Patient comorbidities as risk factors for surgical site infection in gynecologic and obstetric surgery

Mejía, Mara Paulina Ibarra; Verduzco, Jesús María Félix; López, ME Leticia López; Acosta, María Elena Haro; Silva, Joan Dautt

doi:10.15406/ijfcm.2019.03.00137

Cited by 3 publications

(3 citation statements)

References 5 publications

(6 reference statements)

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“…In a study by Mejía et al ,[ 27 ] a higher incidence of SSI was found in patients suffering from diabetes mellitus (25.3%) and patients of low immunity group (43.4%). In our study, we found that SSI rate (32.08%) was much higher in comorbid patients as compared to non-co-morbid patients in which the SSI rate was 17.41%.…”

Section: Discussionmentioning

confidence: 99%

A prospective study of surgical site infection with its risk factors and their correlation with the NNIS risk index

Jain,

Meena,

Chakravarti

et al. 2023

J West Afr Coll Surg

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Background: Surgical site infection (SSI) is the third most commonly reported nosocomial infection, accounting for 10%–40% of all nosocomial infections and is a major cause of postoperative morbidity. Knowledge of factors related to SSI can help in reducing its incidence and related morbidity, which in many studies is shown to account for 38% of all infections in surgical patients. Lack of extending nosocomial infection surveillance programme and prevention measures in countries like India is viewed as a major challenge for the future. Objectives: The aims of this work were (1) to study the SSI rate in patients undergoing both elective and emergency abdominal surgery and SSI with CDC, and NNIS risk index; and (2) to assess SSI along with body mass index (BMI), glycaemic status, smoking and duration of pre-operative hospital stay of patients. Materials and Methods: In total, 300 patients who underwent elective and emergency abdominal surgery were enrolled in the study as per inclusion and exclusion criteria. SSI with CDC’s NNIS risk index were analysed considering BMI, glycaemic status, smoking and duration of pre-operative hospital stay of patients. Results: In total, 300 cases of abdominal surgeries (elective and emergency) were analysed, out of which 60 cases were diagnosed to have SSI as per the criteria Conclusion: This study demonstrated that there is a significant increase in SSI with increasing NNIS score that is, the greater the NNIS score, the greater the risk of SSI. With an increase in age, BMI, glycaemic index and preoperative hospital stay, the risk of SSI increases. Smoking and associated comorbidities also increase the risk of SSI.

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Section: Discussionmentioning

confidence: 99%

A prospective study of surgical site infection with its risk factors and their correlation with the NNIS risk index

Jain,

Meena,

Chakravarti

et al. 2023

J West Afr Coll Surg

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“…Comorbid conditions like CAD, CKD, and hypertension are significant risk factors for SSI on their own. Mejía et al [11] study revealed that patients with comorbidities act as risk factors favouring SSI. Our findings corroborate this finding, showing that comorbidities [CAD, CKD, and hypertension] account for 100% of the increase in SSI incidence in these individuals [table 8].…”

Section: Discussionmentioning

confidence: 99%

A Study of Aerobic Bacteriological Profile of Surgical Site Infections With Their Antibiogram in a Teritary Care Hospital

PRIYA,

RAMANA,

RANI

et al. 2024

Int J Curr Pharm Sci

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Objective: Surgical site infections [SSI] are regarded as a serious clinical issue and is associated with higher morbidity and death rates. SSIs are defined as infections that develop in the body area where surgery was performed and classified as superficial, deep, and organ-specific. The pathophysiology of SSIs has been linked to both exogenous contamination by medical professionals or contaminated surgical instruments and endogenous contamination by skin flora. The age, obesity, diet, and preoperative hospitalization risk variables were categorized as intrinsic to the SSI. This study undertaken to assess the prevalence of SSI and the microorganisms linked to it and to determine the antibiogram of all isolates Methods: A hospital-based prospective study conducted at Government General Hospital, Kakinada during January 2023 to December 2023. Patient information was documented, including the procedure type, kind of wound infection, wound class [clean, clean-contaminated, and contaminated], and the total number of days spent in the hospital. Pus sample was collected and subjected to Gram stain, culture and antibiotic susceptibility testing done by standard microbiological procedure. Results: A total of 1506 procedures were performed in which 60 cases [3.9%] developed SSI. Escherichia coli was the most commonly isolated followed by S. aureus, E. faecalis, K. pneumoniae and Proteus spp. Maximum ESBL production [25%] seen in E. coli. S. aureus and E. faecalis were Susceptible to Teicoplanin, Linezolid. Gram negative bacteria were susceptible to Amikacin, Piperacillin–Tazobactam. Conclusion: In the present study, the rate of infection is 3.9%. The common isolate was E. coli and there is an emerging drug resistance. To prevent SSIs i would suggest that frequent surveillance, appropriate pre and postsurgical management, rigorous adherence to hospital infection control protocols, and prevention of bacterial drug resistance are crucial.

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“…A study from Mejía et al has found the patients with comorbidities acts as risk factors favouring SSI and our results echo with similar results where we found 100% growth in SSI in cases having comorbidities as a one of the important factor. 13 Age is one of the factors, which might increase the chances of having SSI. A cohort study conducted by Kaye et al has found that age is an independent factor which favours the occurrence of SSI, similar to our results which found high occurrence of culture positive cases in patients with age ranging from 52-70 compared to lower age group.…”

Section: Discussionmentioning

confidence: 99%

Spectrum of surgical site infections at a tertiary care hospital in Hyderabad

Reddy¹,

Muqtadir²,

Mandevwad³

et al. 2020

IJMR

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Surgical site infections (SSI) constitute a major public health problem worldwide and are the second most frequently reported nosocomial infections. They are responsible for increasing the treatment cost, readmission, length of hospital stay and significant morbidity and mortality. The present study was aimed to determine the incidence of SSIs and the prevalence of aerobic bacterial pathogens involved with their antibiogram at our tertiary care hospital. Materials and Methods: This study was conducted for a period of one year (January to December 2019). The SSI occurrence, the organisms isolated, antibiotic sensitivity pattern as well as outcome of the treatment is evaluated. Results: In overall surgeries conducted in a year at our institute, we found 15 cases from various department were clinically diagnosed of having SSIs, including 11 male and 4 females with the mean age of 43.7 years. Out of the total 15 samples processed, 9 (60%) yielded bacterial growth including Staphylcoccus species, Enteroccous, Pseudomonas and Acinetobacter species. Most of these are organisms isolated were not multidrug resistant. Discussion: Management of SSIs remains a significant concern for surgeons and physicians in a health care facility, which carries a load with high morbidity and mortality. Due to the proper hospital infection control management we report the occurrence of low SSI in our hospital with the absence of multidrug resistance. We emphasis the importance of hospital infection control monitoring with proper precautions during surgeries to reduce the load of SSI and better outcome of the treatment.

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Patient comorbidities as risk factors for surgical site infection in gynecologic and obstetric surgery

Cited by 3 publications

References 5 publications

A prospective study of surgical site infection with its risk factors and their correlation with the NNIS risk index

A prospective study of surgical site infection with its risk factors and their correlation with the NNIS risk index

A Study of Aerobic Bacteriological Profile of Surgical Site Infections With Their Antibiogram in a Teritary Care Hospital

Spectrum of surgical site infections at a tertiary care hospital in Hyderabad

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