SURGICAL SITE INFECTIONS, AN EXPERIENCE AT TERTIARY CARE HOSPITAL
BACKGROUND & OBJECTIVE: Surgical site (SSI) infections are important cause of morbidity and mortality in admitted patients worldwide. The objective is to determine the incidence of surgical site infection in General Surgical ward of tertiary care hospital. METHODOLOGY: Analytical cross-sectio...
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| Format: | Article |
| Language: | English |
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University of Faisalabad
2021-08-01
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| Series: | Journal of University Medical & Dental College |
| Subjects: | |
| Online Access: | http://www.jumdc.com/index.php/jumdc/article/view/536 |
| _version_ | 1818385290870390784 |
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| author | Lailama Shah Shahzada Amir Muhammad Baber Shabir Ahmed Lehri Muhammad iqbal Khan Ibrahim Baloch |
| author_facet | Lailama Shah Shahzada Amir Muhammad Baber Shabir Ahmed Lehri Muhammad iqbal Khan Ibrahim Baloch |
| author_sort | Lailama Shah |
| collection | DOAJ |
| description | BACKGROUND & OBJECTIVE: Surgical site (SSI) infections are important cause of morbidity and mortality in admitted patients worldwide. The objective is to determine the incidence of surgical site infection in General Surgical ward of tertiary care hospital.
METHODOLOGY: Analytical cross-sectional study conducted at Department of General Surgery, Bolan Medical College/ Post-Graduate Medical Institute Quetta (PGMI) for a period of one year from 1st August 2019 to 31st July 2020. Descriptive statistics were used to present social economics, factors related to surgery and surgical antimicrobial prophylaxis received. Chi square test was used for checking association between infections and different factors keeping p≤ 0.05 as significant.
RESULTS: A total of 1500 patients underwent surgery, of which 500 (33.33%) patients were operated as elective cases and 1000 (66.66%) cases as emergency. Out of total 600 (40%) patients developed Surgical Site Infection (SSI). Risk associated with higher incidence of SSI was found to be age (30-45 years) and Diabetes mellitus (uncontrolled diabetes in perioperative period). Postoperatively obesity was noted to be having significant effect with p=0.002, American Society of Anesthesiologists (ASA) score having p-value 0.045, hospital stay with p<0.001 and surgical type and previous surgical history with p<0.001, were as duration of surgery was having <0.001.
CONCLUSION: Prevention of SSI’s requires a multipronged approach with emphasis on optimizing preoperative issues, adhering to strict protocols during the intraoperative period and addressing and optimizing metabolic and nutritional status in post-operative period. |
| first_indexed | 2024-12-14T03:35:49Z |
| format | Article |
| id | doaj.art-2c5fabea865b453e95a1d431ee28d530 |
| institution | Directory Open Access Journal |
| issn | 2221-7827 2310-5542 |
| language | English |
| last_indexed | 2024-12-14T03:35:49Z |
| publishDate | 2021-08-01 |
| publisher | University of Faisalabad |
| record_format | Article |
| series | Journal of University Medical & Dental College |
| spelling | doaj.art-2c5fabea865b453e95a1d431ee28d5302022-12-21T23:18:37ZengUniversity of FaisalabadJournal of University Medical & Dental College2221-78272310-55422021-08-0112310.37723/jumdc.v12i3.536SURGICAL SITE INFECTIONS, AN EXPERIENCE AT TERTIARY CARE HOSPITALLailama Shah0Shahzada Amir Muhammad Baber1Shabir Ahmed Lehri2Muhammad iqbal Khan3Ibrahim BalochAssistant Professor Department of Surgery Bolan Medical College Quetta.Assistant Professor Department of Surgery Bolan Medical College Quetta.Professor Department of Neurosurgery Dean/Director Post-graduate Medical Institute Quetta.Assistant Prof. of Surgery/ Deputy Registrar (Admin), Post Graduate Medical Institute Quetta Balochistan.BACKGROUND & OBJECTIVE: Surgical site (SSI) infections are important cause of morbidity and mortality in admitted patients worldwide. The objective is to determine the incidence of surgical site infection in General Surgical ward of tertiary care hospital. METHODOLOGY: Analytical cross-sectional study conducted at Department of General Surgery, Bolan Medical College/ Post-Graduate Medical Institute Quetta (PGMI) for a period of one year from 1st August 2019 to 31st July 2020. Descriptive statistics were used to present social economics, factors related to surgery and surgical antimicrobial prophylaxis received. Chi square test was used for checking association between infections and different factors keeping p≤ 0.05 as significant. RESULTS: A total of 1500 patients underwent surgery, of which 500 (33.33%) patients were operated as elective cases and 1000 (66.66%) cases as emergency. Out of total 600 (40%) patients developed Surgical Site Infection (SSI). Risk associated with higher incidence of SSI was found to be age (30-45 years) and Diabetes mellitus (uncontrolled diabetes in perioperative period). Postoperatively obesity was noted to be having significant effect with p=0.002, American Society of Anesthesiologists (ASA) score having p-value 0.045, hospital stay with p<0.001 and surgical type and previous surgical history with p<0.001, were as duration of surgery was having <0.001. CONCLUSION: Prevention of SSI’s requires a multipronged approach with emphasis on optimizing preoperative issues, adhering to strict protocols during the intraoperative period and addressing and optimizing metabolic and nutritional status in post-operative period.http://www.jumdc.com/index.php/jumdc/article/view/536Surgical site infection, Elective cases, Emergency Cases, Wound infection |
| spellingShingle | Lailama Shah Shahzada Amir Muhammad Baber Shabir Ahmed Lehri Muhammad iqbal Khan Ibrahim Baloch SURGICAL SITE INFECTIONS, AN EXPERIENCE AT TERTIARY CARE HOSPITAL Journal of University Medical & Dental College Surgical site infection, Elective cases, Emergency Cases, Wound infection |
| title | SURGICAL SITE INFECTIONS, AN EXPERIENCE AT TERTIARY CARE HOSPITAL |
| title_full | SURGICAL SITE INFECTIONS, AN EXPERIENCE AT TERTIARY CARE HOSPITAL |
| title_fullStr | SURGICAL SITE INFECTIONS, AN EXPERIENCE AT TERTIARY CARE HOSPITAL |
| title_full_unstemmed | SURGICAL SITE INFECTIONS, AN EXPERIENCE AT TERTIARY CARE HOSPITAL |
| title_short | SURGICAL SITE INFECTIONS, AN EXPERIENCE AT TERTIARY CARE HOSPITAL |
| title_sort | surgical site infections an experience at tertiary care hospital |
| topic | Surgical site infection, Elective cases, Emergency Cases, Wound infection |
| url | http://www.jumdc.com/index.php/jumdc/article/view/536 |
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