Surgical Site Infection Post-appendectomy in a Tertiary Hospital, Jeddah, Saudi Arabia.

Autor:	Koumu MI; Surgery, Trauma Center, King Saud Medical City, Riyadh, SAU., Jawhari A; College of Medicine, King Abdulaziz University, Jeddah, SAU., Alghamdi SA; College of Medicine, King Abdulaziz University, Jeddah, SAU., Hejazi MS; College of Medicine, King Abdulaziz University, Jeddah, SAU., Alturaif AH; College of Medicine, King Abdulaziz University, Jeddah, SAU., Aldaqal SM; General Surgery, King Abdulaziz University Hospital, Jeddah, SAU.
Jazyk:	angličtina
Zdroj:	Cureus [Cureus] 2021 Jul 05; Vol. 13 (7), pp. e16187. Date of Electronic Publication: 2021 Jul 05 (Print Publication: 2021).
DOI:	10.7759/cureus.16187
Abstrakt:	Background and Purpose: Appendectomy considered at the top of emergency surgical procedures worldwide, and surgical site infection (SSI) is not an uncommon complication postoperatively. Many factors may be contributed to SSI occurrence; either during preoperative, intraoperative, or postoperative periods. No recent studies focusing on SSI post-appendectomy and the related factors in our region. So, we aim to find the prevalence and detect the factors that may lead to SSI in post-appendectomy patients at King Abdulaziz University Hospital (KAUH) between 2013 and 2017. Methods: This is a retrospective chart review study. Data were collected by data collection sheet from (KAUH) patient's database, as we include: patients' demographics, blood investigations, operation details, co-morbidities, and hospitalization time. All patients who underwent appendectomy between 2013 and 2017 were included. We used frequencies, Mann-Whitney U test, and binary logistic regression tests for data analysis. Result: SSI post-appendectomy was found in 31 patients out of 433. SSI was statistically significant related more with an open technique of appendectomy (p=0.0001), longer duration of the surgery (p=0.0001), perforated type of appendicitis (p=0.002), more hospitalization time (p=0.0004), postoperative lab results of high WBC count (p=0.004), and low albumin (p=0.011). Other factors including demographics and clinical characteristics, intraoperative, perioperative, and hemoglobin level showed no significant relations. Conclusion: Controlling the high rate of SSI by using the optimal technique of approach, decreasing the duration of the surgery, and early intervention may help more in reducing SSI post-appendectomy. Taking into consideration the other perioperative factors will lead to better outcomes for the patients. Competing Interests: The authors have declared that no competing interests exist. (Copyright © 2021, Koumu et al.)
Databáze:	MEDLINE
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