Journal of Family Medicine and Primary Care

ORIGINAL ARTICLE
Year
: 2019  |  Volume : 8  |  Issue : 7  |  Page : 2258--2263

Determinants of superficial surgical site infections in abdominal surgeries at a Rural Teaching Hospital in Central India: A prospective study


Mekhla1, Firoz Rajiv Borle2 
1 Department of General Surgery, Mahatma Gandhi Institute of Medical Sciences, Sevagram, Wardha, India
2 Department of Plastic and Reconstructive Surgery, Tata Memorial Hospital, Parel, Mumbai, Maharashtra, India

Correspondence Address:
Dr. Firoz Rajiv Borle
Department of Plastic and Reconstructive Surgery, Tata Memorial Hospital, 907 Golden Jubilee Building, Parel, Mumbai - 400 012, Maharashtra
India

Introduction: Abdominal surgeries have high rate of surgical site infection (SSI), which leads to significant morbidity and financial burden. There is paucity of studies on SSI in rural Indian setup, where there is scarcity of adequate resources. The aim of this study was to determine the incidence and determinants of SSI after abdominal surgeries in a rural setup. Aim: To determine the incidence of and associated risk factors for superficial SSIs in abdominal surgery cases at a central Indian rural teaching hospital. Methods: This cohort study included 100 patients undergoing abdominal surgery between April 2016 and May 2017 at a central Indian rural teaching hospital. The outcome of interest was superficial SSI and the factors associated with it. Association between risk factors and SSI was calculated using either Chi-square test or odds ratio with 95% CI. Results: The cumulative incidence rate of superficial SSI was 39% with 95% CI (29.4%–49.2%). The analysis defined 12 variables significantly associated with superficial SSI: middle or elderly age, male gender, diabetes mellitus, preoperative anemia, preoperative hypoalbuminemia, tobacco smoking, higher ASA score, perioperative blood transfusion, drain placement, surgery duration >2 h, contaminated/dirty wound class and emergency surgery. However, economic status and BMI grade of the study subjects were not associated with development of superficial SSI.


How to cite this article:
Mekhla, Borle FR. Determinants of superficial surgical site infections in abdominal surgeries at a Rural Teaching Hospital in Central India: A prospective study.J Family Med Prim Care 2019;8:2258-2263


How to cite this URL:
Mekhla, Borle FR. Determinants of superficial surgical site infections in abdominal surgeries at a Rural Teaching Hospital in Central India: A prospective study. J Family Med Prim Care [serial online] 2019 [cited 2020 Jan 23 ];8:2258-2263
Available from: http://www.jfmpc.com/article.asp?issn=2249-4863;year=2019;volume=8;issue=7;spage=2258;epage=2263;aulast=Mekhla,;type=0