Jinnah International Hospital Abbottabad.
Health Department-Pakistan.
J Ayub Med Coll Abbottabad. 2024 Apr-Jun;36(2):364-368. doi: 10.55519/JAMC-02-13499.
Surgical site infections (SSIs) pose significant challenges in healthcare, leading to prolonged hospital stays, increased morbidity, and economic burden. Understanding the interplay between risk factors, preventive measures, and management strategies is crucial for effective infection control in general surgery. This study aimed to comprehensively assess the impact of various risk factors, preventive measures, and management strategies on surgical site infections in the context of general surgery.
The study was conducted at Jinnah International Hospital, involving a study population of 120 patients undergoing general surgical procedures from May 2023 to April 2024. A retrospective analysis of patient records was performed to identify risk factors associated with SSIs. Additionally, preventive measures implemented preoperatively, intraoperatively, and postoperatively were evaluated. Management strategies employed for treating SSIs were also reviewed.
The analysis revealed several significant risk factors contributing to the development of SSIs, including comorbidities, prolonged surgical duration, and inadequate preoperative preparation. Preoperative measures such as appropriate patient screening and optimization, intraoperative techniques like strict aseptic protocols, and postoperative interventions such as timely wound care significantly influenced SSI rates. Furthermore, effective management strategies such as early detection, antimicrobial therapy, and surgical debridement played pivotal roles in controlling SSIs and reducing associated complications.
Our findings underscore the importance of a multifaceted approach involving identification of risk factors, implementation of preventive measures, and prompt management strategies to mitigate the incidence and impact of surgical site infections in general surgery. Comprehensive infection control protocols tailored to individual patient needs are essential for optimizing surgical outcomes and enhancing patient safety.
手术部位感染（SSI）给医疗保健带来了重大挑战，导致住院时间延长、发病率增加和经济负担加重。了解风险因素、预防措施和管理策略之间的相互作用对于普通外科手术中的有效感染控制至关重要。本研究旨在全面评估各种风险因素、预防措施和管理策略对普通外科手术部位感染的影响。
该研究在 Jinnah International Hospital 进行，涉及 2023 年 5 月至 2024 年 4 月期间接受普通外科手术的 120 名患者。对患者记录进行回顾性分析，以确定与 SSI 相关的风险因素。此外，还评估了术前、术中和术后实施的预防措施。还审查了用于治疗 SSI 的管理策略。
分析显示了导致 SSI 发展的几个重要风险因素，包括合并症、手术时间延长和术前准备不足。术前措施，如适当的患者筛选和优化、术中技术如严格的无菌协议，以及术后干预如及时的伤口护理，显著影响了 SSI 率。此外，有效的管理策略，如早期发现、抗菌治疗和手术清创，在控制 SSI 和减少相关并发症方面发挥了关键作用。
我们的研究结果强调了涉及确定风险因素、实施预防措施和及时管理策略的多方面方法的重要性，以减轻普通外科手术中 SSI 的发生率和影响。针对个体患者需求定制的综合感染控制方案对于优化手术结果和提高患者安全性至关重要。
