Incidence and risk factors for surgical site infection post-gynecological operations in a tertiary hospital in Egypt: a retrospective study

Khaled Goma; Saad El Gelany; Ahmed Fawzy Galal

doi:10.18203/2320-1770.ijrcog20220056

Authors

Khaled Goma Department of Obstetrics and Gynecology, Faculty of Medicine, Minia University, Egypt
Saad El Gelany Department of Obstetrics and Gynecology, Faculty of Medicine, Minia University, Egypt
Ahmed Fawzy Galal Department of Obstetrics and Gynecology, Faculty of Medicine, Alexandria University, Egypt

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20220056

Keywords:

SSI, Gynecological operations, Incidence, Risk factors

Abstract

Background: Surgical site infection (SSI) is the most common complication of surgical procedures in gynecology and it poses a significant burden for both patients and healthcare systems. Our objective was determining the incidence and risk factors for SSI post-gynecological operations during the period of five years.

Methods: A matched case-control study at Minia maternity university, Egypt where A total of 18772 cases had undergone different gynecological procedures. The 876 cases were complicated with SSI (SSI cases group) and 2 matched controls per case were chosen from the rest of the cases and served as the control group (n=1752 cases).

Results: The overall incidence of SSI post-gynecological operations was 4.67% and post-hysterectomy was 7.57%. SSI group had a significantly higher number of cases with diabetes, obesity, high parity (>4), increased blood loss and those had prolonged duration of surgery compared to the control group (all p<0.01).

Conclusions: The identified risk factors are crucial for risk stratification of SSI and prioritizing interventions to improve the outcome. These results could give a picture for SSI post-gynecological operations in our country and identifying these risk factors is crucial for risk stratification of SSI and prioritizing interventions to improve the outcome.

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