The Incidence and Risk Factors Associated with Surgical Site Infections
Authors/Creators
- 1. Assistant Professor, Department of General Surgery. SLN Medical College and Hospital, Koraput, Odisha
- 2. Assistant Professor, Department of Microbiology. SLN Medical College and Hospital, Koraput, Odisha
- 3. Associate Professor, Dept. of Pathology, MCH Keonjhar, Odisha, India
Description
Background: Surgical Site Infections (SSI) is considered to be one of the leading healthcare associated infections in developing nations. However, there is a significant improvement in surgical techniques, but SSI is one of the main causes of hospital acquired infections. The key factors that are associated with SSI include age, gender, immunity level, obesity, diabetes, and alcohol use. In addition to this, the factors like hyperglycaemia, pre-existing remote body site infection and tobacco consumption is having a significant impact on improvement of risk related to SSI. In the current scenario, the risks like BMI, smoking, blood transfusion and pre-existing chronic disease are also increasing the risk of SSI. The prevention approach for SSI is requiring bundle action which systematic attention to multiple risk factors to improve the patient’s defence by minimizing the bacterial contamination. Aim: To determine the incidence and risk factors associated with SSI in hospitals. Method: The study is based on the non-concurrent cohort and conducted at SLN Medical College and Hospital, from January 2021 to December 2021. The medical college is offering specialised services for patients and performing the actions against the infection surveillance. The data that has been collected from the sources of hospital is stored in the excel sheet and exported to SPSS version 26.0 software that has helped to analyze the desired outcome for the study. Moreover, the prior approval was taken from the hospital authority for access the database. Data was analyzed applying independent t-test, ANOVA and logistic regression. Results: There were 70.6% female and mean age of the patients was 54.3 years. Moreover, the mean duration of the surgery was 1.6 hours. 568 patients were diagnosed with SSI with incidences of 3.4%. Moreover, infection culture was performed on 177 patients and Staphyloccocus aureus and Escherichia coli were found to be the main microorganisms causing SSI. Moreover, the multivariate analysis has suggested the significance of 5%. Conclusion: The study has analyzed different culture, and most prevalent microorganism factors were Staphyloccocus aureus and Escherichia. The study concluded that it is essential to analyze the risk of developing SSI in patients undergoing general surgery and implementation of the measures to minimize the infection.
Abstract (English)
Background: Surgical Site Infections (SSI) is considered to be one of the leading healthcare associated infections in developing nations. However, there is a significant improvement in surgical techniques, but SSI is one of the main causes of hospital acquired infections. The key factors that are associated with SSI include age, gender, immunity level, obesity, diabetes, and alcohol use. In addition to this, the factors like hyperglycaemia, pre-existing remote body site infection and tobacco consumption is having a significant impact on improvement of risk related to SSI. In the current scenario, the risks like BMI, smoking, blood transfusion and pre-existing chronic disease are also increasing the risk of SSI. The prevention approach for SSI is requiring bundle action which systematic attention to multiple risk factors to improve the patient’s defence by minimizing the bacterial contamination. Aim: To determine the incidence and risk factors associated with SSI in hospitals. Method: The study is based on the non-concurrent cohort and conducted at SLN Medical College and Hospital, from January 2021 to December 2021. The medical college is offering specialised services for patients and performing the actions against the infection surveillance. The data that has been collected from the sources of hospital is stored in the excel sheet and exported to SPSS version 26.0 software that has helped to analyze the desired outcome for the study. Moreover, the prior approval was taken from the hospital authority for access the database. Data was analyzed applying independent t-test, ANOVA and logistic regression. Results: There were 70.6% female and mean age of the patients was 54.3 years. Moreover, the mean duration of the surgery was 1.6 hours. 568 patients were diagnosed with SSI with incidences of 3.4%. Moreover, infection culture was performed on 177 patients and Staphyloccocus aureus and Escherichia coli were found to be the main microorganisms causing SSI. Moreover, the multivariate analysis has suggested the significance of 5%. Conclusion: The study has analyzed different culture, and most prevalent microorganism factors were Staphyloccocus aureus and Escherichia. The study concluded that it is essential to analyze the risk of developing SSI in patients undergoing general surgery and implementation of the measures to minimize the infection.
Files
IJPCR,Vol14,Issue6,Article9.pdf
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Additional details
Dates
- Accepted
-
2022-05-12
Software
- Repository URL
- https://impactfactor.org/PDF/IJPCR/14/IJPCR,Vol14,Issue6,Article9.pdf
- Development Status
- Active
References
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