Abstract
Background: Surgical site infections (SSIs) are defined as infections occurring till 30 days after surgery (till one year after surgery in patients having implants) and involving the incision or deep tissue at the surgical site. SSIs are an important clinical issue and contribute to both post operative mortality and morbidity. The incidence of SSIs has been reported to be high as 20%. Material & Methods: It is a retrospective observational study conducted in our surgical unit of a tertiary care centre. A total of 520 patient records were analyzed. Out of these 98 patients were found to have SSI and were included in the study. Results: SSI patients presented with various clinical attributes. Discharge from the wound was present in 100% patients out of which 51% patients had discharge from infra umbilical area and 36.7% had discharge from only supra umbilical area. Fever was present in 28.6% of patients and pain was present in 33.7% patients 30% patients had history of alcohol intake and 22.4% had history of intravenous drug abuse. 46.9% patients of SSI had small intestine as the site of perforation and 40.9% had stomach and duodenum as the site of perforation.67.3% patients had BMI above 30kg/m2. 75.5% patients were from lower socioeconomic status(as per modified Kuppuswamy scale 2021). 56% patients were female and 44% were male. 55% patients were from urban areas whereas 45% were from rural background 28.6% patients were less than 30years of age and 22.4% were above 60 years of age. Conclusions: Many of the risk factors for SSI are modifiable and a concerted effort by the patient and physician surgeon can improve outcomes.
Published Version
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