Published February 4, 2026 | Version v1
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MOST COMMON SURGICAL SITE INFECTION AFTER APPENDECTOMY AND ASSOCIATED RISK FACTORS IN SAUDI ARABIA: A SYSTEMATIC REVIEW

Authors/Creators

  • 1. 1. Consultanat General, Laproscopic and Colorectal Surgery At The Surgery Department in King Fahad general hospital, Jeddah, KSA.
  • 2. 2. Obstetrics and Gynaecology, KFSHRC, KSA.
  • 3. 3. MBBS, Service Doctor , King Fahad Hospital, Al Hofuf, KSA.
  • 4. 4. MBBS, Service Doctor, Asir health cluster, Abha, KSA.
  • 5. 5. MBBS, Service Doctor, Abu arish general hospital, Abu Arish, Gazan, KSA.
  • 6. 6. MBBS, Service Doctor , security forces hospital, Dammam, KSA.
  • 7. 7. MBBS, Service Doctor, Umluj General Hospital, Umluj , KSA.
  • 8. 8. MBBS, Medical intern, Umm Al-Qura University, Mecca, KSA.
  • 9. 9. MBBS, Medical Intern, Taibah University, Medina, KSA.
  • 10. 10. MBBS, Medical intern, ISNC, Jeddah, KSA.
  • 11. 11. MBBS, Medical intern, Umm Al-Qura University, Mecca, KSA
  • 12. 12. MBBS, Medical intern, King Saud university, Riyadh KSA
  • 13. 13.MBBS, Medical Intern, King Saud Bin Abdulaziz University, Jeddah, KSA
  • 14. 14. PhrmD , UQU, Mecca, JSA.
  • 15. 15. Nursing Specialist, Alsafa Medical Complex, Hail, KSA

Description

Background: Surgical site infection (SSI) is a major postoperative complication following appendectomy and is associated with increased morbidity, prolonged hospitalization, and healthcare costs.

Objective:To identify the most common types of SSI after appendectomy and evaluate associated risk factors in Saudi Arabia.

Methods: A systematic review was conducted according to PRISMA guidelines. PubMed, Scopus, Web of Science, and Google Scholar were searched for studies published between 2000 and 2025 reporting SSI after appendectomy in Saudi Arabia. Results: Thirty-two studies involving more than 12,000 patients were included. Superficial incisional SSI was the most frequently reported infection. Risk factors consistently associated with SSI included complicated appendicitis, open appendectomy, delayed presentation, obesity, diabetes mellitus, prolonged operative time, and inadequate antibiotic prophylaxis.

 

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