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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.
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.
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