Borle Firoz Rajiv
Department of General Surgery, Mahatma Gandhi Institute of Medical Sciences, Sevagram, Wardha, India.
Department of Plastic and Reconstructive Surgery, Tata Memorial Hospital, Parel, Mumbai, Maharashtra, India.
J Family Med Prim Care. 2019 Jul;8(7):2258-2263. doi: 10.4103/jfmpc.jfmpc_419_19.
Abdominal surgeries have high rate of surgical site infection (SSI), which leads to significant morbidity and financial burden. There is paucity of studies on SSI in rural Indian setup, where there is scarcity of adequate resources. The aim of this study was to determine the incidence and determinants of SSI after abdominal surgeries in a rural setup.
To determine the incidence of and associated risk factors for superficial SSIs in abdominal surgery cases at a central Indian rural teaching hospital.
This cohort study included 100 patients undergoing abdominal surgery between April 2016 and May 2017 at a central Indian rural teaching hospital. The outcome of interest was superficial SSI and the factors associated with it. Association between risk factors and SSI was calculated using either Chi-square test or odds ratio with 95% CI.
The cumulative incidence rate of superficial SSI was 39% with 95% CI (29.4%-49.2%). The analysis defined 12 variables significantly associated with superficial SSI: middle or elderly age, male gender, diabetes mellitus, preoperative anemia, preoperative hypoalbuminemia, tobacco smoking, higher ASA score, perioperative blood transfusion, drain placement, surgery duration >2 h, contaminated/dirty wound class and emergency surgery. However, economic status and BMI grade of the study subjects were not associated with development of superficial SSI.
腹部手术的手术部位感染（SSI）发生率很高，会导致严重的发病率和经济负担。在印度农村地区，由于缺乏足够的资源，关于SSI的研究很少。本研究的目的是确定农村地区腹部手术后SSI的发生率和决定因素。
确定印度中部一家农村教学医院腹部手术病例中浅表SSI的发生率及相关危险因素。
这项队列研究纳入了2016年4月至2017年5月期间在印度中部一家农村教学医院接受腹部手术的100名患者。感兴趣的结局是浅表SSI及其相关因素。危险因素与SSI之间的关联采用卡方检验或95%置信区间的比值比进行计算。
浅表SSI的累积发生率为39%，95%置信区间为（29.4%-49.2%）。分析确定了12个与浅表SSI显著相关的变量：中年或老年、男性、糖尿病、术前贫血、术前低白蛋白血症、吸烟、较高的美国麻醉医师协会（ASA）评分、围手术期输血、引流管放置、手术时间>2小时、污染/脏污伤口类别和急诊手术。然而，研究对象的经济状况和体重指数等级与浅表SSI的发生无关。
