Abdominal surgical site infection-incidenece and risk factors at one of university hospital, Cairo,Egypt : Suggested preventive guideline / Basma Magdy Korany Abdalrehim ; Supervised Suzan Atteya Abedelsaied , Safaa Mohammed Abdelmotaleb Ibrahim

Thesis (M.Sc.) - Cairo University - Faculty of Nursing - Department of Nursing Sciences

Background:surgical site infection (SSI) continue to be a major problem in all branches of surgery in the hospitals. Based on the National Nosocomial Infections Surveillance, SSI are the third most frequently reported nosocomial infections accounting for 14-16% of all the nosocomial infections. SSI are responsible for the increasing costs, morbidity and mortality which are related to surgical procedures. The organisms which cause surgical infections vary from time to time and from place to place. Aim: The aim of the current study was to assess the abdominal surgical site infection incidence, risk factors and suggested preventive guidelines Sample: Sample of convenience over 6 consecutive months of adult male and female patients who conducted minor or major abdominal surgical procedures also patients with surgical site infection or readmitted with surgical site infection. Exclusion criteria The patients with emergency abdominal surgery ,diabetic patients and circulatory disorders; will be excluded out of the study. Design: A descriptive exploratory research design was utilized to achieve the purpose of the study. Setting: Thedifferent surgical wards at El Manial University Hospital. Tool: Interviewing schedule questionnaire was constructed by the investigator to collect data and consists of three main parts: 1- Socio-demographic data, 2- medical data sheet, 3- preoperative data sheet. Result: Approximately 35.3% of the SSI sample there age was between (30 - 40) years old, 57.4% were female, 26.5 % diagnosed with cholecystectomy, 44% spent less than 5 days in hospital before operation and 42.5% spent between (10 - 20) days in hospital after operation, 33.8% were smoker, 8.8% were smoker from 10 to 20 years, 42.5% of them was using antibiotic more than 15 day, 61.8 % used one antibiotic, 88.2 % of sample had intravenous antipyretic, 100 % of patient didn't receive any kind of pre operative anti biotic while 77.9 % didn't shaved,even those who shaved16.2%of them used razor, 10.3 % before operation by 24 hours. bathing with anti microbial soap was found that 98.5% did not do it.100 % of sample didn't educated about pre operative exercises nor pre operative medication administered, Whereas SSI. sample 33.8% of the studied subjects were class 1 obesity

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