, pp. 56-64.
Rasul, A, Muhammad, Y, Gondal, K, Siddique, H & Karn, A 2016, 'Prevalence of Obesity in Surgical Patients Undergoing Abdominal Surgery at Mayo Hospital Lahore Pakistan', Pak J Med Health Sci , vol 10, no. 3, pp. 713-5.
Sanabria, A, Vega, V, Dominguez, L, Espitia, E, Serna, A & Osorio, C 2014, 'The evolution of laparoscopy in abdominal surgery: a meta-analysis of the effect on infectious outcomes', Minimally Invasive Therapy & Allied Technologies, vol 23, no. 2, pp. 74-86.
Sangrasi, A 2008, 'Surgical site infection rate and associated risk factors in elective general surgery at a public sector medical university in Pakistan', Int Wound J, vol 5, no. 1, pp. 74-78.
Shah, K, Singh, S & Rathod, J 2017, 'Surgical site infections: incidence, bacteriological profiles and risk factors in a tertiary care teaching hospital, western India', Int J Med Sci Publ Health, vol 6, no. 1, pp. 173-7.
Tariq, A, Ali, H, Zafar, F, Sial, A & Hameed, K 2017, 'A Systemic Review on Surgical Site Infections: Classification, Risk Factors, Treatment Complexities, Economical and Clinical Scenarios', J Bioequiv Availab, vol 9, pp. 336-40.
Taylor, AE, Gosman, GG & Kelley, JL 2017, 'An Assessment of Risk Factors for Surgical Site Infection and Superficial Wound Separation in Gynecologic Oncology Patients', Women’s Health & Gynecol, vol 2, no. 1, pp. 2-5.
Weber, W, Zwahlen, M & Reck, S 2009, 'The association of preoperative anemia and perioperative allogeneic blood transfusion with the risk of surgical site infection', Transfusion , vol 49, no. 9, pp. 1964-1970.
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