Predictors of Surgical Site Infection in Contaminated Abdominal Surgical Wounds: Our Experience in Irrua Specialist Teaching Hospital.

Autor:	Tagar E; Department of Surgery, Irrua Specialist Teaching Hospital, Irrua, Nigeria. E-mail: tagestov2000@gmail.com; +2348030699256., Kpolugbo J; Department of Surgery, Irrua Specialist Teaching Hospital, Irrua, Nigeria. E-mail: tagestov2000@gmail.com; +2348030699256., Akerele W; Department of Surgery, Irrua Specialist Teaching Hospital, Irrua, Nigeria. E-mail: tagestov2000@gmail.com; +2348030699256., Okomayin AA; Department of Surgery, Irrua Specialist Teaching Hospital, Irrua, Nigeria. E-mail: tagestov2000@gmail.com; +2348030699256., Odion C; Department of Surgery, Irrua Specialist Teaching Hospital, Irrua, Nigeria. E-mail: tagestov2000@gmail.com; +2348030699256.
Jazyk:	angličtina
Zdroj:	West African journal of medicine [West Afr J Med] 2023 Nov 30; Vol. 40 (11), pp. 1223-1231.
Abstrakt:	Background: Secondary peritonitis is a common emergency surgical condition with varying aetiologies managed by surgeons all over the world. One important morbidity associated with it is postoperative surgical site infection (SSI). A better prevention strategy can be instituted if this complication in patients can be correctly predicted. The study aimed to identify factors in patients with peritonitis that have a significant bearing on the development of postoperative SSI. Method: A total of fifty patients operated on for peritonitis in a period of one year were studied. Factors including age, gender, comorbidities, presenting symptoms, time of presentation, time of intervention, intraoperative findings, duration of surgery, and postoperative SSI were noted. Chi-square, Fisher's exact test and Student's t-test were used to test for association where appropriate and a p-value of < 0.05 was considered statistically significant. Results: Peritonitis was most commonly due to a ruptured appendix (46%) followed by perforated peptic ulcer disease (42%). The incidence of SSI was 44%. For the patients that developed SSI, the lowest rate was observed in cases of ruptured appendix (39.1%) and the highest in perforated gastric ulcer (64.3%) which was closely followed by perforated duodenal ulcer (57.1%). The association between the time of presentation and the occurrence of SSI was statistically significant (p = 0.028). Conclusion: The SSI rate (44%) from peritonitis in our centre was quite high and the time of presentation played a crucial role. Prevention strategies focusing on predictors of SSI is necessary to reduce the rate of SSI in our setting. Competing Interests: The Authors declare that no competing interest exists (Copyright © 2023 by West African Journal of Medicine.)
Databáze:	MEDLINE
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