Risk Factors for Surgical Site Infections After Abdominal Surgery
Introduction: Many factors related to the patient and surgery play a role in the development of surgical site infection (SSI). It was aimed to investigate the risk factors associated with SSI after open abdominal surgery in this study. Materials and Methods: The 349 patients who underwent abdomi...
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| Format: | Article |
| Language: | English |
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Bilimsel Tip Yayinevi
2022-06-01
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| Series: | Flora Infeksiyon Hastalıkları ve Klinik Mikrobiyoloji Dergisi |
| Subjects: | |
| Online Access: | http://floradergisi.org/managete/fu_folder/2022-02/305-316%20Ummu%20Sena%20Sari.pdf |
| _version_ | 1797910339790045184 |
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| author | Ümmü Sena SARI Salih Atakan NEMLİ Tuna DEMİRDAL |
| author_facet | Ümmü Sena SARI Salih Atakan NEMLİ Tuna DEMİRDAL |
| author_sort | Ümmü Sena SARI |
| collection | DOAJ |
| description | Introduction: Many factors related to the patient and surgery play a role in the development of surgical site infection (SSI). It was aimed to investigate the risk factors associated with SSI after open abdominal surgery in this study.
Materials and Methods: The 349 patients who underwent abdominal surgery in Atatürk Training and Research Hospital İzmir Katip Çelebi University Hospital were included in the study between January 2014 and December 2016. Those with SSI constituted the patient (n= 176) group, and those without SSI formed the control (n= 173) group. Demographic data, risk factors associated with the patient and the operative process, and laboratory parameters were analyzed retrospectively.
Results: Of the 176 SSI attacks detected in total, 13.1% were defined as superficial incisional, 19.9% as deep incisional, and 67% as organ/space. Age, length of hospital stay, duration of surgery, diabetes, malignancy, preoperative chemotherapy, preoperative radiotherapy, immunosuppressive therapy, presence of simultaneous infection at a different site, use of drains, degree of contamination of the wound, ASA score, preoperative anemia, preoperative and postoperative neutrophil/lymphocyte ratio (NLR) were found to be correlated with SSI in univariate analyses. The ASA score of >2, a hospital stay of more than 30 days, long operative time, contaminated/dirty wound class, and postoperative NLR> 4 were determined as independent risk factors for the development of SSI.
Conclusion: The infection risk is higher especially with ASA score >2, postoperative NLR> 4, contaminated/dirty operations, long operation time and long hospital stay. These patients should be closely monitored in the postoperative period. Necessary measures should be taken in terms of potentially modifiable independent risk factors in order to reduce the rates of SSI developing after abdominal surgical interventions. |
| first_indexed | 2024-04-10T11:22:53Z |
| format | Article |
| id | doaj.art-fd779ce862024ed4997c5380872e6cf4 |
| institution | Directory Open Access Journal |
| issn | 1300-932X 1308-5115 |
| language | English |
| last_indexed | 2024-04-10T11:22:53Z |
| publishDate | 2022-06-01 |
| publisher | Bilimsel Tip Yayinevi |
| record_format | Article |
| series | Flora Infeksiyon Hastalıkları ve Klinik Mikrobiyoloji Dergisi |
| spelling | doaj.art-fd779ce862024ed4997c5380872e6cf42023-02-15T16:18:32ZengBilimsel Tip YayineviFlora Infeksiyon Hastalıkları ve Klinik Mikrobiyoloji Dergisi1300-932X1308-51152022-06-0127230531610.5578/flora.20229814Risk Factors for Surgical Site Infections After Abdominal SurgeryÜmmü Sena SARI0https://orcid.org/0000-0002-6665-5523Salih Atakan NEMLİ1https://orcid.org/0000-0002-2720-9870Tuna DEMİRDAL2https://orcid.org/0000-0002-9046-5666Clinic of Infectious Diseases and Clinical Microbiology, Ankara 29 Mayıs State Hospital, Ankara, TürkiyeClinic of Infectious Diseases and Clinical Microbiology, Atatürk Training and Research Hospital İzmir Katip Çelebi University, İzmir, TürkiyeClinic of Infectious Diseases and Clinical Microbiology, Atatürk Training and Research Hospital İzmir Katip Çelebi University, İzmir, TürkiyeIntroduction: Many factors related to the patient and surgery play a role in the development of surgical site infection (SSI). It was aimed to investigate the risk factors associated with SSI after open abdominal surgery in this study. Materials and Methods: The 349 patients who underwent abdominal surgery in Atatürk Training and Research Hospital İzmir Katip Çelebi University Hospital were included in the study between January 2014 and December 2016. Those with SSI constituted the patient (n= 176) group, and those without SSI formed the control (n= 173) group. Demographic data, risk factors associated with the patient and the operative process, and laboratory parameters were analyzed retrospectively. Results: Of the 176 SSI attacks detected in total, 13.1% were defined as superficial incisional, 19.9% as deep incisional, and 67% as organ/space. Age, length of hospital stay, duration of surgery, diabetes, malignancy, preoperative chemotherapy, preoperative radiotherapy, immunosuppressive therapy, presence of simultaneous infection at a different site, use of drains, degree of contamination of the wound, ASA score, preoperative anemia, preoperative and postoperative neutrophil/lymphocyte ratio (NLR) were found to be correlated with SSI in univariate analyses. The ASA score of >2, a hospital stay of more than 30 days, long operative time, contaminated/dirty wound class, and postoperative NLR> 4 were determined as independent risk factors for the development of SSI. Conclusion: The infection risk is higher especially with ASA score >2, postoperative NLR> 4, contaminated/dirty operations, long operation time and long hospital stay. These patients should be closely monitored in the postoperative period. Necessary measures should be taken in terms of potentially modifiable independent risk factors in order to reduce the rates of SSI developing after abdominal surgical interventions.http://floradergisi.org/managete/fu_folder/2022-02/305-316%20Ummu%20Sena%20Sari.pdfsurgical site infection (ssi)abdominal surgeryrisk factor |
| spellingShingle | Ümmü Sena SARI Salih Atakan NEMLİ Tuna DEMİRDAL Risk Factors for Surgical Site Infections After Abdominal Surgery Flora Infeksiyon Hastalıkları ve Klinik Mikrobiyoloji Dergisi surgical site infection (ssi) abdominal surgery risk factor |
| title | Risk Factors for Surgical Site Infections After Abdominal Surgery |
| title_full | Risk Factors for Surgical Site Infections After Abdominal Surgery |
| title_fullStr | Risk Factors for Surgical Site Infections After Abdominal Surgery |
| title_full_unstemmed | Risk Factors for Surgical Site Infections After Abdominal Surgery |
| title_short | Risk Factors for Surgical Site Infections After Abdominal Surgery |
| title_sort | risk factors for surgical site infections after abdominal surgery |
| topic | surgical site infection (ssi) abdominal surgery risk factor |
| url | http://floradergisi.org/managete/fu_folder/2022-02/305-316%20Ummu%20Sena%20Sari.pdf |
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