Abstract
Aim: to compare incidence of superficial surgical site infections in elective and emergency laparotomies and to study the significance of factors like duration of surgery and level of contamination in incidence of superficial SSI
Materials and Methods: 200 patients who underwent midline laparotomy (100 patients each in elective and emergency laparotomy groups) were followed up for a period of one month for the incidence of surgical site infections and effect of surgical risk factors were analysed
Results: the incidence of superficial surgical site infections was 20.7% with a higher incidence in those who underwent emergency laparotomy. surgical site infections were higher among patients who underwent prolonged surgeries, higher level of contamination was associated with higher incidence of superficial SSI
Keywords: superficial surgical site infections, elective and emergency laparotomy, duration of surgery, level of contamination.
References
- Horan TC, Gaynes RP, Martone WJ, Jarvis WR, Emori TG. CDC definitions of nosocomial surgical site infections, 1992; A modification of CDC definitions of surgical wound infections. Infection Control Hosp Epidemiol. 1992; 13 606-608.
- Centers for Disease Control and Prevention (CDC). Surgical site infection (SSI). 2016.cdc.gov/HAI/ssi/faq_ssi.html. Accessed September 12, 2018.
- Arora A, Bharadwaj P, Chaturvedi H, Chowbey P, Gupta S, Leaper D, Mani G K, S Marya S K, Premnath R, Quadros K, Srivastava A, Tendolkar A .A review of prevention of surgical site infections in Indian hospitals based on global guidelines for the prevention of surgical site infection, 2016 .JPSIC 2018 Volume: 6 Issue Number:1 Page: 1-12
- Kumar A, Rai A. Prevalence of surgical site infection in general surgery in a tertiary care centre in India. Int Surg J 2017;4:3101-6.
- Kamat US, Fereirra AM, Kulkarni MS, Motghare DD. A prospective study of surgical site infections in a teaching hospital in Goa. Indian J Surg 2008;70:120-4.
- Barie PS .Surgical site infections: epidemiology and prevention. Surg Infect (Larchmt)2002;3 Suppl 1:S9-21
- Cheng H, Chen BP, Soleas IM, Ferko NC, Cameron CG, Hinoul P. Prolonged Operative Duration Increases Risk of Surgical Site Infections: A Systematic Review. Surg Infect (Larchmt). 2017;18(6):722-735.
- Kamel C, McGahan L, Mierzwinski-Urban M, et al. Preoperative Skin Antiseptic Preparations and Application Techniques for Preventing Surgical Site Infections: A Systematic Review of the Clinical Evidence and Guidelines [Internet]. Ottawa (ON): Canadian Agency for Drugs and Technologies in Health; 2011 Jun. Appendix 1, Classification of surgical wounds. Available from: https://www.ncbi.nlm.nih.gov/books/NBK174534/
- Lilani S P, Jangale N, Chowdhary A, Daver G B. Surgical site infection in clean and clean-contaminated cases. Indian J Med Microbiol 2005;23:249-52
- Ortega, G., Rhee, D. S., Papandria, D. J., Yang, J., Ibrahim, A. M., Shore, A. D., … Abdullah, F. (2012). An Evaluation of Surgical Site Infections by Wound Classification System Using the ACS-NSQIP. Journal of Surgical Research, 174(1), 33–38.doi:10.1016/j.jss.2011.05.056.
Corresponding Author
Dr Abdul Basith P.T
Assistant Professor, General Surgery, Govt Medical College Kozhikode, India
Ph: +919037952205, Email: This email address is being protected from spambots. You need JavaScript enabled to view it.