Key result
Diabetes mellitus was identified as a strong independent risk factor for surgical site infection (OR 11.014) among patients undergoing general surgical procedures.
Why the study?
Surgical site infections adversely affect procedures in peripheral hospitals, and adequate data can aid in managing this complication by identifying outcomes in a secondary level district hospital.
Observational (n=192)
No
Surgical site infections occurred in 20.31% of general surgery patients in a rural Bangladesh hospital, strongly predicted by diabetes, emergency surgery, and higher BMI.
Background: Surgical site infection (SSI) can affect the surgical procedures in the peripheral hospital adversely and adequate data can help in the management of this unwanted complication. Aim & Objective: The study was conducted with the aim to identify the outcome of surgical site infection (SSI) in a secondary level district hospital. Materials & Methods: A total of 192 patients, underwent general surgical procedures in the 100-bedded district hospital, Shariatpur, Bangladesh from January to December, 2016. All were observed for development of SSI for a period of 30 days after their surgical procedure. SSI cases were identified according to National Healthcare Safety Network (CDC/NHSN) guideline and Southampton wound scoring system. Univariate and multivariate analysis was done to identify significant risk factors for development of SSI. Results: Overall incidence of SSI was 20.31%. Significant risk factors for development of SSI were age, BMI, ASA grade, wound classification, diabetes, type of surgery, duration of surgery and perioperative transfusion (p<0.05). Among them, BMI (OR=1.434), diabetes (OR=8.126), type of surgery (routine/emergency) (OR=6.097), duration of surgery (OR=1.023) and perioperative transfusion (OR=2.130) were determined as independent risk factors on logistic regression. Conclusion: SSI has a relatively high incidence in rural surgical practice. Identification and control of predictable risk factors would help to reduce the incidence of SSI. J Bangladesh Coll Phys Surg 2021; 39(3): 171-177
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Rahman et al. (2021) conducted an observational in General surgical procedures (n=192). Diabetes mellitus vs. Non-diabetic patients was evaluated on Surgical Site Infection (SSI) (OR 11.014, 95% CI 2.873-42.222, p=<0.001). Diabetes mellitus was identified as a strong independent risk factor for surgical site infection (OR 11.014) among patients undergoing general surgical procedures.
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