Risk factors influencing surgical site infections
DOI:
https://doi.org/10.35381/s.v.v9i2.4724Keywords:
Surgical site infection, emergency surgery, risk of infection, (Source: DeCS).Abstract
Objective: To determine risk factors that influence surgical site infections in patients undergoing emergency surgery. Method: Systematic review of scientific literature published between 2019-2023 in PubMed, Scopus, Embase, MDPI, SciELO, Web of Science and CINAHL databases. Twenty studies meeting specific inclusion criteria on surgical site infection risk factors in emergency surgery were selected. Results: Two main categories of risk factors were identified: patient-intrinsic factors (advanced age, male sex, malnutrition, obesity, comorbidities such as diabetes and hypertension) and procedure-extrinsic factors (type of surgery, duration >90 minutes, degree of contamination). SSI incidence varied between 8.84% and 25% according to analyzed studies. Conclusions: Modifiable risk factors require early intervention through multidisciplinary protocols involving medical and nursing staff to reduce SSI incidence in emergency surgery.
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References
Despaigne I, Rodríguez Z, Pascual M, Lozada GA, Mustelier HL. Consideraciones actuales sobre las infecciones posoperatorias. Medisan. 2013;17(4):686-707.
Machado MO, Armas JA, Machado MO. Complicaciones postoperatorias de la cirugía abdominal de urgencia en el Hospital "Mártires del 9 de Abril". Editorial Feijóo; 2022.
Alfouzan W, Al Fadhli M, Abdo N, Alali W, Dhar R. Surgical site infection following cesarean section in a general hospital in Kuwait: trends and risk factors. Epidemiol Infect. 2019;147:e287.
Chu D, Agarwal S. Complicaciones posoperatorias. En: Doherty GM, editor. Diagnóstico y tratamiento quirúrgicos. 14a ed. New York: McGraw-Hill Education; 2018.
Ministerio de Salud Pública. Lineamientos para prevención y control de infecciones asociadas a la atención en salud (IAAS). Quito: Subsecretaría Nacional de Garantía de la Calidad; 2020.
Verdú MÁ. Análisis de los Factores Relacionados con las Complicaciones y de la Capacidad Predictiva de los Test de Cribado Nutricional en Cirugía Mayor Abdominal. Universidad de Murcia; 2021.
Ordoñez Castillo JY, Pontón-Burgos HE, Espinoza-Bravo C, Castillo-Avendaño JL. Manejo y tratamiento de las dilaceraciones en cirugía abdominal. Dominio las ciencias. 2021;7(4):1244-62.
Rodríguez G, Camacho FA, Umaña CA. Factores de riesgo y prevención de infecciones del sitio quirúrgico. Rev Médica Sinerg. 2020;5(4):11.
Van Niekerk JM, Vos MC, Stein A, Braakman-Jansen LMA, Voor in 't holt AF, van Gemert-Pijnen JEWC. Risk factors for surgical site infections using a data-driven approach. PLoS One. 2020;15(10):1-14.
González Macas JA, Rugel Zerna EA, Casa Gómez PY, Bajaña Morán KE, Moncada Santillán JL, Vera Ganchozo BI. Complicaciones postoperatorias en los pacientes sometidos a cirugía de apendicitis aguda. Reciamuc. 2019;3(3):1191-213.
Macias M, Villafuerte A, Romero H. Factores que intervienen en la aparición de infecciones en heridas quirúrgicas de pacientes intervenidos en el hospital general milagro. Más Vita. 2021;4(2):386-96.
Papadopoulos A, MacHairas N, Tsourouflis G, Chouliaras C, Manioti E, Broutas D, et al. Risk factors for surgical site infections in patients undergoing emergency surgery: A single-centre experience. In Vivo. 2021;35(6):3569-74.
Mohan N, Gnanasekar D, TK S, Ignatious A. Prevalence and Risk Factors of Surgical Site Infections in a Teaching Medical College in the Trichy District of India. Cureus. 2023;15(5).
Ansari S, Hassan M, Barry HD, Bhatti TA, Hussain SZM, Jabeen S, et al. Risk Factors Associated with Surgical Site Infections: A Retrospective Report from a Developing Country. Cureus. 2019;11(6).
Martinez F, Pardo L, Broggi A, Larbanois V, Fontoura G, Freire F, et al. Infecciones de heridas quirúrgicas en cirugías de urgencia en un hospital pediátrico de referencia en Uruguay. Arch Pediatr Urug. 2020;91(1):6-13.
Flouchi R, Far M El, Hibatallah A, Elmniai A, Rhbibou I, Touzani I, et al. Incidence of surgical site infections and prediction of risk factors in a hospital center in Morocco. J Infect Dev Ctries. 2022;16(7):1191-8.
Omran H, Elmageed S, Arab A, Saeed M. Surgical Site Infections; A Study of Incidence, Risk Factors and Causative Organisms in Emergency Abdominal Surgeries. QJM An Int J Med. 2021;114(1):2021.
Ray S, Kumar A, Kundu S, Gupta UK. Surgical site infection in emergency and elective patients and it's major risk factor in resource limited tertiary care center: A multicentric study. Int J Health Sci. 2022;6:12262-9.
Li Z, Li H, Lv P, Peng X, Wu C, Ren J, et al. Prospective multicenter study on the incidence of surgical site infection after emergency abdominal surgery in China. Sci Rep. 2021;11(1):1-10.
Ousey K, Blackburn J, Stephenson J, Southern T. Incidence and Risk Factors for Surgical Site Infection following Emergency Cesarean Section: A Retrospective Case-Control Study. Adv Ski Wound Care. 2021;34(9):482-7.
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