Original Articles
Analysis of Incidence and Risk Factors of Surgical Site Infections at a Tertiary Care Hospital | |
P. Shiva Kumar, Y Karthik, K. Pavan Kumar, Hallad Sharanabasappa Girimallappa | |
Background: The present study was conducted for assessing incidence and risk factors surgical site infections. Materials & Methods: A total of 200 patients were enrolled. Incidence of SSI was evaluated. We defined infection using a simplified Southampton wound scoring system. Wounds were graded into four categories: Normal healing; grades 0–1, Minor complications; grades 2–3, Wound infection (SSI); grade 4–5, Major hematoma; wound or scrotal hematomas requiring aspiration or evacuation. Wound infection, which includes grade 4 and 5, are considered as SSI in present study. Risk factors of SSI were evaluated. Results: SSI was found to be present in 25.5 percent of the patients. 64.7 percent of the patients with surgical site infection were of more than 45 years of age. 62.75 percent of the patients with SSI were diabetic. 56.86 percent of the patients with SSI underwent emergency surgery. 54.9 percent of the patients with SSI underwent multilayer closure. Wound was contaminated type in 66.67 percent of the patients with SSI. Higher age, presence of diabetes, emergency surgery, multilayer closure and contaminated wound were found to be risk factors for SSI. Conclusion: SSI presents a major surgical problem. Identification of risk factors and adequate prophylactic antibiotic therapy could decrease the risk factors of SSI. |
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