AUDIT OF SURGICAL SITE INFECTION AT TYPE D HOSPITAL, TORU, MARDAN, KPK, PAKISTAN.
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Keywords
Abstract
Background: SSIs occur at or near the surgical incision within 30 days of the procedure or within one year if an implant is placed.
Objectives: The primary objective of the study is to find the surgical site infection and their risk factors at Type D hospital, Mardan, KPK, Pakistan.
Methods: This clinical audit was done in Type D hospital, Toru Mardan KPK, Pakistan from January 2023 to January 2024. We retrospectively reviewed all the patients who underwent surgery at different departments of hospital. Total of 1000 patients were done with different surgeries in this hospital. Electronic Health Records (EHRs) are reviewed to obtain patient demographics, medical history, details of surgical procedures, and postoperative outcomes. Surgical logs provide information on the types and frequencies of surgeries performed.
Results: Data were collected retrospectively from 1000 patients undergone surgeries at different departments. Mostly patients were registered in general surgery department which were 200 patients. The lowest rate of SSI was in Gynecological Surgery which is 3.3%.Emergency surgeries contain the rate of SSI 8% and elective surgeries 4.5%.
Conclusion: Audit of surgical site infections (SSIs) has provided critical insights into the incidence, risk factors, and effectiveness of preventive measures within the hospital setting. The overall SSI rate of 5% is indicative of both successes and areas needing improvement in infection control practices.
References
2. Feneley RC, Hopley IB, Wells PN. Urinary catheters: history, current status, adverse events and research agenda. Journal of Medical Engineering & Technology. 2015;39(8):459–470.
3. Sattar F, Sattar Z, Zaman M, et al. Frequency of post-operative surgical site infections in a tertiary care hospital in abbottabad, Pakistan. Cureus 2019;11:e4243. doi:10.7759/cureus.4243
4. Khan, F. U., Fang, Y., Khan, Z., Khan, F. U., Malik, Z. I., Ahmed, N., ... & Rehman, A. U. (2020). Occurrence, associated risk factors, and treatment of surgical site infections in Pakistan. European Journal of Inflammation, 18, 2058739220960547.
5. Khan, F. U., Khan, Z., Rehman, A. U., Rabbi, F., Ahmed, N., & Fang, Y. U. (2020). Perception of surgical teams towards surgical site infections in tertiary care hospital Islamabad, Pakistan. Indian Journal of Surgery, 82, 394-401.
6. Sajun, S. Z., Albutt, K., Moosajee, U. S., Drevin, G., Mukhopadhyay, S., & Samad, L. (2020). Self-diagnosis of surgical site infections: lessons from a tertiary care centre in Karachi, Pakistan. Pakistan Journal of Medical Sciences, 36(1), S55.
7. Khan, F. U., Khan, Z., Ahmed, N., & Rehman, A. U. (2020). A general overview of incidence, associated risk factors, and treatment outcomes of surgical site infections. Indian Journal of Surgery, 82, 449-459.
8. Khan, Z., Ahmed, N., Rehman, A. U., Khan, F. U., Saqlain, M., Martins, M. A. P., & Rahman, H. (2020). Audit of pre-operative antibiotic prophylaxis usage in elective surgical procedures in two teaching hospitals, Islamabad, Pakistan: An observational cross-sectional study. PloS one, 15(4), e0231188.
9. Sattar, A. K., Zahid, N., Shahzad, H., Soomro, R., Saleem, O., & Mahmood, S. F. (2021). Impact of duration of antibiotic prophylaxis on rates of surgical site infection (SSI) in patients undergoing mastectomy without immediate reconstruction, comparing a single prophylactic dose versus continued antibiotic prophylaxis postoperatively: a multicentre, double-blinded randomised control trial protocol. BMJ open, 11(7), e049572.
10. Mwita, J. C., Ogunleye, O. O., Olalekan, A., Kalungia, A. C., Kurdi, A., Saleem, Z., ... & Godman, B. (2021). Key issues surrounding appropriate antibiotic use for prevention of surgical site infections in low-and middle-income countries: a narrative review and the implications. International journal of general medicine, 515-530.
11. Rehman, H., Siddiqa, M., Munam, A., & Khan, S. (2020). Frequency of port site wound infection after gall bladder removal with or without retrieval bag in laparoscopic cholecystectomy. JPMA, 70(1533).
12. Hassan, B., Ijaz, M., Khan, A., Sands, K., Serfas, G. I., Clayfield, L., ... & Walsh, T. R. (2021). A role for arthropods as vectors of multidrug-resistant Enterobacterales in surgical site infections from South Asia. Nature microbiology, 6(10), 1259-1270.