Document Type : Original Article
Authors
1 Student research committee, School of Medicine, Mobini Maternity Hospital, Sabzevar University of Medical Sciences Sabzevar
2 2. Associate Professor of Health Information Management, Department of Operating Room, School of Allied Medical Sciences, Iranian Research Center on Healthy Aging, Sabzevar University of Medical Sciences, Sabzevar, Iran
3 Assistant Professor of Infectious Disease, Department of Internal Medicine, School of Medicine. Leishmaniasis Research Center, Vasei Hospital. Sabzevar University of Medical Sciences, Sabzevar, Iran.
4 Assistant Professor of Epidemiology, Department of Biostatistics and Epidemiology, School of Health. Iranian Research Center on Healthy Aging, Sabzevar University of Medical Sciences, Sabzevar, Iran
5 Assistant Professor of Surgery, Department of Surgery, School of Medicine, Emdad Trauma Hospital, Sabzevar University of Medical Sciences, Sabzevar, Iran,
Abstract
Introduction: Surgical site infection (SSI) is one of the most important postoperative complications of surgical procedures, associated with increased length of hospital stay and increased treatment costs. The aim of this study was to determine the prevalence of surgical site infection and its associated factors in hospitalized patients.
Materials and Methods: This cross-sectional descriptive-analytical study was conducted in the teaching hospitals of Sabzevar in 2024. Sampling was performed using a census method, and data were collected from the hospital infection control unit and review of medical records of patients with surgical site infection. The data collection tool was a checklist of demographic variables and infection characteristics. Data analysis was performed using statistical tests including t-test, chi-square, and logistic regression.
Results: Out of a total of 14,329 surgical procedures performed, 218 cases of surgical site infection were reported. The analyses showed that factors such as advanced age, prolonged hospital stay, high preoperative blood glucose levels, and high body mass index were all significantly associated with greater severity of infection. Additionally, alcohol and cigarette consumption, as well as preoperative anemia, increased the risk of infection. Underlying diseases such as diabetes, hypertension, kidney problems, and immunosuppression also played a prominent role in exacerbating infection.
Conclusion: Although the prevalence of infection in this center is relatively low, focusing on blood glucose control, management of underlying diseases, and avoidance of prolonged antibiotic use can be effective strategies for reducing this complication.
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