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Incidence and Risk Factors for Surgical Site Infections in Pediatric Abdominal Surgery: A Multicenter Cohort Study
Ankita1, Nishant G Xess1, Kavita Tirkey1
1Department of Pediatric Surgery, Rajendra Institute of Medical Sciences, Ranchi, Jharkhand, India.
Insights
Surgical site infections (SSIs) affect 11.5% of pediatric abdominal surgery patients. Key risk factors include wound contamination, long operative times, and emergency procedures, informing prevention strategies.
Area of Science:
- Pediatric Surgery
- Infectious Disease Control
- Public Health
Background:
- Surgical site infections (SSIs) are a frequent complication following pediatric abdominal surgery.
- Understanding SSI incidence and risk factors is vital for enhancing patient outcomes and prevention.
Purpose of the Study:
- To determine the incidence of SSIs in pediatric abdominal surgery.
- To identify significant risk factors associated with SSIs in this population.
Main Methods:
- A prospective, multicenter cohort study was conducted over 18 months.
- Data from 600 pediatric patients (1 month to 14 years) undergoing abdominal surgery were analyzed.
- Patient demographics, surgical details, and outcomes were collected to identify SSI risk factors.
Main Results:
- The overall incidence of SSIs was 11.5%.
- Significant risk factors identified include contaminated surgical wounds (P < 0.001), operative duration exceeding 2 hours (P = 0.002), and emergency surgery (P = 0.007).
- Presence of comorbidities like malnutrition or immunosuppression also increased SSI risk (P < 0.05).
Conclusions:
- SSIs represent a substantial challenge in pediatric abdominal surgery.
- Identifying and addressing modifiable risk factors is essential for reducing SSI incidence and improving patient recovery.
Background:
Surgical site infections (SSIs) are among the most common postoperative complications in pediatric abdominal surgeries. Understanding the incidence and risk factors is crucial for effective prevention and improved outcomes.
Materials And Methods:
A prospective multicenter cohort study was conducted over 18 months involving 600 pediatric patients (aged between one month and 14 years) undergoing abdominal surgeries. Data on patient demographics, surgical characteristics, and postoperative outcomes were collected and analyzed to identify SSI risk factors.
Results:
The overall incidence of SSIs was 11.5%. Significant risk factors included contaminated surgical wounds (P < 0.001), operative duration > 2 h (P = 0.002), emergency surgery (P = 0.007), and presence of comorbidities such as malnutrition or immunosuppression (P < 0.05).
Conclusion:
SSIs remain a significant burden in pediatric abdominal surgeries. Timely identification of modifiable risk factors can help reduce the incidence and improve patient outcomes.
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