scholarly journals Surgical site infection following elective orthopaedic surgeries in geriatric patients: Incidence and associated risk factors

2019 ◽  
Vol 16 (3) ◽  
pp. 773-780 ◽  
Author(s):  
Zhiquan Liang ◽  
Kai Rong ◽  
Wenfei Gu ◽  
Xin Yu ◽  
Rui Fang ◽  
...  
Keyword(s):  
Risk Factors ◽  
Surgical Site Infection ◽  
Geriatric Patients ◽  
Site Infection ◽  
Associated Risk Factors

scholarly journals Incidence and risk factors for surgical site infection following elective foot and ankle surgery: a retrospective study

2020 ◽  
Vol 15 (1) ◽  
Author(s):  
Jinghong Meng ◽  
Yanbin Zhu ◽  
Yansen Li ◽  
Tao Sun ◽  
Fengqi Zhang ◽  
...  
Keyword(s):  
Risk Factors ◽  
Staphylococcus Aureus ◽  
Retrospective Study ◽  
Surgical Site Infection ◽  
Elective Surgery ◽  
Site Infection ◽  
Foot And Ankle ◽  
Coagulase Negative Staphylococci ◽  
Methicillin Resistant ◽  
Associated Risk Factors

Abstract Background This study aimed to investigate the incidence of surgical site infection (SSI) in elective foot and ankle surgeries and identify the associated risk factors. Methods This was designed as a retrospective study, including patients who underwent elective surgery of foot and ankle between July 2015 and June 2018. Data on demographics, comorbidities, and perioperative parameters were collected from the medical records, the laboratory report, the operation report, and the outpatient follow-up registration database. SSI was defined in accordance with the Center for Disease Control criteria. Univariate and multivariate logistic regression analyses were used to identify the independent risk factors for SSI. Results A total of 1201 patients undergoing 1259 elective foot/ankle surgeries were included, of whom 26 (2.1%) had an SSI, representing an incidence rate of 1.3% for superficial SSI and 0.8% for deep SSI, respectively. The results for organism culture showed Pseudomonas aeruginosa in 7 cases, methicillin-resistant Staphylococcus aureus (MRSA) in 6, methicillin-susceptible Staphylococcus aureus (MSSA) in 5, methicillin-resistant coagulase-negative Staphylococci (MRCNS) in 2, Escherichia coli in 2, and Proteus mirabilis in 1 case. Five factors were identified to be independently associated with SSI, including prolonged preoperative stay (OR, 1.21; 95% CI, 1.09 to 1.30), allograft or bone substitute (OR, 3.76; 95% CI, 1.51 to 5.30), elevated FBG level (OR, 1.17; 95% CI, 1.04 to 1.26), lower ALB level (OR, 2.33; 95% CI, 1.19 to 3.05), and abnormal NEUT count (OR, 1.72; 95% CI, 1.27 to 2.12). Conclusions SSI following elective foot and ankle surgeries is low, but relatively high in forefoot surgeries, requiring particular attention in clinical practice. Although most not modifiable, these identified factors aid in risk assessment of SSI and accordingly stratifying patients and therefore should be kept in mind.

Risk factors for post caesarean surgical site infection at a tertiary care center in Eastern Nepal

2017 ◽  
Vol 13 (3) ◽  
pp. 314-317
Author(s):  
Manisha Chhetry ◽  
Shanti Subedi ◽  
Basudeb Banerjee
Keyword(s):  
Risk Factors ◽  
Surgical Site Infection ◽  
Care Center ◽  
Tertiary Care ◽  
Site Infection ◽  
Emergency Procedures ◽  
Membrane Rupture ◽  
Duration Of Surgery ◽  
Elective Cesarean ◽  
Associated Risk Factors

Background & Objectives:Post cesarean surgical site infection (SSI) is one of the commonly encountered complications which considerably increase the burden to health care. It is caused due to the interplay of various patient related, procedure related and iatrogenic factors. This study aims at identifying common risk factors for post cesarean SSI at our centre.Materials & Methods:This was a prospective observational study conducted from July 2015 to December 2015, in which all patients who were admitted with post cesarean SSI or developed SSI during their stay were included and their risk factors were studied.Results:Emergency procedures (82.97%) were more likely to develop SSI as compared to elective cesarean (17%). Among the patient related risk factors most of them were nulliparous (48.9%), term gestation (42.6%), malnourished (53.1%) and had history of prolonged leaking (44.68%) The mean age was 24.04±4.6years.Most of the patients who developed SSI were operated for repeat cesarean and fetal indications. Most patients who had SSI had at three to five per vaginal examinations (2.72±2). 66% of patient who had SSI had duration of surgery more than one hour. 68% of the surgeries which developed SSI were done by residents as compared to 32% of those done by consultantsConclusion:The commonly associated risk factors linked with post cesarean SSI are maternal age, emergency procedures, prolonged membrane rupture, multiple vaginal examinations, malnutrition and the experience of surgeon. 

scholarly journals Surgical site infection following traumatic orthopaedic surgeries in geriatric patients: Incidence and prognostic risk factors

2019 ◽  
Vol 17 (1) ◽  
pp. 206-213 ◽  
Author(s):  
Jinbo Le ◽  
Zhijie Dong ◽  
Jie Liang ◽  
Kun Zhang ◽  
Yanhua Li ◽  
...  
Keyword(s):  
Risk Factors ◽  
Surgical Site Infection ◽  
Geriatric Patients ◽  
Site Infection ◽  
Prognostic Risk Factors

scholarly journals Incidence and Risk Factors of Surgical Site Infection Following Cesarean Section at Dhulikhel Hospital

2015 ◽  
Vol 12 (2) ◽  
pp. 113-116 ◽  
Author(s):  
S Shrestha ◽  
R Shrestha ◽  
B Shrestha ◽  
A Dongol
Keyword(s):  
Risk Factors ◽  
Cesarean Section ◽  
Surgical Site Infection ◽  
Health Care Professionals ◽  
Antenatal Clinic ◽  
Skin Incision ◽  
Study Data ◽  
Site Infection ◽  
Associated Risk Factors ◽  
Pro Forma

Background Cesarean Section (CS) is one of the most commonly performed surgical procedures in obstetrical and gynecological department. Surgical site infection (SSI) after a cesarean section increases maternal morbidity prolongs hospital stay and medical costs.Objective The aim of this study was to find out the incidence and associated risk factors of surgical site infection among cesarean section cases.Method A prospective, descriptive study was conducted at Dhulikhel Hospital, department of Obstetrics and Gynaecology from July 2013 to June 2014. Total of 648 women who underwent surgical procedure for delivery during study period were included in the study. Data was collected from patient using structred pro forma and examination of wound till discharge was done. Data was compared in terms of presence of surgical site infection and study variables. Wound was evaluated for the development of SSI on third day, and fifth post-operative day, and on the day of discharge.Results Total of 648 cases were studied. The mean age was 24±4.18. Among the studied cases 92% were literate and 8% were illiterate. Antenatal clinic was attended by 97.7%. The incidence rate of surgical site infection was 82 (12.6%). SSI was found to be common in women who had rupture of membrane before surgery (p=0.020), who underwent emergency surgery (p=0.0004), and the women who had vertical skin incision (p=0.0001) and interrupted skin suturing (p=0.0001) during surgery.Conclusion Surgical site infection following caesarean section is common. Various modifiable risk factors were observed in this study. Development of SSI is related to multi-factorial rather than one factor. Development and strict implementation of protocol by all the health care professionals could be effective to minimize and prevent the infection rate after caesarean section.Kathmandu University Medical Journal Vol.12(2) 2014: 113-116

scholarly journals Incidence and risk factors for surgical site infection in general surgeries

2017 ◽  
Vol 25 (0) ◽  
Author(s):  
Rafael Lima Rodrigues de Carvalho ◽  
Camila Cláudia Campos ◽  
Lúcia Maciel de Castro Franco ◽  
Adelaide De Mattia Rocha ◽  
Flávia Falci Ercole
Keyword(s):  
Risk Factors ◽  
Surgical Site Infection ◽  
Hospital Stay ◽  
Risk Index ◽  
Site Infection ◽  
Duration Of Surgery ◽  
Staphyloccocus Aureus ◽  
Preoperative Hospital Stay ◽  
Associated Risk Factors ◽  
Clean Contaminated

ABSTRACT Objective: to estimate the incidence of surgical site infection in general surgeries at a large Brazilian hospital while identifying risk factors and prevalent microorganisms. Method: non-concurrent cohort study with 16,882 information of patients undergoing general surgery from 2008 to 2011. Data were analyzed by descriptive, bivariate and multivariate analysis. Results: the incidence of surgical site infection was 3.4%. The risk factors associated with surgical site infection were: length of preoperative hospital stay more than 24 hours; duration of surgery in hours; wound class clean-contaminated, contaminated and dirty/infected; and ASA index classified into ASA II, III and IV/V. Staphyloccocus aureus and Escherichia coli were identified. Conclusion: the incidence was lower than that found in the national studies on general surgeries. These risk factors corroborate those presented by the National Nosocomial Infection Surveillance System Risk Index, by the addition of the length of preoperative hospital stay. The identification of the actual incidence of surgical site infection in general surgeries and associated risk factors may support the actions of the health team in order to minimize the complications caused by surgical site infection.

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