Abstract
Surgical site infections (SSIs) are the most common healthcare-associated infections that occur among surgical patients. Surgical site infections result in longer hospital stays, hospital readmissions, and higher death and morbidity rates. The current study was designed to highlight the importance of such surveillance studies in a Malaysian surgical population with a motive to evaluate and revise concurrent infection control and prevention policies by exploring the burden of surgical site infection and identifying its associated risk factors for future considerations. In this prospective observational cohort study, a total of 216 patients admitted to a surgical ward were identified and studied. Of these 216 patients, 142 elective procedures and 74 emergency procedures were included in the study, of which 13 patients (9.2%) undergoing elective procedures and 15 (20.3%) patients undergoing emergency procedures were SSI positive (OR: 2.5, p = 0.02). Among surgical site infections, 21 were superficial and 7 were deep incisional SSI. No case of organ/space SSI was identified. The time taken for SSIs to develop ranged from 2–17 days with a median of 6 days. Risk factors such as presence of comorbidities (p = 0.011), major co-existing medical diagnosis ≥2 (p = 0.02), and pre-existing infection (p = 0.027) were statistically significant. SSI-positive patients experienced an increase in the post-operative length of hospital stay. In the current population, it was seen that identifying patients who were at high risk of malnutrition via MUST and the NNIS risk index will help clinicians in identifying high risk patients and in managing their patients appropriately. Identifying patients who were at high risk of malnutrition will also improve postoperative outcomes considerably.
Subject
Pharmacology (medical),Infectious Diseases,Microbiology (medical),General Pharmacology, Toxicology and Pharmaceutics,Biochemistry,Microbiology
Reference56 articles.
1. Prevalence of Nosocomial Infection and Antibiotic Use at a University Medical Center in Malaysia;Hughes;Infect. Control Hosp. Epidemiol.,2005
2. European Centre for Disease Prevention and Control (2023, January 11). Healthcare-Associated Infections: Surgical Site Infections—Annual Epidemiological Report for 2017. Available online: https://www.ecdc.europa.eu/en/publications-data/healthcare-associated-infections-surgical-site-infections-annual-1.
3. Herman, T.F., and Bordoni, B. (2023, January 11). Wound Classification, Available online: https://www.ncbi.nlm.nih.gov/books/NBK554456.
4. An operating surveillance system of surgical-site infections in The Netherlands: Results of the PREZIES national surveillance network;Geubbels;Infect. Control Hosp. Epidemiol.,2000
5. Impact of surgical site infection on healthcare costs and patient outcomes: A systematic review in six European countries;Badia;J. Hosp. Infect.,2017
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