Evaluation of demographic characteristics and comorbidities in patients with surgical site infection after gynecological surgeries, 2016-2020
Keywords:Obstetric surgery, Postoperative infection, Caesarean section
Background: Surgical site infection (SSI) is one of most common infections in the hospital and complications in patients admitted to the surgical ward or outpatient surgery, which increases the duration of treatment, delays wound healing, increases the use of antibiotics, causes unnecessary pain and in severe cases death and imposes a lot of costs on the health care system. The aim of this study was to determine the demographic characteristics and comorbidities in patients with SSI.
Methods: The study population included 92 patients who referred to Alavi hospital in Ardabil for gynecological surgeries from June 2016 to the end of April 2020. Their complete hospital records were extracted through the hospital archive system and carefully studied. A special checklist was filled out for each patient. The information in the checklist included age, occupation, place of residence, marriage, education, type of surgery performed, presence or absence of underlying disease, cancer, smoking and alcohol consumption and presence or absence of a history of abdominal and pelvic surgery. All data analyzed by statistical methods in SPSS.
Results: Most of patients with SSI were between 30 to 40, rural, married and housewives. Of all patients, 22.8% had diabetes and 13% had hypertension. The type of surgery was caesarean section in 85.9%, laparatomy 8.7% and cystectomy/aforectomy in 5.4% and 18.5% of patients had a history of previous surgery.
Conclusions: Due to the high rate of comorbidities and predisposing factors in patients with SSI, control of these factors can play an important role in preventing infection.
Lachiewicz MP, Moulton LJ, Jaiyeoba O. Pelvic surgical site infections in gynecologic surgery. Infect Dis Obstet Gynecol. 2015;2015.
Horan TC, Gaynes RP, Martone WJ, Jarvis WR, Emori TG. CDC definitions of nosocomial surgical site infections, 1992: a modification of CDC definitions of surgical wound infections. Infect Control Hosp Epidemiol. 1992;13(10):606-8.
James RC, MacLeod CJ. Induction of staphylococcal infections in mice with small inocula introduced on sutures. Br J Exp Pathol. 1961;42(3):266.
Lake AG, McPencow AM, Dick-Biascoechea MA, Martin DK, Erekson EA. Surgical site infection after hysterectomy. Am J Obstet Gynecol. 2013;209(5):490-1.
Spelman DW, Russo P, Harrington G, Davis BB, Rabinov M, Smith JA, et al. Risk factors for surgical wound infection and bacteraemia following coronary artery bypass surgery. Aust N Z J Surg. 2000;70(1):47-51.
Karim H, Chafik K, Karim K, Moez H, Makki AM, Adnen H, et al. Risk factors for surgical wound infection in digestive surgery. Retrospective study of 3,000 surgical wounds. Tunis Med. 2000;78(11):634-40.
Baño JR, Herreros JMC, Maqueda IM, Saei EI. Treatment of methicillin-resistant Staphylococcus aureus in Latin America. Braz J Infect Dis. 2010;14(2).
Anielski R, Barczyński M. Postoperative wound infections. III. Patient related risk factors. Przegl Lek. 1998;55(11):565-71.
Vamvakas EC, Carven JH. Transfusion of white-cell containing allogeneic blood components and postoperative wound infection: effect of confounding factors. Transfus Med. 1998;8(1):29-36.
Mueller NT, Whyatt R, Hoepner L, Oberfield S, Dominguez-Bello MG, Widen EM, et al. Prenatal exposure to antibiotics, cesarean section and risk of childhood obesity. Int J Obes (Lond). 2015;39(4):665-70.
Dousti S, Haghdoost SM. Rate of post cesarean surgical wound infection and its related factors in women refered to Tabriz hospitals. Iran J Obster Gynecol Infertil. 2020;35(15):60-6.
Arabshahi SK, Nasrollah E, Beyhaghi A. A survey on the risk factors of surgical wound infection. Razi J Med Sci. 2005;12(46):313-21.