Abstract
Background: #Surgical site infection (SSI) is the dominant
cause of unplanned and potentially preventable hospital readmissions in
surgical patients. The main objective of this study is to determine the
risk factors of SSI among patients undergoing inguinal hernia operation.
Materials and Methods: We conducted a hospital-based case
control study from March 30, 2017, to November 29, 2017, on a total of
176 patients undergoing #inguinal hernia operation in a public Hospital
of Dhaka. We used a semi-structured questionnaire to collect data on
patients' characteristics and a checklist containing three questions to
identify the SSI.
Results: The mean age of the study population was 42 years
among case group and 44 years among the control group. The multivariate
analysis reflects the risk factors associated with SSI are age of above
35 years (OR= 3.84, CI=1.41-11.39), day-labor (OR= 3.032, CI =
1.23-7.79), employed (OR = 3.650, CI= 1.16-8.46), and having diabetes
more than 5 years (OR= 4.160, CI= 1.54-13.26). We also found 5.7% of
cases showed Methicillin Resistance Staphylococcus Aureus growth, and
58.0% of cases showed #Methicillin non- Resistance Staphylococcus aureus
growth.
Conclusion: The identified risk factors for the SSI reflect a
complex interaction among socio-demographic conditions. Although further
study is warranted to validate these results, the #socio-demographic factors presented may be a useful tool to stratify patient risk of SSI.
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