Incidence and risk factors of surgical site infection in general surgery department of a Tunisian tertiary teaching hospital: A prospective observational study.
| Autor: | Ghali, Héla, Ben Rejeb, Mohamed, Chahed, Chatha, Harrabi, Fathia, Ben Rejeb, Oussama, Ben Fredj, Sihem, Aissa, Salwa Khefacha, Dhidah, Lamine, Latiri, Houyem Said |
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| Předmět: |
ACADEMIC medical centers
CHI-squared test CONFIDENCE intervals ESCHERICHIA coli FISHER exact test LENGTH of stay in hospitals HYPERTENSION INTERVIEWING LONGITUDINAL method RESEARCH methodology MULTIVARIATE analysis SCIENTIFIC observation POSTOPERATIVE care PREOPERATIVE care PUBLIC health surveillance RISK assessment SKIN SMOKING SURGICAL complications OPERATIVE surgery MATHEMATICAL variables SURGICAL site infections LOGISTIC regression analysis DATA analysis software DESCRIPTIVE statistics DISEASE risk factors |
| Zdroj: | Canadian Journal of Infection Control / Revue Canadienne de Prévention des Infections; Spring2018, Vol. 33 Issue 1, p25-32, 8p |
| Abstrakt: | Background: Effective surveillance systems and identification of risk factors have been described as a preventive measure for reducing Surgical Site Infections (SSI). The purpose of our study was to determine the incidence rate and risk factors of SSIs in the General Surgery Department of Sahloul University Hospital. Methods: We carried out a prospective observational study from January 2015 to May 2015 in the General Surgery department at the University Hospital of Sahloul in Sousse, Tunisia. We actively followed up all patients who underwent general surgical procedures and matched the inclusion criteria at 30 days of surgical procedures. Results: Overall, 349 patients were followed to 30 days after operation. We identified 30 SSIs. The incidence rate was 8.6%, 95% Confidential Interval= [5.7% - 11.5%]. The incidence density was 12.9 cases for 1000 days of hospitalization. The superficial infections were the most frequent (14 cases/30) followed by organ/space infections and deep infection. The most common isolate identified was Escherichia Coli. In multivariate analysis, an extended length of preoperative stay and risk index NNIS superior to 1 were found to be statistically significant risk factors for surgical site infection. Conclusion: More efficient programs are needed to decrease the SSIs rate. Hence, among means of prevention, ongoing surveillance has proven to be an independent factor for long-term reduction of SSI rates. [ABSTRACT FROM AUTHOR] |
| Databáze: | Complementary Index |
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