Key result
Contaminated wounds prior to emergency paediatric abdominal surgery were associated with a higher risk of surgical site infection (OR 1.95; 95% CI 0.7-5.4; p=0.036).
Why the study?
The study was conducted to evaluate the postoperative surgical site infection rates in emergency paediatric abdominal surgery.
Observational (n=98)
No
Pre-surgery wound status, specifically contaminated wounds, is an indicator for risk of post-operative surgical site infection in pediatric emergency abdominal surgery.
SSI incidence in emergency pediatric abdominal surgery warrants surveillance; retrospective data leaves open optimal pathogen-specific prevention.
A retrospective chart review was carried out in children (neonates to 18 years) who underwent acute surgical abdominal exploration during 2012-2016 at the Aga Khan University Hospital, Karachi, to evaluate the postoperative surgical site infection rates in emergency paediatric abdominal surgery. Incidence of surgical site infection (SSI) was estimated. P-value was calculated, chisquare and non-parametric tests were performed by comparing pre-surgical and post-surgical procedure pathogen occurrence and pre-procedure wound status. Pathogen occurrence related to time-trend of 98 paediatric patients who underwent emergency abdominal surgery was plotted. Of the 94 who were discharged in stable condition, it was found that there was no significant difference between pre- and postsurgical pathogens. Escherichia coli (n=10) was found to be the most common pathogen. Contaminated wounds were associated with higher SSI (p=0.036, OR 1.95 95% CI 0.7-5.4). The study found that pre-surgery wound status could be an indicator for risk of SSI in a post-operative scenario.
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Saleem et al. (2020) conducted an observational in Emergency paediatric abdominal surgery (n=98). Contaminated wounds vs. Uncontaminated wounds was evaluated on Surgical site infection (SSI) (OR 1.95, 95% CI 0.7-5.4, p=0.036). Contaminated wounds prior to emergency paediatric abdominal surgery were associated with a higher risk of surgical site infection (OR 1.95; 95% CI 0.7-5.4; p=0.036).
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