Evaluation of Surgical Site Infections

Yıl 2019, Cilt: 14 Sayı: 1, 16 - 19, 15.03.2019

Selma Ateş Selçuk Nazik , Ahmet Rıza Şahin , Fadime Kardaş Ayşegül Erdoğan

https://doi.org/10.17517/ksutfd.467381

Cited By: 2

Öz

Objective: The
aim of this study was to evaluate the preoperative and postoperative management
of patients with surgical field infection and to evaluate the factors related
to the host.

Material and Methods: The
study was planned as prospective, cross-sectional and descriptive. Patients who
were operated by different departments in the Faculty of Medicine of Kahramanmaraş
Sütçü İmam University and who developed infection were included in the study.

Results: The
study included 67 patients (59.7% male, 40.3% female). While
19.4% (n = 13) of the cases had blood transfusion in the preoperative period,
80.6% (n = 54) had no blood transfusions. 97% (n = 65) of the patients had
antiseptic shower in the preoperative period and 53.7% (n = 36) of the cases
had hair cleansing preoperatively. When the distribution
of the patients who developed infection at the wound site after the operation
is examined, 61 % Gram (-) bacteria, 25.5 % Gram (+) bacteria and 4.5 % fungus were
found.

Conclusion: Surgical
site infections increase the length of hospital stay and cause loss of labor
and economic loss. Surgical site infections are preventable
causes. Therefore, maximum attention should be given to taking the necessary
measures.

Anahtar Kelimeler

Surgical site infection, host factors, preoperative period

Cerrahi Alan Enfeksiyonlarının Değerlendirilmesi

Öz

Amaç: Bu
çalışmada operasyon sonrası cerrahi alan enfeksiyonu gelişen hastaların
operasyon öncesi ve sonrası yaptığı uygulamalar ve konağa ait faktörlerin
değerlendirilmesi amaçlanmıştır.

Gereç ve Yöntemler: Çalışma
prospektif, kesitsel ve tanımlayıcı olarak planlandı. Kahramanmaraş Sütçü imam
Üniversitesi Tıp Fakültesi Hastanesinde farklı bölümler tarafından opere edilen
ve enfeksiyon gelişen hastalar çalışmaya dahil edildi.

Bulgular: Çalışmaya
67 hasta dahil edildi (% 59.7’si erkek, %40.3’ü kadın). Olguların % 19.4’üne
(n=13) preoperatif dönemde kan transfüzyonu yapılmış iken, % 80.6’sına (n=54)
kan transfüzyonu yapılmamıştır. Olguların % 97’si (n=65) preoperatif dönemde
antiseptikli duş almış ve olguların % 53.7’si (n=36) preoperatif dönemde kıl
temizliği yapmıştır. Operasyon sonrası yara yerinde enfeksiyon gelişen
hastaların dağılımı incelendiğinde hastaların % 61’inde Gram (-) bakteri, % 25.5’inda
Gram (+) bakteri ve % 4.5’inde mantar üremesi saptanmıştır.

Sonuç: Cerrahi
alan enfeksiyonları hastaların hastanede yatış süresini arttırarak, iş gücü
kaybına ve ekonomik kayba neden olmaktadır. Cerrahi alan enfeksiyonlarının
önlenebilir nedenlerdir. Bu nedenle gerekli önlemleri almak konusunda azami
dikkat gösterilmelidir.

Anahtar Kelimeler

Cerrahi Alan enfeksiyonu, Konak faktörleri, Preoperatif dönem

Kaynakça

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