Surgical Site Infection Post-appendectomy in a Tertiary Hospital, Jeddah, Saudi Arabia

Our study aimed to identify prognostic factors for surgical site infection following long bone fracture intramedullary nailing at a tertiary hospital in a low-resource setting. This was a longitudinal observational study involving 132 participants enrolled over a one-year period with femoral and tibial diaphyseal fractures scheduled for ORIF. Participant median age was 30 years (range: 26 – 42). The prevalence of surgical site infection was 16%. Male sex (AOR=0.26, 95% CI [0.70–0.98]; p = 0.047) was associated with lower odds of surgical site infection while associated non-musculoskeletal injuries were associated with higher odds of developing surgical site infection. Our study confirms a higher surgical site infection rate than normally accepted. However, intramedullary nailing in our setting is justified as it allows an early return to a pre-injury state. These interventions must be carried out in the best possible circumstances. Future studies could explore alternative methods of fracture fixation.

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The effect of surveillance program for surgical site infection of hepato-biliary-pancreatic surgery for 5 years: a prospective study in a tertiary hospital in Korea

Antimicrobial Resistance and Infection Control ◽

10.1186/2047-2994-4-s1-p76 ◽

2015 ◽

Vol 4 (S1) ◽

Author(s):

EJ Kim ◽

EH Choi ◽

NJ Kim ◽

BR Oh ◽

JH Lim

Keyword(s):

Prospective Study ◽

Surgical Site Infection ◽

Pancreatic Surgery ◽

Tertiary Hospital ◽

Surveillance Program ◽

Site Infection ◽

A Prospective Study

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Surgical Site Infection Rates for Herniorrhaphy and Cholecystectomy in a Tertiary Care Hospital in Saudi Arabia

Journal of Chemotherapy ◽

10.1179/joc.2010.22.1.44 ◽

2010 ◽

Vol 22 (1) ◽

pp. 44-47 ◽

Cited By ~ 1

Author(s):

K.E. El Beltagy ◽

A. El-Saed ◽

M. Sallah ◽

Z.A. Memish

Keyword(s):

Saudi Arabia ◽

Surgical Site Infection ◽

Tertiary Care Hospital ◽

Tertiary Care ◽

Care Hospital ◽

Site Infection ◽

Infection Rates

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Adherence to Surgical Site Infection Guidelines in Cardiac Surgery in a Tertiary Hospital in Dubai, United Arab Emirates

Tropical Journal of Pharmaceutical Research ◽

10.4314/tjpr.v11i4.18 ◽

2012 ◽

Vol 11 (4) ◽

Cited By ~ 1

Author(s):

E Abu-Gharbieh ◽

S Fahmy

Keyword(s):

Cardiac Surgery ◽

Surgical Site Infection ◽

United Arab Emirates ◽

Tertiary Hospital ◽

Site Infection

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Trends in the incidence of superficial versus deep-organ/space surgical site infection in a tertiary hospital

Journal of Surgical Research ◽

10.1016/j.jss.2013.04.073 ◽

2013 ◽

Vol 184 (2) ◽

pp. 1085-1091 ◽

Cited By ~ 2

Author(s):

Rafael Herruzo ◽

Jesus Diez-Sebastián ◽

Eduardo Mora ◽

Juan Garcia-Caballero

Keyword(s):

Surgical Site Infection ◽

Tertiary Hospital ◽

Site Infection

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Incidence, risk factors and management of post cesarean section surgical site infection (SSI) in a tertiary hospital in Egypt: a five year retrospective study

BMC Pregnancy and Childbirth ◽

10.1186/s12884-021-04054-3 ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Khaled Gomaa ◽

Ahmed R. Abdelraheim ◽

Saad El Gelany ◽

Eissa M. Khalifa ◽

Ayman M. Yousef ◽

...

Keyword(s):

Risk Factors ◽

Retrospective Study ◽

Mortality Rate ◽

Cesarean Section ◽

Surgical Site Infection ◽

Significant Risk ◽

Tertiary Hospital ◽

Control Group ◽

Site Infection ◽

Incidence Risk

Abstract Background Surgical site infection (SSI) is one of the commonest complications following cesarean section (CS) with a reported incidence of 3–20%. SSI causes massive burdens on both the mother and the health care system. Moreover, it is associated with high maternal morbidity and mortality rate of up to 3%. This study aims to determine the incidence, risk factors and management of SSI following CS in a tertiary hospital. Methods This was an observational case control retrospective study which was conducted at Minia maternity university hospital, Egypt during the period from January 2013 to December 2017 (Five years). A total of 15,502 CSs were performed during the studied period, of these, 828 cases developed SSI following CS (SSI group). The control group included 1500 women underwent cesarean section without developing SSI. The medical records of both groups were reviewed regarding the sociodemographic and the clinical characteristics. Results The incidence of SSI post-cesarean section was 5.34%. Significant risk factors for SSI were; chorioamnionitis (adjusted odds ratio (AOR) 4.51; 95% CI =3.12–6.18), premature rupture of membranes (PROM) (AOR 3.99; 95% CI =3.11–4.74), blood loss of > 1000 ml (AOR 2.21; 95% CI =1.62–3.09), emergency CS (AOR 2.16; 95% CI =1.61–2.51), duration of CS of > 1 h (AOR 2.12; 95% CI =1.67–2.79), no antenatal care (ANC) visits (AOR 2.05; 95% CI =1.66–2.37), duration of labor of ≥24 h (AOR 1.45; 95% CI =1.06–2.01), diabetes mellitus (DM) (AOR 1.37; 95% CI =1.02–2.1 3), obesity (AOR 1.34; 95% CI =0.95–1.84), high parity (AOR 1.27; 95% CI = 1.03–1.88), hypertension (AOR 1.19; 95% CI = 0.92–2.11) and gestational age of < 37 wks (AOR 1.12; 95% CI = 0.94–1.66). The mortality rate due to SSI was 1.33%. Conclusions The obtained incidence of SSI post CS in our study is relatively lower than other previous studies from developing countries. The development of SSI is associated with many factors rather than one factor. Management of SSI is maninly medical but surgical approach may be needed in some cases. Registration Local ethical committee (Registration number: MOBGYN0040).

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