The Prevalence of Surgical Site Infection in Different Gynecological Surgery in Al-Zahra Hospital in Isfahan

Abstract

Background: Surgical site infection (SSI) is one of the most important nosocomial infections that increases costs and mortality. The aim of this study was to evaluate the frequency of infection after surgery in gynecology. Methods: In a cross-sectional descriptive-analytic study, the data of 329 patients who underwent gynecological surgeries at Al-Zahra Hospital in Isfahan in 2019 were included in the study. Data related to age, body mass index (BMI), underlying diseases, urgency of surgery, history of surgery at the same site and number of days of hospitalization before surgery were extracted. Patients were examined for 30 days after surgery. Cases of infection after surgery were diagnosed by a specialist. Data analysis was performed by Chi-square and Independent t-tests. Findings: Among the 329 patients who underwent hysterectomy, salpingo-oophorectomy, tubal ligation and tumor resection in the gynecology ward, a total of 21 patients (6.38), developed wound infection at the surgical site. The highest and lowest occurrence of infection after surgery occurred in patients undergoing hysterectomy (30) 99 and tubal ligation 43 (13.06), respectively. Among patients who underwent hysterectomy, women with a higher mean BMI were significantly more likely to develop postoperative infections. Conclusion: Emergency operation without administration of prophylaxis antibiotic and obesity increased the frequency of surgical wound infection in gynecological surgeries. © 2022 Isfahan University of Medical Sciences(IUMS). All rights reserved.