Surgical-site infections in emergency abdominal paediatric surgeries at a tertiary-care hospital in Pakistan

Abstract A retrospective chart review was carried out in children (neonates to 18 years) who underwent acute surgical abdominal exploration during 2012-2016 at the Aga Khan University Hospital, Karachi, to evaluate the post-operative surgical site infection rates in emergency paediatric abdomina...

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Main Authors: Ali Faisal Saleem, Huma Faiz Halepota, Hasaan Omar, Areeba Zain, Muhammad Arif Mateen Khan
Format: Article
Language:English
Published: Pakistan Medical Association 2020-10-01
Series:Journal of the Pakistan Medical Association
Online Access:https://www.ojs.jpma.org.pk/index.php/public_html/article/view/1925
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author Ali Faisal Saleem
Huma Faiz Halepota
Hasaan Omar
Areeba Zain
Muhammad Arif Mateen Khan
author_facet Ali Faisal Saleem
Huma Faiz Halepota
Hasaan Omar
Areeba Zain
Muhammad Arif Mateen Khan
author_sort Ali Faisal Saleem
collection DOAJ
description Abstract A retrospective chart review was carried out in children (neonates to 18 years) who underwent acute surgical abdominal exploration during 2012-2016 at the Aga Khan University Hospital, Karachi, to evaluate the post-operative surgical site infection rates in emergency paediatric abdominal surgery. Incidence of surgical site infection (SSI) was estimated. P-value was calculated, chi-square and non-parametric tests were performed by comparing pre-surgical and post-surgical procedure pathogen occurrence and pre-procedure wound status. Pathogen occurrence related to time-trend of 98 paediatric patients who underwent emergency abdominal surgery was plotted. Of the 94 who were discharged in stable condition, it was found that there was no significant difference between pre- and post-surgical pathogens. Escherichia coli (n=10) was found to be the most common pathogen. Contaminated wounds were associated with higher SSI (p=0.036, OR 1.95 95% CI 0.7-5.4). Continuous...  
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spelling doaj.art-507539726595418e8331d89a08afc2bd2023-05-25T04:25:09ZengPakistan Medical AssociationJournal of the Pakistan Medical Association0030-99822020-10-0110.47391/JPMA.1107Surgical-site infections in emergency abdominal paediatric surgeries at a tertiary-care hospital in PakistanAli Faisal Saleem0Huma Faiz Halepota1Hasaan Omar2Areeba Zain 3Muhammad Arif Mateen Khan 4Department of Peadiatric, Aga Khan University, Karachi, PakistanDepartment of Peadiatric, Indus Hospital, Karachi, PakistanAga Khan University, Karachi, PakistanAga Khan University, Karachi, PakistanDepartment of Peadiatric, Aga Khan University, Karachi, Pakistan Abstract A retrospective chart review was carried out in children (neonates to 18 years) who underwent acute surgical abdominal exploration during 2012-2016 at the Aga Khan University Hospital, Karachi, to evaluate the post-operative surgical site infection rates in emergency paediatric abdominal surgery. Incidence of surgical site infection (SSI) was estimated. P-value was calculated, chi-square and non-parametric tests were performed by comparing pre-surgical and post-surgical procedure pathogen occurrence and pre-procedure wound status. Pathogen occurrence related to time-trend of 98 paediatric patients who underwent emergency abdominal surgery was plotted. Of the 94 who were discharged in stable condition, it was found that there was no significant difference between pre- and post-surgical pathogens. Escherichia coli (n=10) was found to be the most common pathogen. Contaminated wounds were associated with higher SSI (p=0.036, OR 1.95 95% CI 0.7-5.4). Continuous...   https://www.ojs.jpma.org.pk/index.php/public_html/article/view/1925
spellingShingle Ali Faisal Saleem
Huma Faiz Halepota
Hasaan Omar
Areeba Zain
Muhammad Arif Mateen Khan
Surgical-site infections in emergency abdominal paediatric surgeries at a tertiary-care hospital in Pakistan
Journal of the Pakistan Medical Association
title Surgical-site infections in emergency abdominal paediatric surgeries at a tertiary-care hospital in Pakistan
title_full Surgical-site infections in emergency abdominal paediatric surgeries at a tertiary-care hospital in Pakistan
title_fullStr Surgical-site infections in emergency abdominal paediatric surgeries at a tertiary-care hospital in Pakistan
title_full_unstemmed Surgical-site infections in emergency abdominal paediatric surgeries at a tertiary-care hospital in Pakistan
title_short Surgical-site infections in emergency abdominal paediatric surgeries at a tertiary-care hospital in Pakistan
title_sort surgical site infections in emergency abdominal paediatric surgeries at a tertiary care hospital in pakistan
url https://www.ojs.jpma.org.pk/index.php/public_html/article/view/1925
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AT hasaanomar surgicalsiteinfectionsinemergencyabdominalpaediatricsurgeriesatatertiarycarehospitalinpakistan
AT areebazain surgicalsiteinfectionsinemergencyabdominalpaediatricsurgeriesatatertiarycarehospitalinpakistan
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