INCIDENCE AND RISK FACTOR OF SURGICAL SITE INFECTIONS AFTER APPENDECTOMY IN MAESAI HOSPITAL

Abstract

ABSTACT

BACKGROUND: Nosocomial infections are major public health problem around the world. Every year, thousands of deaths are associated to nosocomial infections. Appendectomy is most common abdominal operation, but there is no data regarding surgical site infection (SSI) in
Maesai hospital. This study aims to study the incidence and risk factor of SSI after appendectomy at Maesai hospital.

OBJECTIVE: To evaluate incidence and the risk factor of surgical site infections after appendectomy in Maesai hospital.

METHODS: This study is a retrospective descriptive study carried out in patients with appendectomy, between January 2013 to December 2014. We collected the data from medical descriptively record and analyzed.

RESULTS: Among 229 appendectomy patients, we identified 5 SSIs, yielding SSI rate of 2.18 infections/100 operations. The Underlying disease of patients with SSIs, one was hypertension, one was gout, 2 patients was smokers and 1 was drinking alcohol. We divided SSIs by ASA criteria: 1.31 percent were class 1, 0.87 percent were class 3. Among SSIs patients had 1 clean contaminate wounds (20%) and 4 contaminate wounds (80%). Range of operation time in SSIs patients was 15-196 minutes (mean 46 + 18 minutes). One hundred percent of all patients received ceftriaxone plus metronidazole for antibiotic prophylaxis.

CONCLUSION: Rate of surgical site infection after appendectomy in Maesai hospital was low. Clean contaminated wounds and operative time less than 60 minutes are associated with lower infection rate. The risk factor was unclear due to small size of sample.