Risk Factors for Surgical Site Infections in Patients Undergoing Emergency Surgery: A Single-centre Experience

Abstract

Background/Aim: Surgical site infections (SSI) are associated with increased morbidity and mortality, and they occur more frequently during unplanned emergency surgical (ES) procedures rather than elective. Our aim was to determine the incidence of SSI within our ES cohort and to identify risk factors for SSI. Patients and Methods: Data from consecutive patients undergoing ES in a single institution during a 5-year period were prospectively collected and analyzed. Results: A total of 838 consecutive patients were included. The median age was 52 (IQR=25-71) years and some 368 (44%) were female. 157 (18.7%) of those patients developed SSI. The most commonly isolated pathogen was E. Coli (55.4%) followed by Staphylococcus Aureus (40.1%). The 30-day mortality rate of patients who presented SSIs was 14.6% compared to 6.8% of patients without SSI (p=0.002). Multivariable analysis showed that the type of wound, American Society of Anesthesiology score, severity and duration of surgery >90 min were independent risk factors for the occurrence of SSI. Conclusion: Identification of modifiable causative factors for SSI within an ES unit is paramount as they can critically impact postoperative outcomes. Patients and MethodsStudy design. This study was a prospective, observational study, which was approved from the Institutional Review Board of "Agios Panteleimon" General Hospital of Nikea. A patient information sheet and an informed consent form were provided to patients eligible to be included in the study. Signed informed consent was 3569 This article is freely accessible online.

Postoperative Complications in Emergency Surgeries at a Referral Hospital in Eastern Venezuela

“…Our study reported SSI as the most common POC (39%). However, these figures are higher than those reported in previous studies with patients similarly undergoing emergency surgery, such as Papadopoulos et al reporting SSI in 18.7% of patients [17], or Jatoliya et al with 26% [18]. This high frequency of SSI should be of concern because the ways to prevent them are widely known and accessible for application, and ideally, the trend should be that they occur less frequently, as found by Dencker et al in the USA [16].…”

Surgical site infections in elective and emergency general surgery cases in a tertiary public hospital of South India: a retrospective study

“…These findings are similar to those provided in another report on the risk factors for SSIs in emergency surgery. 21 The average duration of hospital stay for the whole study population was 6.98 days while for those who developed a wound infection, it was 10.25 days. Hence the risk for SSIs increases with increase in duration of hospital stay.…”

Frecuencia de infecciones del sitio quirúrgico en procedimientos ginecológicos y obstétricos.

“…Sumado a esto, existe evidencia previa que sugiere que la frecuencia de ISQ es dos veces mayor en los procedimientos de emergencia en comparación con las cirugías electivas [16]. Se ha sugerido que las cirugías de emergencia suelen presentar mayor grado de contaminación de las heridas y la realización de la intervención quirúrgica suele prolongarse por más tiempo [17], lo que podría explicar porque este tipo de cirugías son más susceptibles a desarrollar ISQ. Los resultados del presente estudio mostraron que las ISQ tanto en las cirugías ginecológicas como en las cirugías obstétricas, ocurrieron en pacientes con sobrepeso u obesidad.…”