Risk factors associated with surgical site infection among OB-GYN patients admitted at FEU-NRMF Medical Center who underwent cesarean section and laparotomy from January 1, 2009 to June 30, 2013 / Sheryll Anne M. Promentilla, Lylah D. Reyes and Jennifer T. Co.

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Language: english Publication details: Fairview, Quezon City: Department of Obstetrics and Gynecology, FEU-NRMF, 2013.Description: 47 pages: tables; (in folder)Content type:

text

Media type:

unmediated

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volume

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LOC classification:

OB 2013 0008

Summary: Abstract: Surgical Site Infection (SSI) is one of the most common nosocomial infections identified worldwide. If affects around 5% of all patients who underwent surgical procedure and accounts for 15% of nosocomial infection. To determine the risk factors associated with surgical site infection among OB-GYNE patients admitted at FEU-NRMF Medical Center who underwent cesarean section and laparotomy from January 1, 2009 to June 30, 2013. This study involved the review of chart records of patients who underwent cesarean section and laparotomy. The factors evaluated were the patients' characteristics. The data extracted were age, gravidity, parity, BMI, medical conditions, type of surgery, timing of surgery, type of abdominal incision, indication for surgery, duration of surgery, surgeon, sutures used, estimated blood loss, antibiotic dose and antibiotic route. Post -operative follow-up was extractedfrom the patients' records in the clinic of their respective attending physician. A total of 2,370 charts were reviewed. Only 497 patients with complete record of follow-up up to 30 days post-surgery were included in the study. The prevalence of surgical site infection was 12.68%. Risk factors significantly associated with SSI was the timing of surgery (OR 2.07, 95% Cl 1.03 to 4.14) where in 13.27% of emergency cases had SSI compared to 11.56% elective cases. Body mass index or BMI (OR 2.08, 95% Cl 1.12 to 3.86) was also significantly associated with SSI, however, when adjusted to all other factors, the association was not statistically significant. The factors that lower the risk for SSI were: (1) type of abdominal incision (OR 0.07, 95% Cl 0.03 to 0.18), (2) antibiotic dose (OR 0.18, 95% Cl 0.06 to 0.52) and (3) antibiotic route (OR 0.22, 95% Cl 0.08 to 0.56). When adjusted to other factors, type of abdominal incision was the only factor that lowers the risk for SSI. It is important to identify the risk factors associated with surgical site infection for this will pave way to the reduction of its occurrence as the risks are modifiable. The factor identified to significantly increase the risk for SSI was surgery done on an emergency basis. The factor that significantly lowers the risk for SSI is the type of abdominal incision favoring vertical incision over transverse incision. Therefore, our institution should aim to formulate strategies that will reduce the incidence of infection among patients with such risk.

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Holdings
Item type	Current library	Call number	Status	Notes	Date due	Barcode
Research	Far Eastern University - Nicanor Reyes Medical Foundation Research	OB 2013 0008 (Browse shelf(Opens below))	Not For Loan	draft		R000723
Room Use	Far Eastern University - Nicanor Reyes Medical Foundation Research	OB 2013 0008 (Browse shelf(Opens below))	Available			R000417

Includes appendices and bibliographical references.

Abstract: Surgical Site Infection (SSI) is one of the most common nosocomial infections identified worldwide. If affects around 5% of all patients who underwent surgical procedure and accounts for 15% of nosocomial infection. To determine the risk factors associated with surgical site infection among OB-GYNE patients admitted at FEU-NRMF Medical Center who underwent cesarean section and laparotomy from January 1, 2009 to June 30, 2013. This study involved the review of chart records of patients who underwent cesarean section and laparotomy. The factors evaluated were the patients' characteristics. The data extracted were age, gravidity, parity, BMI, medical conditions, type of surgery, timing of surgery, type of abdominal incision, indication for surgery, duration of surgery, surgeon, sutures used, estimated blood loss, antibiotic dose and antibiotic route. Post -operative follow-up was extractedfrom the patients' records in the clinic of their respective attending physician. A total of 2,370 charts were reviewed. Only 497 patients with complete record of follow-up up to 30 days post-surgery were included in the study. The prevalence of surgical site infection was 12.68%. Risk factors significantly associated with SSI was the timing of surgery (OR 2.07, 95% Cl 1.03 to 4.14) where in 13.27% of emergency cases had SSI compared to 11.56% elective cases. Body mass index or BMI (OR 2.08, 95% Cl 1.12 to 3.86) was also significantly associated with SSI, however, when adjusted to all other factors, the association was not statistically significant. The factors that lower the risk for SSI were: (1) type of abdominal incision (OR 0.07, 95% Cl 0.03 to 0.18), (2) antibiotic dose (OR 0.18, 95% Cl 0.06 to 0.52) and (3) antibiotic route (OR 0.22, 95% Cl 0.08 to 0.56). When adjusted to other factors, type of abdominal incision was the only factor that lowers the risk for SSI. It is important to identify the risk factors associated with surgical site infection for this will pave way to the reduction of its occurrence as the risks are modifiable. The factor identified to significantly increase the risk for SSI was surgery done on an emergency basis. The factor that significantly lowers the risk for SSI is the type of abdominal incision favoring vertical incision over transverse incision. Therefore, our institution should aim to formulate strategies that will reduce the incidence of infection among patients with such risk.

Research - Department of Obstetrics & Gynecology

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