Costabella Fernando, Patel Keval B, Adepoju Adedimeji V, Singh Purnima, Attia Hussein Mahmoud Hussein, Zafar Awais, Patel Tirath, Watekar Ninad A, Mallesh Navya, Fawad Moiz, Sathyarajan Dily T, Abbas Kiran
Department of Pediatrics, Hospital General Dr. Manuel Gea Gonzalez, Mexico City, MEX.
Department of Surgery, Narendra Modi Medical College, Ahmedabad, IND.
Cureus. 2023 Jul 26;15(7):e42493. doi: 10.7759/cureus.42493. eCollection 2023 Jul.
Surgical site infection (SSI) is a growing global concern. The principal explanation for this is its adverse clinical outcomes, such as morbidity and mortality. However, the link between the economic burden of SSIs and patient outcomes needs to be sufficiently characterized. This review aims to describe the financial implications of SSIs on patient outcomes in low- and middle-income countries (LMIC). Despite the heterogeneity in study designs from multiple LMIC countries, there is a significant correlation between SSI-associated healthcare costs from increased length of stay (LOS), readmissions, reoperations, and adverse patient outcomes. This varies based on the size, degree of infection, or other patient comorbidities. SSIs are much more prevalent in LMICs. The additional financial burden incurred in managing SSIs reinforces the need to prioritize practicing interventions to prevent this complication, which resource-limited health institutions are unequipped to do and consequently have significant adverse patient outcomes.
手术部位感染（SSI）是一个日益受到全球关注的问题。对此的主要解释是其不良的临床后果，如发病率和死亡率。然而，SSI的经济负担与患者预后之间的联系需要得到充分的描述。本综述旨在描述SSI对低收入和中等收入国家（LMIC）患者预后的财务影响。尽管来自多个LMIC国家的研究设计存在异质性，但因住院时间延长（LOS）、再次入院、再次手术以及不良患者预后导致的与SSI相关的医疗保健成本之间存在显著相关性。这会因感染的大小、程度或其他患者合并症而有所不同。SSI在LMIC中更为普遍。管理SSI所产生的额外财务负担强化了优先实施预防这种并发症的干预措施的必要性，而资源有限的医疗机构没有能力这样做，因此会导致严重的不良患者预后。
