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Incidence and risk ...
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Pathak, Ashish,1973-Karolinska Institutet,Uppsala universitet,Internationell mödra- och barnhälsovård (IMCH),Ruxmaniben Deepchand Gardi Med Coll, Dept Paediat, Ujjain, Madhya Pradesh, India.; Karolinska Inst, Dept Publ Hlth Sci, Global Hlth Hlth Syst & Policy, Stockholm, Sweden.
(författare)
Incidence and risk factors for surgical site infections in obstetric and gynecological surgeries from a teaching hospital in rural India
- Artikel/kapitelEngelska2017
Förlag, utgivningsår, omfång ...
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2017-06-14
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BIOMED CENTRAL LTD,2017
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electronicrdacarrier
Nummerbeteckningar
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LIBRIS-ID:oai:DiVA.org:uu-329675
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https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-329675URI
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https://doi.org/10.1186/s13756-017-0223-yDOI
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http://kipublications.ki.se/Default.aspx?queryparsed=id:136017190URI
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Språk:engelska
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Sammanfattning på:engelska
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Ämneskategori:art swepub-publicationtype
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Background: Surgical site infections (SSI) are one of the most common healthcare associated infections in the low-middle income countries. Data on incidence and risk factors for SSI following surgeries in general and Obstetric and Gynecological surgeries in particular are scare. This study set out to identify risk factors for SSI in patients undergoing Obstetric and Gynecological surgeries in an Indian rural hospital.Methods: Patients who underwent a surgical procedure between September 2010 to February 2013 in the 60-bedded ward of Obstetric and Gynecology department were included. Surveillance for SSI was based on the Centre for Disease Control (CDC) definition and methodology. Incidence and risk factors for SSI, including those for specific procedure, were calculated from data collected on daily ward rounds.Results: A total of 1173 patients underwent a surgical procedure during the study period. The incidence of SSI in the cohort was 7.84% (95% CI 6.30-9.38). Majority of SSI were superficial. Obstetric surgeries had a lower SSI incidence compared to gynecological surgeries (1.2% versus 10.3% respectively). The risk factors for SSI identified in the multivariate logistic regression model were age (OR 1.03), vaginal examination (OR 1.31); presence of vaginal discharge (OR 4.04); medical disease (OR 5.76); American Society of Anesthesia score greater than 3 (OR 12.8); concurrent surgical procedure (OR 3.26); each increase in hour of surgery, after the first hour, doubled the risk of SSI; inappropriate antibiotic prophylaxis increased the risk of SSI by nearly 5 times. Each day increase in stay in the hospital after the surgery increased the risk of contacting an SSI by 5%.Conclusions: Incidence and risk factors from prospective SSI surveillance can be reported simultaneously for the Obstetric and Gynecological surgeries and can be part of routine practice in resource-constrained settings. The incidence of SSI was lower for Obstetric surgeries compared to Gynecological surgeries. Multiple risk factors identified in the present study can be helpful for SSI risk stratification in low-middle income countries.
Ämnesord och genrebeteckningar
Biuppslag (personer, institutioner, konferenser, titlar ...)
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Mahadik, KalpanaRuxmaniben Deepchand Gardi Med Coll, Dept Obstet & Gynecol, Ujjain, Madhya Pradesh, India.
(författare)
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Swami, Manmat B.Ruxmaniben Deepchand Gardi Med Coll, Dept Obstet & Gynecol, Ujjain, Madhya Pradesh, India.
(författare)
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Roy, Pulak K.Ruxmaniben Deepchand Gardi Med Coll, Dept Obstet & Gynecol, Ujjain, Madhya Pradesh, India.
(författare)
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Sharma, MeghaKarolinska Inst, Dept Publ Hlth Sci, Global Hlth Hlth Syst & Policy, Stockholm, Sweden.;Ruxmaniben Deepchand Gardi Med Coll, Dept Pharmacol, Ujjain, Madhya Pradesh, India.
(författare)
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Mahadik, Vijay K.Ruxmaniben Deepchand Gardi Med Coll, Ujjain, Madhya Pradesh, India.
(författare)
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Lundborg, Cecilia StalsbyKarolinska Institutet,Karolinska Inst, Dept Publ Hlth Sci, Global Hlth Hlth Syst & Policy, Stockholm, Sweden.
(författare)
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Uppsala universitetInternationell mödra- och barnhälsovård (IMCH)
(creator_code:org_t)
Sammanhörande titlar
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Ingår i:Antimicrobial Resistance and Infection Control: BIOMED CENTRAL LTD62047-2994
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