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Global Academic Journal of Medical Sciences
Volume-6 | Issue-06
Original Research Article
Frequency of Surgical Site Infections Following Emergency Non-Traumatic Abdominal Operations- A Study in a Tertiary Care Hospital in Bangladesh
Dr. Md. Rabeul Karim, Dr. Marzia Akanda, Dr. Mohammad Mohiuddin, Dr. Md. Shariful Alam Khan, Dr. Md. Shofiqul Islam, Dr. Mohammad F. Eastiak, Dr. Mohammed S. Rahman, Dr. K. Al Mahmood
Published : Nov. 11, 2024
DOI : https://doi.org/10.36348/gajms.2024.v06i06.003
Abstract
Background: Surgical site infections (SSIs) are a major concern in post-operative care, especially after emergency abdominal surgeries like those for appendicitis, bowel obstruction, or cholecystitis. These procedures carry a higher SSI risk due to urgent intervention and less optimal preoperative preparation. This study aimed to analyze the frequency of surgical site infections following emergency non-traumatic abdominal operations. Methods: This descriptive cross-sectional study was conducted at the Surgery Unit 1 of 250 Bedded General Hospital, Jamalpur, Bangladesh, from October 2023 to August 2024. The study involved 140 patients who were undergoing emergency non-traumatic abdominal operations, selected using a purposive sampling technique. Data analysis was performed using MS Office tools. Results: In this study, surgical site infections (SSIs) occurred in 17% of the participants. Males constituted the majority of SSI cases (66.7%), and cases with volvulus and extended lower midline incisions exhibited the highest SSI rate at 50.0%. Approximately 62.5% of the SSI cases involved wounds classified as dirty. Of those with SSIs, 45.8% were found to be malnourished. E. coli and Staphylococcus aureus were isolated in 45.5% and 37.5% of the infected patients, respectively. Conclusion: One in six emergency non-traumatic abdominal operations risks a surgical site infection (SSI), with a higher prevalence among males. Malnutrition is a common comorbidity, and E. coli and Staphylococcus aureus are the typical causative organisms.

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