Prevalence and Risk Factors of Surgical Site Infection after Surgical Interventions in Orthopedic Department Suez Canal University Hospital | ||
| Suez Canal University Medical Journal | ||
| Volume 26, Issue 12, December 2023, Pages 49-63 PDF (345.56 K) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/scumj.2025.186348.1378 | ||
| Authors | ||
| Abdelrahman Ismail Abdelrahman Elbasha* 1; Ibrahim Ibrahim Rakha2; Abeer Ezzat3; Sameh Mahmoud Abo El-fadl2 | ||
| 1Orthopedic Surgery Department, Ismailia General Hospital, Ismailia, Egypt. | ||
| 2Orthopedic Surgery Department, Faculty of Medicine, Suez Canal University, Ismailia, Egypt. | ||
| 3Microbiology and Medical Immunology Department, Faculty of Medicine-Suez Canal University, Ismailia, Egypt. | ||
| Abstract | ||
| Introduction: Bacterial contamination during surgery causes surgical site infections (SSIs). If surgery is carried out as an emergency, infection risk is higher in all groups. Surgical site infection importance in medico-legal aspects is growing due to its significant morbidity, mortality, and high financial burden on the healthcare system. Surgical site infection ranges from a minor discharging wound with no accompanying issues to a serious condition that could be life-threatening. Aim: To assess the prevalence of infection occurring after different orthopedic procedures in Suez Canal University Hospitals, and to assess risk factors accompanied Surgical site infection. Patients and methods: Eighty emergency orthopaedic surgery patients from Suez Canal University Hospitals were randomly chosen for an observational prospective cross-sectional study. Surgical Site Infections were discovered by bedside surveillance during hospitalization and follow-up after discharge and categorized according to American Centre for Disease Control (CDC) guidelines as a measure of the quality of healthcare. Results: Incidence of surgical site infection in diabetic group was 55% with 11 patients out of 20. Whereas 45% in diabetic group were free of SSI with 9 patients out of 20. Also, in non-diabetic group SSI occurred in 4 patients out of 60, whereas; 56 out of 60 patients had SSI-free rates of 93.4%. A statistically significant difference was found in incidence of SSI between both groups. Staph. & Strept. Strains were the commonly isolated micro-organism, constituting 10 out of 15 positive organisms with 66.6 % in SCUH. Four cases out of 10 had MRSA as they were cefoxitin resistant. Conclusion: Diabetes mellitus, long operating times, obesity, smoking, and pre-existing medical conditions, all raise risk of wound infection. | ||
| Keywords | ||
| Surgical site infection; Wound; Antibiotics; Micro-organisms | ||
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