Post-operative wound infections

Michalopoulos, Antigone; Sparos, L

doi:10.7748/ns.17.44.53.s57

Cited by 15 publications

(8 citation statements)

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“…11,12 Postoperative wound infection increases the length of stay in hospital was also observed by other authors like Michalopoulos A et al and Perl TM. 11,13 Present findings were comparable to those of Umesh SK et al who found that the mean duration of postoperative stay in patients with SSI was 9 days. 14 The present study shows that 20 (20.83%) of thyroidectomy cases had post-operative wound infection followed by laparoscopic appendicectomy (17.77%), fistulectomy and other surgeries like fibro adenoma excision (16.66% each), but the difference distribution of proportion of these cases as per type of operation was not significant (p>0.05).…”

Section: Discussionsupporting

confidence: 90%

“…Similar observations were made by some authors where more probability of post-operative wound infection in cases where duration of operation was more. 13 An interesting observation was that the infection rate was significantly low when the patients were operated as the first case on a particular table. It was 8.57% for the patients who were operated as the first case; it was 9.03% for the second case, 9.52% for the third case and 14.78% for more than third case.…”

Section: Discussionmentioning

confidence: 99%

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A study of preoperative, intra-operative and postoperative factors responsible for postoperative wound infection

et al. 2017

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Background: Many factors affect the incidence of surgical wound infection, in addition to the surgeon’s skill and the hospital environment. Host attributes, such as age over 60 years, diabetes mellitus, malignant disease, obesity, malnutrition, length of preoperative stay or pre-existing infection may influence risk, as may such operation characteristics as site, urgency, duration and time of skin shaving. Objective was to study the preoperative, intra-operative and postoperative factors responsible for postoperative wound infection.Methods: This descriptive study was designed to study the problem of postoperative wound infection at tertiary health care center at rural set up over a period of two years during 2014 to 2016. Initial assessment of intra operative findings divided these cases into clean, clean contaminated and contaminated cases.Results: As the length of pre-operative stay increased, the occurrence of SSIs increased. As the duration of post operative hospital stay increased, the occurrence of SSIs also increased. The occurrence of SSI increased as the quality of surgical wound deteriorated. As the duration of surgery increased, the occurrence of SSIs increased. It was found that the order of surgery was not related to occurrence of SSIs. It was found that the rate of SSI was more (21.55%) when the drain was used in comparison to only 8.04% when the drain was not used. The most common organism found to cause SSIs was staphylococcus aureus in 33.07% of cases.Conclusions: Slightly low incidence of SSIs in our study may be attributed to the better infection control practices though it must be concluded that more stringent aseptic measures including rational antibiotic policy will be contributory in lowering the SSI rate further.

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Section: Discussionsupporting

confidence: 90%

Section: Discussionmentioning

confidence: 99%

A study of preoperative, intra-operative and postoperative factors responsible for postoperative wound infection

et al. 2017

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“…Despite this aim, there is evidence that the practitioners experience problems when performing aseptic procedures (Ward, 2000;Michalopoulos and Sparos, 2003).…”

Section: Introductionmentioning

confidence: 99%

Performing an aseptic technique in a community setting: fact or fiction?

Unsworth

Collins

2010

Primary Health Care

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Background: Maintaining the principles of asepsis when performing wound care and other invasive procedures is one of the fundamental approaches of preventing healthcare-acquired infection. Such an approach has been advocated for community practitioners. Literature: The performance of an aseptic technique is an underresearched area. The few studies that have been conducted have identified how strict adherence to the technique is difficult and contamination of hands/gloves is common and that community nurses often have a fatalistic view about whether asepsis is possible in a community setting. Aim: The overall aim of this research project was to examine how experienced practitioners have adapted the aseptic technique within a community setting and to what extent the changed procedure still adhered to the principles of asepsis. Methods: This study used a mixture of non-participant observation and individual semi-structured interviews to examine adherence to the principles of the aseptic technique among the district nurses. Data were collected from one Trust in England with a total of 10 district nurses taking part and 30 aseptic procedures been observed. Results: The results show that almost all of the staff understood the principles of asepsis and had adapted the standard procedure for use in a patient's home. Common challenges included wound cleaning using a single nurse procedure, the contents of the pack and the home environment. The research also identified misconceptions about clean versus aseptic procedures and a lack of training for staff. Conclusions: This study highlights the challenges of maintaining the principles of asepsis in a home environment and the fact that district nurses are often relied upon to find creative solutions to such challenges. The study also highlights issues around the implementation of evidence-based practice and the need for clearer guidance about how evidence should be used alongside existing procedures.

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“…open, fresh, accidental wounds),and (i.e. old traumatic wounds with retained devitalized tissue and those that involve existing clinical infection or perforated viscera) (16) The possible mode of transmission for hospital acquired infection are either cross-infection due to indirect spread of the pathogens via patients contact stay or autoinfection from an endogenous flora found in the patient. For example surgical site infection can be caused by an endogenous flora that translocations to a normally sterile site or when the sterile peritoneal cavity is contaminated by spillage from the gastrointestinal tract; and by an exogenous source of microbial contamination that comes from the surgical team, surgical instrument and the theatre environment.…”

Section: Literature Reviewmentioning

confidence: 99%

“…The type of surgical procedure and duration of the operation also contribute to the occurrence of the infection. Further-more, aseptic procedures were not followed strictly by the majority of the nurses and physicians in several practice areas and is found to be significant for the transmission of the infection (16) All patients undergoing a surgical procedure are placed at some risk of infections. These risk factors are: the number and virulence of the contaminating micro -organisms ,the operative and environmental factors like the surgeon` skill and cleanness of the theatre , the nature of the operation like its classification such as clean, clean--9 -contaminated, and contaminated , Patients' age, smoking, obesity, malnutrition and immunosuppressant therapy , Local factors such as presence of wound drains, hair removal or previous irradiation of site (17).…”

Section: Literature Reviewmentioning

confidence: 99%

A Two Years Retrospective Study on Prevalence of Hospital Acquired Surgical Site Infections Among Patients Admitted in Wolaita Soddo Teaching and Referral Hospital

2019

JBAH

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Background: Surgical site infections are the second most common type of adverse events occurring in hospitalized patients. A surgical wound infection occurs when microorganisms from the skin or the environment enter the incision that the surgeon makes through the skin in order to carry out the operation. Objectives: To determine the prevalence of surgical site infections among patients admitted to WSUTR Hospital, southern Ethiopia. Method and materials: A two years retrospective cross-sectional study was conducted in WSUTRH, 2015. The study was conducted on secondary data from September 2012 to August 2014 using patient cards. Result 334 patient cards were included in our study by proportion 183 were from Obs/Gyn and 151 of surgical cases. From this 10(3%), 6(1.8%) and 5(1.5%) of patients who undergo surgery are diagnosed as having postoperative wound infection on date of 3-4 day, 5 th or more days post operative period in the hospital and at home after discharge respectively. Most patients develop infection after 3or more days post operative. Conclusion Surgical site infection (SSI) is an infection that occurs at the incised site. Surgical site infection (SSI) is one of the most common postoperative complications and occurs in at least five per cent of all patients undergoing surgery. Recommendation: Put into practice that provision of antibiotics before surgery since preoperative prophylactic antibiotics prevents from postoperative infections as well as surgical sight infection.

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Post-operative wound infections

Cited by 15 publications

References 0 publications

A study of preoperative, intra-operative and postoperative factors responsible for postoperative wound infection

A study of preoperative, intra-operative and postoperative factors responsible for postoperative wound infection

Performing an aseptic technique in a community setting: fact or fiction?

A Two Years Retrospective Study on Prevalence of Hospital Acquired Surgical Site Infections Among Patients Admitted in Wolaita Soddo Teaching and Referral Hospital

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