Incidence and modifiable risk factors of surveillance of surgical site infections in Egypt: A prospective study

摘要: Background Surgical site infections (SSIs) contribute significantly to patient morbidity and mortality exhaust health care system resources. The main objectives of the study were describe incidence rates SSIs among patients undergoing urologic or cardiothoracic surgeries, associated risk factors, common causative etiologies found at Alexandria University Hospital in Egypt. Methods A prospective active surveillance for surgeries was implemented from July 2009 December 2010. Patients inspected daily developing with a 30-day postoperative follow-up. Wound swabs obtained who had clinical signs suggestive infection. Swabs cultured bacterial identification tested antimicrobial sensitivity. Standard Centers Disease Control Prevention National Health Safety Network case definitions used. Results occurred 187 (17%) complete follow-up (n = 1,062), which 106 (57%) in-hospital 81 (43%) after discharge. Higher SSI observed (23.3%), compared (9%) (P 45 years (OR, 2.32; 95% CI, 1.35-4.01), increased duration hospital stay before 1.03; 1.01-1.05) 1.07; 1.04-1.09) surgery, antibiotics ≤24 hours surgery 2.54; 1.63-3.94), dirty wounds 4.09; 1.60-10.43). Conclusions Measures reduce high need be instituted through multidisciplinary effort including infection control education specific prevention activities Hospital.