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首页> 外文期刊>Journal of Clinical and Diagnostic Research >Study of Surgical Site Infectionsin Abdominal Surgeries
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Study of Surgical Site Infectionsin Abdominal Surgeries

机译：腹部外科手术部位感染的研究

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Background: Surgical site infections (SSI) have been responsible for the increasing cost, morbidity and mortality related to surgical operations and continue to be a major problem even in hospitals with most modern facilities and standard protocols of pre-operative preparation and antibiotic prophylaxis. Aims: This study aimed to determine the incidence of SSI in the abdominal surgeries and to identify risk factors associated with the development of SSI. Settings and Design: This retrospective observational study included patients who had undergone surgeries (abdominal) in the Department of General Surgery and Department of Obstetrics and Gynacology. It was conducted over a period of 18 months. Materials and Methods: All surgeries (1000 cases) where abdominal wall was opened were considered for the study. Wound class was considered as clean, clean contaminated, contaminated and dirty based on the extent of intraoperative contamination. The data collected includes details of timing of antimicrobial prophylaxis, surgical wound infection, types of surgeries (emergency and elective surgeries), the wound classes, apart from demographic profile of the patient. Results: The overall surgical wound infection rate was 13.7%. The infection rate was more with emergency surgery (25.2%) when compared to elective surgery (7.6%). The surgical site infection rate increased as the risk index score increased from 0 to 3. SSI was more with early operative and post operative prophylaxis. There was definite correlation between the wound infection rate and the timing of prophylaxis. Statistical Analysis: Chi-square test was applied and the level of significance was set at 5%. Conclusion: A pre-existing medical illness, prolonged operating time, the wound class, emergency surgeries and wound contamination strongly predispose to wound infection. Antimicrobial prophylaxis is effective in reducing the incidence of post-operative wound infections for a number of different operative procedures but, timing of administration is critical.
机译：背景：手术部位感染（SSI）导致与手术相关的成本，发病率和死亡率不断上升，即使在拥有最现代化设施和标准术前准备和抗生素预防措施的医院中，手术部位感染仍然是一个主要问题。目的：本研究旨在确定腹部手术中SSI的发生率，并确定与SSI发展有关的危险因素。设置和设计：这项回顾性观察研究包括在普通外科和妇产科进行外科手术（腹部）的患者。历时18个月。材料和方法：所有手术（1000例）均打开腹壁进行研究。根据术中污染的程度，伤口等级被认为是干净的，干净的污染的，污染的和肮脏的。除患者的人口统计资料外，收集的数据还包括抗菌药物预防时机，手术伤口感染的时间，手术类型（紧急手术和选择性手术），伤口类型的详细信息。结果：整体手术伤口感染率为13.7％。紧急手术（25.2％）比选择性手术（7.6％）的感染率更高。手术部位感染率随着风险指数评分从0增加到3而增加。SSI在手术早期和手术后均较高。伤口感染率与预防时间之间有明确的相关性。统计分析：应用卡方检验，显着性水平设定为5％。结论：既往已有的医疗疾病，延长的手术时间，伤口类别，急诊手术和伤口污染很容易导致伤口感染。对于许多不同的手术程序，抗菌素预防可有效降低术后伤口感染的发生率，但给药时间至关重要。

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