Anwar Medhat Mohamed, Reizian Alice Edward, El Kholy Aneesa Mohammad, El Sayed Iman, Hafez Marwa Khalil
1Experimental and Clinical Surgery Department, Medical Research Institute, Alexandria University, Alexandria, Egypt.
2Medical Surgical Nursing Department, Faculty of Nursing, Alexandria University, Alexandria, Egypt.
Indian J Surg. 2018 Jun;80(3):259-268. doi: 10.1007/s12262-016-1566-y. Epub 2016 Nov 12.
Superficial incisional surgical site infection (SSI) is a common postoperative complication in surgical patients. The aim of this study was to assess the predictive power of an assessment scale for identifying patients at risk of superficial incisional SSI. A cross-sectional survey was conducted at the Department of Surgery at the Medical Research Institute Hospital, Alexandria University. A sample of 150 adult patients aged from 18 to 65 years, who undergoing general surgeries that had clean sutured surgical wounds, was randomly selected. Forty-six patients (30.7%) had SSI. The total score can significantly discriminate between positive and negative superficial incisional SSI patients with diagnostic accuracy of AUC (SE) = 0.66 (0.048). Each score more than the cutoff point (11.5) will increase the risk of surgical site infection development by 2.5 times (OR (95% CI) = 2.5 (1.26-3.1)). The developed assessment scale can discriminate between patients who are at risk of superficial incisional SSI and those who are not. It can be used as a preliminary screening tool for subsequent investigation for the presence of infection.
浅表切口手术部位感染（SSI）是外科手术患者常见的术后并发症。本研究的目的是评估一种评估量表对识别有浅表切口SSI风险患者的预测能力。在亚历山大大学医学研究所医院外科进行了一项横断面调查。随机选取了150例年龄在18至65岁之间、接受清洁缝合手术切口的普通外科手术的成年患者。46例患者（30.7%）发生了SSI。总分能够显著区分浅表切口SSI阳性和阴性患者，诊断准确性为AUC（SE）=0.66（0.048）。每个得分超过临界点（11.5）会使手术部位感染发生风险增加2.5倍（OR（95%CI）=2.5（1.26 - 3.1））。所制定的评估量表能够区分有浅表切口SSI风险的患者和无风险的患者。它可作为后续感染调查的初步筛查工具。
