Obstetrik ve Jinekolojik Operasyonlarda Cerrahi Alan Enfeksiyonları İle İlgili Risk Faktörlerinin Değerlendirilmesi

Öz

Amaç: Cerrahi alan enfeksiyonları, cerrahi sonrası 30 gün içeri-sinde insizyon yerinde ortaya çıkan enfeksiyonlardır. Jinekolojik cerrahi sonrası en sık görülen komplikasyon cerrahi alan enfeksi-yonudur. Cerrahi alan enfeksiyonlarının gelişmesinde risk faktörle-ri değiştirilebilir ve değiştirilemez faktörler olarak ikiye ayrılır. Değiştirilebilir risk faktörleri arasında preoperatif anemi, diyabetes mellitus, hipertansiyon, malnütrisyon, sigara kullanımı; değiştiri-lemeyen risk faktörleri arasında yaş, obezite, malignite gibi faktör-ler bulunmaktadır. Bu çalışmada jinekolojik ve obstetrik cerrahi sonrası cerrahi alan enfeksiyonu gelişen olgularda risk faktörleri değerlendirildi.
Materyal Metot: Retrospektif olgu-kontrol çalışmasında Ocak-Aralık 2017 yılı içerisinde jinekolojik ve obstetrik cerrahi geçirmiş; operasyon sonrası cerrahi alan enfeksiyonu gelişen 65 ve enfeksi-yon gelişmeyen 52 hastanın demografik (yaş, kilo, beden kitle indeksi, kronik hastalık varlığı), preoperatif dönemde transfüzyon geçmişi, sigara kullanımı, tıbbi ve operasyon verileri karşılaştırıldı.
Bulgular: Cerrahi alan enfeksiyonu geçiren olguların yaş ve beden kitle indeksi enfeksiyon gelişmeyen olgulara göre daha fazla bu-lundu. Cerrahi alan enfeksiyonu gelişenlerde diyabet, hipertansi-yon, malignite daha fazla oranda mevcuttu.
Sonuç: Cerrahi alan enfeksiyonları hasta morbiditesini artırmakta-dır. Risk faktörleri arasında yaş, obezite, malignite, diyabet, hiper-tansiyon gibi faktörler bulunmaktadır. Risk faktörlerinin cerrahi öncesi belirlenmesi ve cerrahi alan enfeksiyonunu önlemeye yöne-lik tedbirler alınması önemlidir.

Anahtar Kelimeler

• Cerrahi alan enfeksiyonu,jinekolojik operasyon,obstetrik operasyon

Evaluation of Risk Factors Related to Surgical Site Infections in Obstetric and Gynecologic Operations

Öz

Objective: Surgical site infections(SSI) are those that occur at the incision site within 30 days after surgery. They are the most com-mon complications after gynecological surgery. For the develop-ment of SSI, risk factors are divided into two as modifiable and non-modifiable factors. Modifiable risk factors include preoperati-ve anemia, diabetes mellitus, hypertension, malnutrition and smo-king, whereas non-modifiable risk factors include age, obesity, malignancy, etc. This study evaluated the risk factors in patients who developed SSI after gynecological-obstetric surgery. Materials and Methods: This retrospective case-control study compared data including age, weight, body mass index(BMI) and presence of a chronic disease, history of preoperative transfusion, smoking and medical-operative data between 65 patients who underwent surgery and developed postoperative SSI and 52 pati-ents who did not develop SSI from January to December 2017.
Results: Patients with SSI had higher age, weight and BMI than those without infection. The incidence of diabetes, hypertension and malignancy was higher in patients with SSI.
Conclusion: Surgical site infections increase morbidity rates. Risk factors for SSI include age, obesity, malignancy, diabetes and hypertension. It is important to determine the risk factors before surgery and to take precautions to prevent SSI.

Anahtar Kelimeler

• Gynecological surgery,surgical site infection,obstetric surgery

Kaynakça

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