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Surgical Site Infections in Orthopedic Surgery Patients at a Tertiary Center: A Descriptive Cross-Sectional Study
B R Karki1, R Shrestha1, B Paudel1
1Department of Orthopedics and Traumatology, Kathmandu University School of Medical Sciences, Kathmandu University Hospital, Dhulikhel, Kavre, Nepal.
Kathmandu University Medical Journal (KUMJ)
|June 19, 2026
Summary
The prevalence of surgical site infection (SSI) in orthopedic surgery patients was 3.02% in a Nepal hospital. Strict monitoring and aseptic techniques are vital for reducing SSI incidence and improving patient outcomes.
Area of Science:
- Infectious Disease
- Surgical Outcomes
- Public Health
Background:
- Surgical site infection (SSI) is a major postoperative complication, increasing morbidity, mortality, and healthcare costs.
- Understanding SSI prevalence is key for effective prevention and improved patient care.
Purpose of the Study:
- To determine the prevalence of postoperative surgical site infections (SSIs) in orthopedic surgery patients.
- To provide data for targeted preventive strategies in a tertiary care setting.
Main Methods:
- A descriptive cross-sectional study was conducted at Dhulikhel Hospital, Nepal, from March 2023 to February 2024.
- 1,061 orthopedic surgery patients were enrolled, with SSIs diagnosed within 30 days postoperatively.
- Data analyzed using point estimates, 95% confidence intervals, frequencies, and percentages.
Main Results:
- A total of 32 surgical site infections (SSIs) were identified among 1,061 patients, yielding a prevalence of 3.02%.
- Patients with SSIs had a mean age of 39.52 ± 18.11 years, with a majority being adult males.
Conclusions:
- The SSI prevalence in orthopedic surgery at this Nepalese tertiary care center is comparable to international rates.
- Continuous monitoring, strict aseptic techniques, and timely interventions are crucial for reducing SSI incidence.
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