Surgical site Infection after gastrointestinal and hepatobiliary surgeries- A retrospective evaluation from a single center of western India

Introduction: Aim of our study to evaluate various factors responsible for surgical site infection after gastrointestinal and hepatobiliary surgeries. Methods: Patients who underwent gastrointestinal and hepatobiliary surgery in our department were evaluated retrospectively. Various factors asso...

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Autores principales:	Bhavin Vasavada, Hardik Patel
Formato:	article
Lenguaje:	EN
Publicado:	Society of Surgeons of Nepal 2020
Materias:	HPB surgery Morbidity Surgical Site Infections Mortality Hospital stay Site infections Surgery RD1-811
Acceso en línea:	https://doaj.org/article/6e94ad97f27f467b9b788cac3df584a2
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spelling	oai:doaj.org-article:6e94ad97f27f467b9b788cac3df584a22021-12-05T19:15:38ZSurgical site Infection after gastrointestinal and hepatobiliary surgeries- A retrospective evaluation from a single center of western India10.3126/jssn.v23i2.358021815-39842392-4772https://doaj.org/article/6e94ad97f27f467b9b788cac3df584a22020-12-01T00:00:00Zhttps://www.nepjol.info/index.php/JSSN/article/view/35802https://doaj.org/toc/1815-3984https://doaj.org/toc/2392-4772 Introduction: Aim of our study to evaluate various factors responsible for surgical site infection after gastrointestinal and hepatobiliary surgeries. Methods: Patients who underwent gastrointestinal and hepatobiliary surgery in our department were evaluated retrospectively. Various factors associated with surgical site infection were evaluated using univariate and multivariate analysis. Surgical site infection was defined as any culture positive discharge from the wound within 30 days of surgery. Results: We evaluated a total of 331 patients operated between April 2018 and March 2020. 14 patients were lost to follow up after discharge and before completing post operative day 30. Eighteen patients expired before 30 days without developing SSI and were excluded from the study as per exclusion criteria. 299 patients were included in the study. Twenty patients developed surgical site infection. It showed SSI rate in our study population was 6.68%. On univariate analysis prolonged hospital stay, more blood product used, higher CDC grade of surgery, higher ASA grade, more operative time, open surgeries, colorectal and HPB surgeries were associated with surgical site infections. On multivariate analysis only prolonged hospital stay independently predicted SSI. (p=0.014, Odds ratio 1.223, 95% confidence interval 1.042-1.435.). Conclusion: Prolonged hospital stay independently predicts surgical site infections after gastrointestinal and hepatobiliary surgery. Bhavin VasavadaHardik PatelSociety of Surgeons of NepalarticleHPB surgeryMorbiditySurgical Site InfectionsMortalityHospital staySite infectionsSurgeryRD1-811ENJournal of Society of Surgeons of Nepal, Vol 23, Iss 2 (2020)
institution	DOAJ
collection	DOAJ
language	EN
topic	HPB surgery Morbidity Surgical Site Infections Mortality Hospital stay Site infections Surgery RD1-811
spellingShingle	HPB surgery Morbidity Surgical Site Infections Mortality Hospital stay Site infections Surgery RD1-811 Bhavin Vasavada Hardik Patel Surgical site Infection after gastrointestinal and hepatobiliary surgeries- A retrospective evaluation from a single center of western India
description	Introduction: Aim of our study to evaluate various factors responsible for surgical site infection after gastrointestinal and hepatobiliary surgeries. Methods: Patients who underwent gastrointestinal and hepatobiliary surgery in our department were evaluated retrospectively. Various factors associated with surgical site infection were evaluated using univariate and multivariate analysis. Surgical site infection was defined as any culture positive discharge from the wound within 30 days of surgery. Results: We evaluated a total of 331 patients operated between April 2018 and March 2020. 14 patients were lost to follow up after discharge and before completing post operative day 30. Eighteen patients expired before 30 days without developing SSI and were excluded from the study as per exclusion criteria. 299 patients were included in the study. Twenty patients developed surgical site infection. It showed SSI rate in our study population was 6.68%. On univariate analysis prolonged hospital stay, more blood product used, higher CDC grade of surgery, higher ASA grade, more operative time, open surgeries, colorectal and HPB surgeries were associated with surgical site infections. On multivariate analysis only prolonged hospital stay independently predicted SSI. (p=0.014, Odds ratio 1.223, 95% confidence interval 1.042-1.435.). Conclusion: Prolonged hospital stay independently predicts surgical site infections after gastrointestinal and hepatobiliary surgery.
format	article
author	Bhavin Vasavada Hardik Patel
author_facet	Bhavin Vasavada Hardik Patel
author_sort	Bhavin Vasavada
title	Surgical site Infection after gastrointestinal and hepatobiliary surgeries- A retrospective evaluation from a single center of western India
title_short	Surgical site Infection after gastrointestinal and hepatobiliary surgeries- A retrospective evaluation from a single center of western India
title_full	Surgical site Infection after gastrointestinal and hepatobiliary surgeries- A retrospective evaluation from a single center of western India
title_fullStr	Surgical site Infection after gastrointestinal and hepatobiliary surgeries- A retrospective evaluation from a single center of western India
title_full_unstemmed	Surgical site Infection after gastrointestinal and hepatobiliary surgeries- A retrospective evaluation from a single center of western India
title_sort	surgical site infection after gastrointestinal and hepatobiliary surgeries- a retrospective evaluation from a single center of western india
publisher	Society of Surgeons of Nepal
publishDate	2020
url	https://doaj.org/article/6e94ad97f27f467b9b788cac3df584a2
work_keys_str_mv	AT bhavinvasavada surgicalsiteinfectionaftergastrointestinalandhepatobiliarysurgeriesaretrospectiveevaluationfromasinglecenterofwesternindia AT hardikpatel surgicalsiteinfectionaftergastrointestinalandhepatobiliarysurgeriesaretrospectiveevaluationfromasinglecenterofwesternindia
_version_	1718371070190288896

Surgical site Infection after gastrointestinal and hepatobiliary surgeries- A retrospective evaluation from a single center of western India

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