Surgical Site Infections in an Italian Surgical Ward: A Prospective Study

2009 ◽  
Vol 10 (6) ◽  
pp. 533-538 ◽  
Author(s):  
Alberto Di Leo ◽  
Silvano Piffer ◽  
Francesco Ricci ◽  
Alberto Manzi ◽  
Elena Poggi ◽  
...  
2018 ◽  
Vol 19 (3) ◽  
pp. 339-344 ◽  
Author(s):  
Montserrat Juvany ◽  
Carlos Hoyuela ◽  
Miguel Trias ◽  
Fernando Carvajal ◽  
Jordi Ardid ◽  
...  

2012 ◽  
Vol 40 (5) ◽  
pp. 426-430 ◽  
Author(s):  
Soad Hafez ◽  
Tamer Saied ◽  
Elham Hasan ◽  
Manal Elnawasany ◽  
Eman Ahmad ◽  
...  

2021 ◽  
Vol 8 (10) ◽  
pp. 3088
Author(s):  
Sanjay Jain ◽  
Rahul Shivhare ◽  
Shoranki Pardhan ◽  
Deepti Chaurasiya

Background: Surgical site infections have plagued surgeons since time immemorial. There is significant morbidity and mortality associated with surgical site infections. In this study we tried to identify the incidence, various patient and procedure related factors, which could have led to SSIs, the various organism associated with the SSIs and their pattern of sensitivity and resistance to various antibiotics.Methods: This study was conducted in the department of general surgery, Gandhi medical college and Hamidia hospital Bhopal. In this prospective study, we included all patients more than 12 years of age undergoing abdominal surgeries between 2018-2020. Patient data was recorded in a case recording form and all patients were examined post-operatively for soakage along with culture and antibiotic testing.Results: A total of 299 patients were included. Overall incidence of SSI was 23.07%, elective surgeries showed 19.5% incidence and elective showed 26.08% incidence. Higher incidence of SSI was found in, male patients (25.9%), contaminated and dirty surgeries, higher ASA scores, smokers, alcoholics diabetics, anaemics, and malnourished patients. E. coli and klebsiella were the most common organisms isolated in both elective and emergency setting. Organisms isolated were highly sensitive to colistin, meropenem, imipenem, gentamicin and amikacin. Amoxycillin, ceftriaxone, doxycycline were fairly resistant in the current study.Conclusions: Modifiable risk factors like smoking, alcoholism, anaemia, malnourishment, contaminated wound class and emergency surgeries should be addressed systematically along with judicious use of antibiotics and tailoring then according to culture profile whenever possible is needed to reduce SSI rate.


2015 ◽  
Vol 9 (1) ◽  
pp. 20-25 ◽  
Author(s):  
Rodolfo Casimiro Reis ◽  
Matheus Fernandes de Oliveira ◽  
José Marcus Rotta ◽  
Ricardo Vieira Botelho

Purpose : Complications are the chief concern of patients and physicians when considering spine surgery. The authors seek to assess the incidence of complications in patients undergoing spine surgery and identify risk factors for their occurrence. Methods : Prospective study of patients undergoing spine surgery from 1 February 2013 to 1 February 2014. Epidemiological characteristics and complications during the surgical hospitalization were recorded and analyzed. Results : The sample comprised 95 patients (mean age, 59 years). Overall, 23% of patients were obese (BMI =30). The mean BMI was 25.9. Approximately 53% of patients had comorbidities. Complications occurred in 23% of cases; surgical site infections were the most common (9%). There were no significant differences between patients who did and did not develop complications in terms of age (60.6 vs 59.9 years, p = 0.71), sex (56% female vs 54% female, p = 0.59), BMI (26.6 vs 27.2, p = 0.40), or presence of comorbidities (52% vs 52.8%, p = 0.87). The risk of complications was higher among patients submitted to spine instrumentation than those submitted to non-instrumented surgery (33% vs 22%), p=0.8. Conclusion : Just over one-quarter of patients in the sample developed complications. In this study, age, BMI, comorbidities were not associated with increased risk of complications after spine surgery. The use of instrumentation increased the absolute risk of complications.


2008 ◽  
Vol 70 (3) ◽  
pp. 120-124 ◽  
Author(s):  
Umesh S. Kamat ◽  
A. M. A. Fereirra ◽  
M. S. Kulkarni ◽  
D. D. Motghare

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