3-year study of surgical wound infection in a gynecological and pediatric Educational and Medical Center in Semnan.
3-year study of surgical wound infection in a gynecological and pediatric Educational and Medical Center in Semnan.
Faezeh Valian,1Seyedeh Fatemeh Nabavi Chashmi ,2Samaneh Chenari ,3Fereshteh Ghods ,4Mohadeseh Saffari ,5,*
1. Master student of intensive care nursing, Semnan University of Medical Sciences, Semnan, Iran. 2. Nurse of Infection Control Committee of Amir Al-Momenin Educational and Medical Center, Semnan University of Medical Sciences, Semnan, Iran. 3. Student Research Committee, School of Allied Medical Sciences, Semnan University of Medical Sciences, Semnan, Iran. 4. Head Nurse of Amir Al-Momenin Educational and Medical Center, Semnan University of Medical Sciences, Semnan, Iran. 5. Faculty member of School of Allied Medical Sciences, Semnan University of Medical Sciences, Semnan, Iran.
Introduction: Surgical wound infection is the second most common cause of nosocomial infections, accounting for at least 17% of these cases. Infection of the surgical wound site has irreversible complications, so that it is one of the causes of mortality due to surgery and the additional costs caused by it, result in a long stay in the hospital. Lack of knowledge about its prevalence can impede preventive decisions in the general policies of the health system. Therefore, the present study was performed with the aim of 3-year study of surgical wound infection in a gynecological and pediatric Educational and Medical Center in Semnan.
Methods: This descriptive cross-sectional study was performed from 1396 to 1399 in Amir Al-Momenin Hospital in Semnan. After referring to all the data in the hospital infection control committee, the necessary information was collected and then analyzed by SPSS software version 23 with the help of descriptive statistical methods.
Results: The results showed that the prevalence of surgical wound infection based on the total number of surgeries performed in this center in 1399, 1398 and 1397 was 0.4, 0.8 and 0.7%, respectively. The results also showed that according to the type of hospital ward, the highest rate of infection during these three years were related to gynecological surgery wards 85.8% (38 cases), vip (including gynecological surgery and other surgeries in female patients) 11.3% (5 cases) and pediatric surgery ward was 2.2% (1 case). The results showed that the highest rates of infection were related to cesarean section, hysterectomy and laparotomy, respectively. Out of 44 patients with surgical wound infection, 34 (77.2%) had superficial infection and 10 (22.7%) had deep infection.
Conclusion: Based on the results of this study, it is recommended that health issues, aseptic principles and more effective preventive strategies be considered to reduce the incidence of surgical wound infections in hospitals and surgical centers. Permanent monitoring with mechanisms planned by the Infection Control Committee of hospitals and also further researches in identifying susceptible cases of surgical wound infection are also recommended.