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Prevalence and risk factors of post-cholecystectomy surgical site infections

OBJECTIVES: The objectives of this study were to measure the prevalence of post-cholecystectomy surgical site infection and identify the associated risk factors and their association with its prevalence. METHOD: A cross-sectional analytical study including all patients who underwent cholecystectomy...

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Autores principales: Masaod, Ruba E., Salih, Mugahid A.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Lippincott Williams & Wilkins 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10617884/
https://www.ncbi.nlm.nih.gov/pubmed/37915643
http://dx.doi.org/10.1097/MS9.0000000000001337
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author Masaod, Ruba E.
Salih, Mugahid A.
author_facet Masaod, Ruba E.
Salih, Mugahid A.
author_sort Masaod, Ruba E.
collection PubMed
description OBJECTIVES: The objectives of this study were to measure the prevalence of post-cholecystectomy surgical site infection and identify the associated risk factors and their association with its prevalence. METHOD: A cross-sectional analytical study including all patients who underwent cholecystectomy in the period from January 2021 to March 2022. The data sheet was filled with records of the patients, and some questions were asked of the patients directly. Many risk factors were assessed and measured in their association with the development of postoperative SSI. RESULTS: One hundred seventy-two patients with a mean age of 46.41±13.37 participated in the study. Thirty-five (20.3%) of them were males, and 137 (79.7%) were females. Open cholecystectomy 121 (70.3%) was done more than laparoscopic cholecystectomy 51 (29.7%). The most common indication for cholecystectomy was found to be both cholecystitis and cholelithiasis (53.5%). Out of 172 patients, postoperative wound infection [surgical site infection (SSI)] developed in 29 (16.9%) patients. Of these, 8 (27.6%) were males, while 21 (72.4%) were females, with a mean age of 46.38 (SD=14.12) years. Prophylactic antibiotics intraoperatively and therapeutic antibiotics postoperatively were found to decrease the risk of developing SSI [P=0.005, odds ratio (OR)=0.073] (P=0.012, OR=0.153), respectively. However, hospital stay after surgery (<1 week) was also found to decrease the risk (P=0.001, OR=0.179). CONCLUSIONS: The prevalence of post-cholecystectomy SSI is high despite a small sample size in comparison with other studies. Prophylactic antibiotics and short hospital stays have an important role in decreasing the risk of developing postoperative SSI.
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spelling pubmed-106178842023-11-01 Prevalence and risk factors of post-cholecystectomy surgical site infections Masaod, Ruba E. Salih, Mugahid A. Ann Med Surg (Lond) Original Research OBJECTIVES: The objectives of this study were to measure the prevalence of post-cholecystectomy surgical site infection and identify the associated risk factors and their association with its prevalence. METHOD: A cross-sectional analytical study including all patients who underwent cholecystectomy in the period from January 2021 to March 2022. The data sheet was filled with records of the patients, and some questions were asked of the patients directly. Many risk factors were assessed and measured in their association with the development of postoperative SSI. RESULTS: One hundred seventy-two patients with a mean age of 46.41±13.37 participated in the study. Thirty-five (20.3%) of them were males, and 137 (79.7%) were females. Open cholecystectomy 121 (70.3%) was done more than laparoscopic cholecystectomy 51 (29.7%). The most common indication for cholecystectomy was found to be both cholecystitis and cholelithiasis (53.5%). Out of 172 patients, postoperative wound infection [surgical site infection (SSI)] developed in 29 (16.9%) patients. Of these, 8 (27.6%) were males, while 21 (72.4%) were females, with a mean age of 46.38 (SD=14.12) years. Prophylactic antibiotics intraoperatively and therapeutic antibiotics postoperatively were found to decrease the risk of developing SSI [P=0.005, odds ratio (OR)=0.073] (P=0.012, OR=0.153), respectively. However, hospital stay after surgery (<1 week) was also found to decrease the risk (P=0.001, OR=0.179). CONCLUSIONS: The prevalence of post-cholecystectomy SSI is high despite a small sample size in comparison with other studies. Prophylactic antibiotics and short hospital stays have an important role in decreasing the risk of developing postoperative SSI. Lippincott Williams & Wilkins 2023-09-15 /pmc/articles/PMC10617884/ /pubmed/37915643 http://dx.doi.org/10.1097/MS9.0000000000001337 Text en Copyright © 2023 The Author(s). Published by Wolters Kluwer Health, Inc. https://creativecommons.org/licenses/by-nc-sa/4.0/This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 (https://creativecommons.org/licenses/by-nc-sa/4.0/) License, which allows others to remix, tweak, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms. http://creativecommons.org/licenses/by-nc-sa/4.0/ (https://creativecommons.org/licenses/by-nc-sa/4.0/)
spellingShingle Original Research
Masaod, Ruba E.
Salih, Mugahid A.
Prevalence and risk factors of post-cholecystectomy surgical site infections
title Prevalence and risk factors of post-cholecystectomy surgical site infections
title_full Prevalence and risk factors of post-cholecystectomy surgical site infections
title_fullStr Prevalence and risk factors of post-cholecystectomy surgical site infections
title_full_unstemmed Prevalence and risk factors of post-cholecystectomy surgical site infections
title_short Prevalence and risk factors of post-cholecystectomy surgical site infections
title_sort prevalence and risk factors of post-cholecystectomy surgical site infections
topic Original Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10617884/
https://www.ncbi.nlm.nih.gov/pubmed/37915643
http://dx.doi.org/10.1097/MS9.0000000000001337
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