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Surgical site infections: Incidence and impact on healthcare resources
Joint Event on 2nd Global Summit on Dermatology and Cosmetology & 3rd International Conference on Wound Care, Tissue Repair and Regenerative Medicine
September 09-10, 2019 | Edinburgh, Scotland
Charlotte Munday, A Singh and A Khanna
Milton Keynes University Hospital, UK
Posters & Accepted Abstracts : Dermatol Res Skin Care
Abstract:
Statement of the Problem: Surgical site infections (SSIs)
are infections of the incision, organ or space that occur in
the 30 days following surgery. 5% of patients undergoing
surgery develop SSIs. They are associated with significant
morbidity and mortality. SSIs pose a heavy financial
burden, prolong inpatient stay, and negatively impact
quality on life. Numerous factors such as obesity, ASA
score, operation duration and contaminated/dirty wounds
are associated with SSIs. Attention therefore to pre, intra,
and post-operative risk factors are essential in reducing
their incidence. The purpose of this audit is to identify the
incidence of SSIs occurring in general, vascular colorectal
and breast surgery over a 1-year period (1st Jan – 31st Dec)
and to identify techniques that may reduce occurrence.
Methodology: Retrospective data were collected on surgical
patients that developed SSIs in 2018. Independent predictors
of SSIs were evaluated including type of operation performed
and use of intra/post-operative antibiotics. Consequences of
SSIs were then reviewed involving wound swab utilisation,
antibiotic duration, use of further imaging, subsequent
surgical intervention and prolongation of hospital stay.
Findings: 3996 operations were performed. 58 SSJs were
identified (incidence of 0.015%). 79% received intraoperative
antibiotics. 51% of patients had wound swabs taken. 11
patients had antibiotics prescribed according to sensitives. 30
readmissions, 12 further operations and 27 additional scans
were identified. 143 extra bed days were calculated. 402 days
of antibiotics were prescribed.
Conclusion and Significance: The consequences of SSIs are
multifactorial. More focussed antibiotic prescribing is needed
according to wound swab results and sensitivities. The duration/
indication for antibiotics and inclusion of SSIs on discharge
summaries require improved documentation. Follow up of
patients discharged is recommended to identify SSIs treated
in the community, a potential source of bias in this study.
Biography:
E-mail:
charlotte.munday@mkuh.nhs.ukPDF HTML