Factor Responsible for Surgical Site Infection Following Emergency Non-Traumatic Abdominal Surgery

A. Yadav, Chandrika Sah Rauniyar, M. Joshi, Ajit Singh, Brijesh Shrestha
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Abstract

Introduction: Surgical Site Infection (SSI) have always been a major complication of surgery. It results from microbialinfection during or after the surgical procedure. According to CDC, SSI can be classified as superficial,deep and organ/ space. It increases morbidity and also increases cost to the patient and healthcare system. The aim of this study is to determine the factors responsible for surgical site infection following emergency non- traumatic abdominal surgery. Materials and Methods: This prospective study was carried out in Department of Surgery of National Medical College and Teaching Hospital. A total of 90 patients were included in this study. Data analysis was done using SPSS (Statistical Package for social sciences), version 26. Results: Mean age of the study population was 42.74 years. The majority of the subjects were in the age group of 31-40 years. Most of the patients were males (68.8%). The commonest pathology for undertaking operation was Perforated Duodenal ulcer (42.2%).Preoperative serum albumin level, Smoking, comorbidity like COPD, Hypertension, DM, BMI showed statistical relation to surgical site infection. Conclusion: Numerous host factors like malnutrition, obesity, co-morbidity, type of wounds, time of presentation, personal habit contribute to increased incidence of SSI.
急诊非创伤性腹部手术后手术部位感染的原因
手术部位感染(SSI)一直是外科手术的主要并发症。它是由手术过程中或手术后的微生物感染引起的。根据CDC, SSI可分为浅表、深部和器官/间隙。它增加了发病率,也增加了患者和医疗保健系统的成本。本研究的目的是确定急诊非创伤性腹部手术后引起手术部位感染的因素。材料与方法:本前瞻性研究在国立医学院附属教学医院外科进行。本研究共纳入90例患者。数据分析使用SPSS(社会科学统计软件包),版本26。结果:研究人群平均年龄为42.74岁。大多数受试者年龄在31-40岁之间。患者以男性居多(68.8%)。最常见的手术病理为十二指肠溃疡穿孔(42.2%)。术前血清白蛋白水平、吸烟、COPD、高血压、糖尿病、BMI等合并症与手术部位感染有统计学关系。结论:营养不良、肥胖、合并症、伤口类型、出现时间、个人习惯等多种宿主因素导致SSI发生率增加。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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