Surgical Site Infection Post-appendectomy in a Tertiary Hospital, Jeddah, Saudi Arabia
| Autor: | Ali H. Alturaif, Saleh M. Aldaqal, Mohammed I. Koumu, Abdulkarim A. Jawhari, Saleh A Alghamdi, Mutasem S. Hejazi |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
Low albumin
High rate medicine.medical_specialty business.industry ssi General surgery General Engineering Infectious Disease surgical site infections Perioperative medicine.disease Logistic regression laparoscopic appendectomy appendectomy Appendicitis General Surgery medicine Mann–Whitney U test appendectomy variants Complication business Surgical site infection |
| Zdroj: | Cureus |
| ISSN: | 2168-8184 |
| DOI: | 10.7759/cureus.16187 |
| Popis: | 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. |
| Databáze: | OpenAIRE |
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