Cerrahi Alan Enfeksiyonlarının Değerlendirilmesi

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.

Evaluation of Surgical Site Infections

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.

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