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Association of Paediatric Surgeons of Bangladesh
Journal of Paediatric Surgeons of Bangladesh
Original Articles · Vol. 8 No. 2 (2017)

Superficial surgical site infections: A comparative study between elective and emergency gastrointestinal surgeries in children

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JPSB
Journal of
Paediatric Surgeons of Bangladesh
Published : July 2017
CONTENTSVolume 08Number 2July 2017
Editorial
Paediatric laparoscopy in Bangladesh: Current situation after over a decade of introduction
Md Jafrul Hannan
41
Review Articles
Scope of Paediatric urology in Bangladesh
Mohammed Shadrul Alam
66
Original Articles
Paediatric inguinal herniotomy with and without exploration of inguinal canal
S M Borhan Uddin, Md Abdul Wahed, Md Tahidur Rahman, Sakil Mohammad, Md Touhid Alam, Md Salahuddin
43
Dorsal double layer dartos flap in the Snodgrass technique of hypospadias repair: An experience in Dhaka Medical College Hospital
Sahadeb Kumar Das, Kaniz Hasina, Md Ashraf Ul Huq, Jaglul Gaffer Khan, S M Shafiqul Alam, Md Tawhidul Islam
47
Evaluation of post-operative outcome in different surgical management for benign adnexal mass in children
Sifat Zereen Khan, Kaniz Hasina, Jaglul Gaffer Khan, S M Shafiqul Alam
52
Superficial surgical site infections: A comparative study between elective and emergency gastrointestinal surgeries in children
Syed Abdul Adil, Md Mahbubul Alam, Partha Sarathy Majumder, Kaniz Hasina, Tahmina Hossain
58
An objective assessment of the results of hypospadias surgery
Md Abu Jafor, Sheikh Zahid Boksh, Md Samidur Rahman, Mafia Afshin Laz, A H M Abdul Hai
63
Case Reports
Endoscopy guided retrieval of gastric foreign body by mini laparotomy following peg principle in a toddler
Masfique Ahmed Bhuiyan, Kaniz Hasina, Nazmus Sakib Ferdous, Bipul Bhushon Das, S M Shafiqul Alam, Mohammed Moinul Huque, Sifat Zereen Khan
71
The Official Journal of the
ASSOCIATION OF PAEDIATRIC SURGEONS OF BANGLADESH (APSB)
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Authors

  • Syed Abdul AdilResident Surgeon, Paediatric Surgery, Dhaka Medical College Hospital.
  • Md Mahbubul AlamAssistant Professor, Paediatric Urology, Dhaka Medical College, Dhaka.
  • Partha Sarathy MajumderAssistant Professor, Paediatric Surgical Oncology, Dhaka Medical College, Dhaka.
  • Kaniz HasinaProfessor, Department of Pediatric Surgery, Dhaka Medical College & Hospital, Dhaka.
  • Tahmina HossainAssociate Professor, Department of Pediatric Surgery, Dhaka Medical College & Hospital, Dhaka.

Keywords

Superficial surgical site infections Elective and emergency Gastrointestinal surgeries

Abstract

Background: Surgical site infections (SSIs) are an important cause of healthcare-associated infections. They complicate the postoperative course of a significant proportion of general abdominal surgical patients and are associated with considerable morbidity and mortality. Risks associated with SSIs are related to both host and perioperative factors. Although intrinsic factors in patients - such as age, underlying illness and site of the procedure - increase the risk, the quality of care delivered during the perioperative period is critical to preventing SSI. The aim and objective of this study was to compare the incidence (percentage) of superficial surgical site infections in elective and emergency gastrointestinal surgeries. Method: In this comparative study, a total number of 60 cases were taken purposively from January, 2015 to December, 2016 in the Department of Pediatric Surgery, Dhaka Medical College Hospital, Dhaka. All the patients, fulfilling the inclusion criteria, were enrolled for emergency gastrointestinal surgery (Group A) and elective gastrointestinal surgery (Group B). For assessing development of SSIs in post operative patients and evaluating the outcome of emergency gastrointestinal surgery, comparison was made with the patients undergoing elective gastrointestinal surgery. ASEPSIS wound scoring method for assessment of wound infections was used during postoperative period. Result: In this study, 20 (66.6%) patients were male in emergency operative group (group A) and 16 (53.3%) patients were male in elective operative group (group B). Age range was 19 days to 12 years in emergency operative group and 10 months to 11 years in elective operative group. In group A out of 30 patients, 6 developed wound infection (20 %) and in group B out of 30 patients, 2 developed wound infection (6.67%). Chi-square test revealed a p value of 0.74 which was > 0.05. So the difference was not significant. Total 5 cases had growth of microorganisms in wound swab in group A and 1 case had growth in group B. Among 5 cases of group A, Staphylococcus aureus, Escherichia coli and Pseudomonus aeruginosa observed in 1, 3, 1 cases respectively. Only 1 case of Escherichia coli was observed in group B. Conclusion: There is no statistical difference in superficial surgical site infections between elective and emergency gastrointestinal surgeries in this study

Journal of Paediatric Surgeons of Bangladesh (2017) Vol. 8 (2): 58–62

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