EFFECTS OF IRON DEFICIENCY ANEMIA IN SURGICAL SITE INFECTION

Objective: To determine effect of iron deficiency anemia on the patients developing surgical site infection at surgical department of a tertiary care setup in Pakistan. Study Design: Comparative prospective study. Place and Duration of Study: Department of Surgery, Pak Emirates Military Hospit...

Full description

Bibliographic Details
Main Authors: Muhammad Umair Zulfiqar, Umer Fayyaz Ghani, Ayub Ashraf Mallhi, Khalid Mahmood, Maria Iqbal, Muhammad Ans
Format: Article
Language:English
Published: Army Medical College Rawalpindi 2021-06-01
Series:Pakistan Armed Forces Medical Journal
Subjects:
Online Access:https://pafmj.org/index.php/PAFMJ/article/view/3829
_version_ 1818989541904613376
author Muhammad Umair Zulfiqar
Umer Fayyaz Ghani
Ayub Ashraf Mallhi
Khalid Mahmood
Maria Iqbal
Muhammad Ans
author_facet Muhammad Umair Zulfiqar
Umer Fayyaz Ghani
Ayub Ashraf Mallhi
Khalid Mahmood
Maria Iqbal
Muhammad Ans
author_sort Muhammad Umair Zulfiqar
collection DOAJ
description Objective: To determine effect of iron deficiency anemia on the patients developing surgical site infection at surgical department of a tertiary care setup in Pakistan. Study Design: Comparative prospective study. Place and Duration of Study: Department of Surgery, Pak Emirates Military Hospital Rawalpindi, from Nov 2018 to Mar 2019. Methodology: A total of 152 indoor hospitalized patients were included in the study. Surgical site infection was assessed by a consultant surgeon according to definitions provided by the Centers for Disease Control and Prevention (CDC) National nosocomial infections surveillance system. Iron deficiency anemia was classed on the basis of hemoglobin and ferritin levels. Results: Eighty six (56.6%) patients were male while 66 (43.4%) patients included in the study were female. Commonest surgical procedure was laparotomy 29 (19.1%) followed by the hernioplasty 27 (17.7%). Out of 152 patients undergoing surgery & admitted in ward, 35 (23.1%) showed the presence of surgical site infection while 117 (76.9%) had no infection. Seventy eight (51.3%) patients had iron deficiency anemia while 74 (48.7%) patients were not anemic. History of transfusion during the surgery and presence of iron deficiency anemia was significantly associated with surgical site infection in the target population. Conclusion: Study exhibited high frequency of surgical site infection in the target population. Regular screening for anemia should be performed at surgery department and patients with history of transfusion during the surgery should be looked after especially. Iron deficiency anemia emerged as an independent factor associated with presence of surgical site infection among surgical patients.
first_indexed 2024-12-20T19:40:07Z
format Article
id doaj.art-bdb3615b587746ce809f9747f9759716
institution Directory Open Access Journal
issn 0030-9648
2411-8842
language English
last_indexed 2024-12-20T19:40:07Z
publishDate 2021-06-01
publisher Army Medical College Rawalpindi
record_format Article
series Pakistan Armed Forces Medical Journal
spelling doaj.art-bdb3615b587746ce809f9747f97597162022-12-21T19:28:34ZengArmy Medical College RawalpindiPakistan Armed Forces Medical Journal0030-96482411-88422021-06-017137495210.51253/pafmj.v71i3.38293829EFFECTS OF IRON DEFICIENCY ANEMIA IN SURGICAL SITE INFECTIONMuhammad Umair Zulfiqar0Umer Fayyaz Ghani1Ayub Ashraf Mallhi2Khalid Mahmood3Maria Iqbal4Muhammad Ans5Pak Emirates Military Hospital/National University of Medical Sciences (NUMS) Rawalpindi PakistanPak Emirates Military Hospital/National University of Medical Sciences (NUMS) Rawalpindi PakistanCombined Military Hospital/National University of Medical Sciences (NUMS) Rawalpindi PakistanCombined Military Hospital/National University of Medical Sciences (NUMS) Rawalpindi PakistanBahawal Victoria Hospital, Bahawalpur PakistanPak Emirates Military Hospital/National University of Medical Sciences (NUMS) Rawalpindi PakistanObjective: To determine effect of iron deficiency anemia on the patients developing surgical site infection at surgical department of a tertiary care setup in Pakistan. Study Design: Comparative prospective study. Place and Duration of Study: Department of Surgery, Pak Emirates Military Hospital Rawalpindi, from Nov 2018 to Mar 2019. Methodology: A total of 152 indoor hospitalized patients were included in the study. Surgical site infection was assessed by a consultant surgeon according to definitions provided by the Centers for Disease Control and Prevention (CDC) National nosocomial infections surveillance system. Iron deficiency anemia was classed on the basis of hemoglobin and ferritin levels. Results: Eighty six (56.6%) patients were male while 66 (43.4%) patients included in the study were female. Commonest surgical procedure was laparotomy 29 (19.1%) followed by the hernioplasty 27 (17.7%). Out of 152 patients undergoing surgery & admitted in ward, 35 (23.1%) showed the presence of surgical site infection while 117 (76.9%) had no infection. Seventy eight (51.3%) patients had iron deficiency anemia while 74 (48.7%) patients were not anemic. History of transfusion during the surgery and presence of iron deficiency anemia was significantly associated with surgical site infection in the target population. Conclusion: Study exhibited high frequency of surgical site infection in the target population. Regular screening for anemia should be performed at surgery department and patients with history of transfusion during the surgery should be looked after especially. Iron deficiency anemia emerged as an independent factor associated with presence of surgical site infection among surgical patients.https://pafmj.org/index.php/PAFMJ/article/view/3829iron deficiency anemiasurgical site infectionsocio-demographic factors
spellingShingle Muhammad Umair Zulfiqar
Umer Fayyaz Ghani
Ayub Ashraf Mallhi
Khalid Mahmood
Maria Iqbal
Muhammad Ans
EFFECTS OF IRON DEFICIENCY ANEMIA IN SURGICAL SITE INFECTION
Pakistan Armed Forces Medical Journal
iron deficiency anemia
surgical site infection
socio-demographic factors
title EFFECTS OF IRON DEFICIENCY ANEMIA IN SURGICAL SITE INFECTION
title_full EFFECTS OF IRON DEFICIENCY ANEMIA IN SURGICAL SITE INFECTION
title_fullStr EFFECTS OF IRON DEFICIENCY ANEMIA IN SURGICAL SITE INFECTION
title_full_unstemmed EFFECTS OF IRON DEFICIENCY ANEMIA IN SURGICAL SITE INFECTION
title_short EFFECTS OF IRON DEFICIENCY ANEMIA IN SURGICAL SITE INFECTION
title_sort effects of iron deficiency anemia in surgical site infection
topic iron deficiency anemia
surgical site infection
socio-demographic factors
url https://pafmj.org/index.php/PAFMJ/article/view/3829
work_keys_str_mv AT muhammadumairzulfiqar effectsofirondeficiencyanemiainsurgicalsiteinfection
AT umerfayyazghani effectsofirondeficiencyanemiainsurgicalsiteinfection
AT ayubashrafmallhi effectsofirondeficiencyanemiainsurgicalsiteinfection
AT khalidmahmood effectsofirondeficiencyanemiainsurgicalsiteinfection
AT mariaiqbal effectsofirondeficiencyanemiainsurgicalsiteinfection
AT muhammadans effectsofirondeficiencyanemiainsurgicalsiteinfection