Perception of Surgical Teams Towards Surgical Site Infections in Tertiary Care Hospital Islamabad, Pakistan
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This study aimed to evaluate the perception of surgical teams (doctors) towards surgical site infections (SSIs). A cross-sectional study was carried out in a tertiary care hospital in Pakistan. The questionnaire was completed by 85 surgical team doctors (n = 110) (response rate ≥ 77%). The respondent perception of SSIs was found significant. Patient hospitalization, care of the patient in the ward, intrinsic and extrinsic factors, assessment of malnutrition, a therapy protocol, inappropriate parameters, criteria of KUNIN, pathological examination, the total length of stay, and rational antibiotics prophylaxis (95% CI p < 0.05) are considered responsible variables for the incidence of SSIs. The obesity and the factors related to the ventilation of operating room (95% CI p < 0.05) are counted insignificant for SSI. The internal consistency for the questionnaire’s scale and each factor subscale was good fit (overall = 0.8, each, α ≥ 0.07). Surgeons’ perspective has shown that the associated risk factors and treatment outcomes of surgical patients may have a direct association with the incidence of SSIs.
KeywordsSurgical site infection Risk factors Cronbach alpha
The authors would like to pay a token of thanks to Prof. Zafar Malik and all surgical teams of the surgical wards who helped us throughout the project.
Compliance with Ethical Standards
Conflict of Interest
The authors declare that they have no conflict of interest.
Consent was obtained from the participants.
Ethical approval was obtained from the hospital and university. The Bio-Ethics Committee (BEC) of Quaid-i-Azam University had approved and permitted this cross-sectional study. The assigned protocol number was (BEC-FBSQAU-103) granted. The Pakistan Institute of medical sciences ethical review board (ERB) also approved the current study and allotted (No. F.11/2015/ERB/SZAMBU) protocol reference.
- 1.Lawrence C (2018) Medical theory, surgical practice: studies in the history of surgery, vol 9. Routledge, LondonGoogle Scholar
- 3.Birgand G, Haudebourg T, Grammatico-Guillon L, Ferrand L, Moret L, Gouin F, Mauduit N, Leux C, Le Manach Y, Lepelletier D (2019) Improvement in staff behavior during surgical procedures to prevent post-operative complications (ARIBO 2): study protocol for a cluster randomised trial. Trials 20(1):275Google Scholar
- 4.Weiser TG, Regenbogen SE, Thompson KD, Haynes AB, Lipsitz SR, Berry WR, Gawande AA (2008) An estimation of the global volume of surgery: a modelling strategy based on available data. Lancet 372(9633):139–144Google Scholar
- 5.Allegranzi B, Nejad SB, Combescure C, Graafmans W, Attar H, Donaldson L, Pittet D (2011) Burden of endemic health-care-associated infection in developing countries: systematic review and meta-analysis. Lancet 377(9761):228–241Google Scholar
- 8.Geubbels EL, Mintjes-de Groot AJ, van den Berg JM, de Boer AS (2000) An operating surveillance system of surgical-site infections in The Netherlands: results of the PREZIES national surveillance network. Preventie van Ziekenhuisinfecties door surveillance. Infect Control Hosp Epidemiol 21(5):311–318. https://doi.org/10.1086/501762 Google Scholar
- 9.Zorrilla P, Gomez LA, Salido JA, Silva A, Lopez-Alonso A (2006) Low serum zinc level as a predictive factor of delayed wound healing in total hip replacement. Wound repair and regeneration : official publication of the Wound Healing Society [and] the European Tissue Repair Society 14(2):119–122. https://doi.org/10.1111/j.1743-6109.2006.00100.x Google Scholar
- 10.Stratton RJ, Hackston A, Longmore D, Dixon R, Price S, Stroud M, King C, Elia M (2004) Malnutrition in hospital outpatients and inpatients: prevalence, concurrent validity and ease of use of the ‘malnutrition universal screening tool’ (‘MUST’) for adults. Br J Nutr 92(5):799–808Google Scholar
- 12.Patil BS, Khot AM, Patil AV, Naikwadi AA (2019) Analysis of drug utilization pattern of antimicrobials used as surgical prophylaxis for general surgical procedures in a Tertiary Care Hospital of North Karnataka: an observational study. J Health Res Rev 6(1):22Google Scholar
- 14.Beganovic M, Cusumano JA, Lopes V, LaPlante KL, Caffrey AR (2019) Comparative effectiveness of exclusive exposure to nafcillin or oxacillin, cefazolin, piperacillin/tazobactam, and fluoroquinolones among a national cohort of veterans with methicillin-susceptible Staphylococcus aureus bloodstream infection. Open Forum Infect Dis 6(7):ofz270. https://doi.org/10.1093/ofid/ofz270 Google Scholar
- 15.de Leval MR, Carthey J, Wright DJ, Farewell VT, Reason JT (2000) Human factors and cardiac surgery: a multicenter study. J Thorac Cardiovasc Surg 119(4):661–672Google Scholar
- 16.Tewari M (2019) Specialization in surgery: why it is important. Springer, BerlinGoogle Scholar
- 17.Schmidt CO, Kohlmann T (2008) When to use the odds ratio or the relative risk? Int J Public Health 53(3):165–167Google Scholar
- 20.Broman KK, Gaskill CE, Faqih A, Feng M, Phillips SE, Lober WB, Pierce RA, Holzman MD, Evans HL, Poulose BK (2019) Evaluation of wound photography for remote postoperative assessment of surgical site infections. JAMA Surg 154(2):117–124Google Scholar
- 21.Ban KA, Minei JP, Laronga C, Harbrecht BG, Jensen EH, Fry DE, Itani KMF, Dellinger EP, Ko CY, Duane TM (2017) Executive summary of the American College of Surgeons/Surgical Infection Society surgical site infection guidelines-2016 update. Surg Infect 18(4):379–382. https://doi.org/10.1089/sur.2016.214 Google Scholar
- 23.Hennessey DB, Burke JP, Ni-Dhonochu T, Shields C, Winter DC, Mealy K (2010) Preoperative hypoalbuminemia is an independent risk factor for the development of surgical site infection following gastrointestinal surgery: a multi-institutional study. Ann Surg 252(2):325–329. https://doi.org/10.1097/SLA.0b013e3181e9819a Google Scholar
- 26.Alimoglu O, Eren T, Tombalak E, Leblebici M, Azizoglu S, Sever S, Kinik K (2018) Volunteer surgical team in Somalia. Indian J Surg 80(5):447–451Google Scholar
- 27.Jain K, Sahran D, Singhal M, Misra M (2018) A novel way of linen management in an acute care surgical center. Indian J Surg 80(4):303–308Google Scholar
- 28.Suaya JA, Mera RM, Cassidy A, O’Hara P, Amrine-Madsen H, Burstin S, Miller LG (2014) Incidence and cost of hospitalizations associated with Staphylococcus aureus skin and soft tissue infections in the United States from 2001 through 2009. BMC Infect Dis 14(1):296Google Scholar