Risk Factors for Surgical Site Infection After Appendectomy for Acute Appendicitis; Results of a Cross-Sectional Study Carried out at a Community Hospital in Qatar (۲۰۱۳-۲۰۱۶)
Publish place: Hospital Practices and Research، Vol: 4، Issue: 2
Publish Year: 1398
نوع سند: مقاله ژورنالی
زبان: English
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شناسه ملی سند علمی:
JR_HPR-4-2_001
تاریخ نمایه سازی: 6 تیر 1402
Abstract:
Background: Identifying risk factors for surgical site infection (SSI) after appendectomies could be useful in focusing prevention programs. Objective: The current study aimed to identify the risk factors associated with SSI in a cohort of patients from a single center in Western Qatar. Methods: This cross-sectional study was carried out at The Cuban Hospital (Dukhan, Qatar) on patients who had undergone an appendectomy from January ۲۰۱۳ through September ۲۰۱۶. Data extracted from the patient files included demographics, comorbidities and toxic habits, surgery type, procedure duration, wound type, appendicitis-type, American Anesthesiology Score, body mass index, selected laboratory tests, and compliance with antibiotic prophylaxis. Results: The study variables, type of surgery performed, procedure duration, wound and appendicitis type, serum albumin, and timing of antibiotic prophylaxis, were found to be related to the occurrence of SSI in univariate analysis (P = ۰.۰۰۰). Logistic regression showed that open appendectomies (odds ratio [OR] = ۲۲.۹۰, ۹۵% CI; ۸.۰۴-۶۵.۲۱), low serum albumin (OR = ۰.۹۲, ۹۵% CI; ۰.۸۵-۰.۹۹), and improper timing of antibiotic prophylaxis (OR = ۴۴.۹۲, ۹۵% CI; ۳.۳۹-۵۹۴.۹۱) were independently associated with the occurrence of SSI. Conclusion: Cases of complex appendicitis, open procedure, low serum albumin level, and improper timing of antibiotic prophylaxis constituted the risk factors for SSI in the setting of this study. The infection control program should focus on improving the quality of antibiotic prophylaxis and closely monitoring patients who undergo open surgical procedures.
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Authors
Humberto Guanche Garcell
Infection Control Department, The Cuban Hospital, Hamad Medical Corporation, Doha, Qatar
Ariadna Villanueva Arias
Infection Control Department, The Cuban Hospital, Hamad Medical Corporation, Doha, Qatar
Cristobal A. Pancorbo Sandoval
Surgical Department, The Cuban Hospital, Hamad Medical Corporation, Doha, Qatar
Adam Bode Sado
Surgical Department, The Cuban Hospital, Hamad Medical Corporation, Doha, Qatar
Ramón Nonato Alfonso Serrano
Surgical Department, The Cuban Hospital, Hamad Medical Corporation, Doha, Qatar
Francisco Gutierrez García
Hospital Epidemiology Department, Hospital Joaquín Albarrán, La Habana, Cuba
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