Key result
In a resource-limited setting, the prevalence of 30-day postoperative surgical site infections following gastrointestinal surgeries was 16.4%, with illiteracy, smoking, and diabetes as key predictors.
Why the study?
Surgical site infection drastically impacts the quality of care, prompting investigation into predictive factors following gastrointestinal surgery in a resource-limited setting.
Cross-Sectional (n=525)
No
In a resource-limited setting in Yemen, the incidence of surgical site infections following gastrointestinal surgery was 16.4%, driven by modifiable and non-modifiable risk factors such as illiteracy, smoking, diabetes, and emergency operations.
This is the authors' abstract. We don't add key points for this paper.
<ns3:p>Background Surgical site infection (SSI), albeit infrequent, drastically impacts the quality of care. This article endeavors to investigate the predictive factors of SSIs following surgical interventions that involve the gastrointestinal (GI) tract within a single institution in a resource-limited setting. Methods Over seven years from June 2015 to June 2022, patients who underwent GI surgery and developed SSI were retrospectively matched with an unaffected case-control cohort of patients. Standardized techniques for wound culture, laboratory evaluation of bacterial isolates, and antibiotic susceptibility tests were employed. Logistic regression analysis was utilized to investigate the predictive factors associated with 30-day postoperative SSI occurrence. Results A total of 525 patients who underwent GI surgical procedures were included, among whom, 86 (16.4%) developed SSI and the majority of SSIs were superficial (74.4%). Escherichia coli was the most commonly isolated bacterium (54.4%), and a high percentage of multidrug-resistant organisms were observed (63.8%). In multivariate Cox regression analysis, illiteracy (Odds ratio [OR]:40.31; 95% confidence interval [CI]: 9.54-170.26), smoking (OR: 21.15; 95% CI: 4.63-96.67), diabetes (OR: 5.07; 95% CI: 2.27-11.35), leukocytosis (OR: 2.62; 95% CI: 1.24-5.53), hypoalbuminemia (OR: 3.70; 95% CI: 1.35-10.16), contaminated and dirty wounds (OR: 6.51; 95% CI:1.62-26.09), longer operation duration (OR: 1.02; 95% CI: 1.01-1.03), emergency operations (OR: 12.58; 95% CI: 2.91-54.30), and extending antibiotic prophylaxis duration (OR: 3.01; 95% CI: 1.28-7.10) were the independent risk factors for SSI (all p < 0.05). Conclusions This study highlights significant predictors of SSI, including illiteracy, smoking, diabetes, leukocytosis, hypoalbuminemia, contaminated and dirty wounds, longer operative time, emergency operations, and extending antibiotic prophylaxis duration. Identifying these risk factors can help surgeons adopt appropriate measures to reduce postoperative SSI and improve the quality of surgical care, especially in a resource-limited setting with no obvious and strict policy for reducing SSI.</ns3:p>
Answers are grounded in this paper and cite their sources.
Should not yet change SSI prevention practice; leaves open prospective validation of these associations in resource-limited settings.
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Al-hajri et al. (2024) conducted a cross-sectional in Gastrointestinal surgeries (predicting surgical site infections) (n=525). Gastrointestinal surgery was evaluated on Prevalence of 30-day postoperative surgical site infections (SSIs). In a resource-limited setting, the prevalence of 30-day postoperative surgical site infections following gastrointestinal surgeries was 16.4%, with illiteracy, smoking, and diabetes as key predictors.
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