关键词: NNIS SSI risk factors surgical site infection wound discharge

来  源:   DOI:10.4103/jwas.jwas_6_23   PDF(Pubmed)

Abstract:
UNASSIGNED: Surgical site infection (SSI) is the third most commonly reported nosocomial infection, accounting for 10%-40% of all nosocomial infections and is a major cause of postoperative morbidity. Knowledge of factors related to SSI can help in reducing its incidence and related morbidity, which in many studies is shown to account for 38% of all infections in surgical patients. Lack of extending nosocomial infection surveillance programme and prevention measures in countries like India is viewed as a major challenge for the future.
UNASSIGNED: The aims of this work were (1) to study the SSI rate in patients undergoing both elective and emergency abdominal surgery and SSI with CDC, and NNIS risk index; and (2) to assess SSI along with body mass index (BMI), glycaemic status, smoking and duration of pre-operative hospital stay of patients.
UNASSIGNED: In total, 300 patients who underwent elective and emergency abdominal surgery were enrolled in the study as per inclusion and exclusion criteria. SSI with CDC\'s NNIS risk index were analysed considering BMI, glycaemic status, smoking and duration of pre-operative hospital stay of patients.
UNASSIGNED: In total, 300 cases of abdominal surgeries (elective and emergency) were analysed, out of which 60 cases were diagnosed to have SSI as per the criteria.
UNASSIGNED: This study demonstrated that there is a significant increase in SSI with increasing NNIS score that is, the greater the NNIS score, the greater the risk of SSI. With an increase in age, BMI, glycaemic index and preoperative hospital stay, the risk of SSI increases. Smoking and associated comorbidities also increase the risk of SSI.
摘要:
手术部位感染(SSI)是第三大最常见的医院感染,占所有医院感染的10%-40%,是术后发病的主要原因。了解与SSI相关的因素有助于降低其发病率和相关发病率,在许多研究中显示,占手术患者所有感染的38%。在印度等国家,缺乏扩大医院感染监测计划和预防措施被视为未来的主要挑战。
这项工作的目的是(1)研究接受择期和急诊腹部手术的患者的SSI率以及CDC的SSI,和NNIS风险指数;(2)评估SSI和体重指数(BMI),血糖状态,吸烟和患者术前住院时间。
总共,根据纳入和排除标准,300例接受择期和急诊腹部手术的患者被纳入研究。考虑BMI,分析了带有CDCNNIS风险指数的SSI,血糖状态,吸烟和患者术前住院时间。
总共,分析了300例腹部手术(选择性和急诊),其中60例被诊断为符合标准的SSI。
这项研究表明,随着NNIS评分的增加,SSI显着增加,即,NNIS分数越大,SSI的风险越大。随着年龄的增长,BMI,血糖指数和术前住院时间,SSI的风险增加。吸烟和相关的合并症也会增加SSI的风险。
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