Determining Incidence of Surgical Site Infections Following Colorectal Surgery and Associated Risk Factors in a Referral and Educational Hospital in Gorgan, Northern Iran

Journal of Clinical and Basic Research

article

Siamak Rajaei¹  Mehrshad Zare¹  Reza Afghani¹ 

[1] Department of Surgery, School of Medicine, Golestan University of Medical Sciences

关键词: Surgical site infection;    Colorectal surgery;    Risk factors;    Incidence;   

DOI  :  10.29252/Jcbr.6.3.1

学科分类：数学（综合）

来源: Akademika As, Akademika Forlag

【 摘 要 】

Background and objectives: Surgical site infection (SSI) after colorectal surgery and itsnegative clinical outcomes remain significant problems. This study aimed to determine theincidence of SSI after colorectal surgery and associated risk factors in the 5 Azar Hospital ofGorgan, Iran.Methods: A cross-sectional study was performed on patients undergoing emerging or electivecolorectal surgeries from 2011 to 2019 in the 5 Azar Hospital of Gorgan, Iran. The subjects werefollowed up for 30 days. Data were collected through pre and postoperative examinations andtelephone follow-ups. Univariate analyses were performed to identify risk factors.Results: A total of 240 patients were enrolled in the study, and the overall SSI incidence ratewas 23.3% (56 patients). Univariate analyses indicated that corticosteroids use [risk ratio(RR)=3, 95% confidence interval (CI): 1.62-5.54], segmental resection with anastomosis(RR=2.28, 95% CI: 1.12-4.63), anemia (RR=4.52, 95% CI: 3.11-6.59), diabetics (RR=2.68, 95%CI: 1.73-4.14), and opium use (RR=1.87, 95% CI: 1.17-2.99) were risk factors for SSI.Conclusion: Based on our findings, the incidence of SSI after colorectal surgery is relativelyhigh in the study area, which requires tailored approaches and careful reconsideration of thewhole operation procedure. Moreover, the use of corticosteroids, type of intervention, anemia,diabetes, and opium use may be associated with the incidence of SSI after colorectal surgery.Therefore, cases with such a profile should be closely monitored after the surgery.

【 授权许可】

CC BY-NC