Abstract

Background: Surgical site infection (SSI) is one of the most common complications of abdominal surgery. The goal of this study was to evaluate the surgical site infection in patients undergoing gastrointestinal surgery.
 Methods: This prospective study was conducted on100 patients of all age group and both sexes undergoing gastrointestinal surgery were analysed for surgical site infection.
 Result: 42 (21.00%) developed SSI post operatively, 13 patients developed SSI in the period of 3–4 days postoperatively, 21 patients developed the infection in the period of 5–6 days postoperatively, and 8 developed the infection one week after the operation. Most of SSI cases (95.24%) were detected during hospital stay periods and the remaining cases were detected in the post-discharge follow-ups. Superficial SSI was the most common type of SSIs (92.86%).
 Conclusion: The results showed a high prevalence of SSI among patients attending the gastrointestinal tract surgical unit and it was associated with the malignant diseases, intraoperative blood loss, intra-operative hypotension, presence of surgical drains, and long operative duration.
 Keywords: Infection, Gastrointestinal, Surgery

Highlights

  • The goal of this study was to evaluate the surgical site infection in patients undergoing gastrointestinal surgery. This prospective study was conducted on[100] patients of all age group and both sexes undergoing gastrointestinal surgery were analysed for surgical site infection

  • The results showed a high prevalence of Surgical site infection (SSI) among patients attending the gastrointestinal tract surgical unit and it was associated with the malignant diseases, intraoperative blood loss, intra-operative hypotension, presence of surgical drains, and long operative duration

  • A surgical site infection (SSI) is a serious and costly complication resulting in prolonged hospital stay, increased antibiotic use, increased morbidity, and even mortality

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Summary

Introduction

A surgical site infection (SSI) is a serious and costly complication resulting in prolonged hospital stay, increased antibiotic use, increased morbidity, and even mortality. There are global variations around the definition of an SSI, the European Commission classified SSIs into superficial incisional surgical site infection, deep incisional surgical site infection, or surgical site infection organ/space, and the diagnostic criteria include the presence of one of the signs of infection (tenderness, swelling, reddening, and elevated skin temperature), purulent discharge from the incision site, and positive result of microbiological examination of material collected or after the surgical opening of the incision site.[2]. While the causes of SSIs are multi-factorial, recognized risk factors include the length of hospital stay, obesity, patient co-morbidities, duration and complexity of the surgery, and higher wound contamination classification.

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