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العنوان
Surgical Site Infections In Abdominal Surgeries /
المؤلف
Mostafa, Mohamed Hamdy Abdeltawab.
هيئة الاعداد
باحث / محمد حمدي عبدالتواب مصطفى
مشرف / أسامة سعيد إمام
مشرف / ابراهيم سيد عبدالعزيز
مشرف / رضوى أحمد ربيع
الموضوع
Abdomen Surgery.
تاريخ النشر
2021.
عدد الصفحات
68 p. :
اللغة
الإنجليزية
الدرجة
ماجستير
التخصص
جراحة
الناشر
تاريخ الإجازة
11/2/2021
مكان الإجازة
جامعة بني سويف - كلية الطب - الجراحة
الفهرس
Only 14 pages are availabe for public view

from 76

from 76

Abstract

Surgical site infections (SSIs) are a prevalent form of health-related infections and regular complication to hospitalization, are responsible for extended hospitalization, elevated admissions to intensive care units, hospital readmissions after treatment, dramatically escalated costs, and pose a substantial strain on health care services in terms to reoperation, increasing post-operative pain, Delayed wound healing, extended hospital stay, and reduced quality of life.
Many strategies have been formulated and implemented over the past decades in an effort to avoid SSI. These include skin washing procedures, hair removal, the maintenance of intraoperative normothermia, the preoperative antimicrobial prophylaxis administration, the use of plastic adhesive skin barriers, the high flow oxygen treatment, the wound protection, the sterility of equipment, Preparation of the intestines, duration of the incision and gradual completion of the main incision.
SSI levels are especially elevated in abdominal surgery. SSI occurrence is multifactorial and can be linked to risk factors for patients such as age, comorbidity, smoking use, hypertension, malnutrition, immunosuppression, malignancy, and wound infection status.
The aim of this study is to assess surgical site infections in abdominal surgeries at the general surgery department at BeniSuef University hospital; occurrence, risk factors, morbidity and mortality, and to improve the outcomes of the procedure and patient ’s health.
This is a prospective observational study that involves (40) patients; 19 males and 21 females conducted at the University Hospital of Beni-Suef. All patients underwent clinical assessment and pre-operative examinations to determine their condition properly.
All patients were consented to follow-up over a 3-month period of diagnosis.
In our study, SSI developed in 11 patients (27.5%) undergoing abdominal surgery. SSI incidence rate insignificantly increased with age and in male patients. Certain other known risk factors for SSI such as diabetes and smoking were also not found to be statistically significant.
A variety of other preoperative risk factors for SSI such as low serum hemoglobin and low serum albumin have been linked with surgical site infection in our study. They have not been shown to be statistically insignificant. Patients with diabetes and smoking had higher infection rates in our study; but the variations were not statistically significant. We noticed obesity to be a risk factor for SSI.
In addition, duration of operation time was significantly associated with SSI. An operation lasting > 2 h in our study were significantly associated with SSI.
SSI was found to be 27.5 per cent in abdominal surgery cases. However, this can be reduced by reducing pre-operative anemia, appropriate antibiotic management policies, pre-operative control of remote site infections, adequate pre-operative preparation of patients, minimizing the duration of surgery, Adequate use of drains and intraoperative maintenance of asepsis and proper discipline following operation theatre.