Kasım ÇAĞLAYAN, Ahmet BAL, Mehmet BALCI, Ergin ARSLAN, Neziha YILMAZ

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Cerrahi Alan İnfeksiyonları ve Risk Faktörleri: Türkiye’de Doğu Anadolu Bölgesinde bir Devlet Hastanesinin Sonuçları

Amaç: Cerrahi alan infeksiyonları (CAİ) cerrahiden sonra görülen major bir problemdir. Hasta konforunun bozulmasına, morbidite ve mortalite artışa, hastanede kalış sü- resinin uzamasına ve hastane maliyetlerinde artışa neden olurlar. Bu çalışmanın amacı cerrahi alan infeksiyonlarını etkileyen risk faktörlerini araştırmaktır.Materyal ve Metod: Bir devlet hastanesinde Kasım 2007 ile Ağustos 2009 tarihleri arasında cerrahi uygulanan 1040 hasta; CAİ ve onunla ilişkili yaş, cinsiyet, ASA derecelendirmesi, anestezi tipi, cerrahinin zamanlaması ve bölgesi, yara tipi ve altta yatan hastalık açısından retrospektif olarak incelendi.Bulgular: Hastaların yaşları 4 ile 82 yıl (ort. 36,1 ±15,8 yıl) arasında ve kadın/erkek oranı 43/57 idi. 1040 hastanın 53’ünde (% 5,1) CAİ tanısı konmuştu. CAİ gelişen vakaların % 39,2’sinde S. aureus izole edildi. CAİ gelişen hastaların ortalama yatış süresi 7 gün iken, gelişmeyen hastalarda bu oran 2,7 gün idi. Yaş, yara tipi, ASA skoru ve altta hastalıkla CAİ gelişmesi arasında anlamlı fark bulundu (p<0,05).Sonuç: Hastaların ameliyat sonrası CAİ oranları literatür ile uyumlu idi. Hastanın yaşı, ASA skoru, yara tipi ve ek hastalık varlığı faktörleri değiştirilmez. Ancak CAİ için risk ameliyat öncesi antibiyotik profilaksisi ile azaltılabilir.
Anahtar Kelimeler:

Cerrahi alan infeksiyonu, insidans, ced in patients with preoperative antibiotic prophylaxis

Surgical Site Infections and Risk Factors: Results of a State Hospital in the Eastern Anatolia Region in Turkey

Objective: Surgical site infections (SSIs) are a major problem after surgery. They cause to impairment of patientcomfort, increase morbidity, mortality, in hospital stayand costs. The aim of this study is to investigate the riskfactors affecting SSIs.Material and Methods: One thousand forty patientsunderwent general surgery procedures at a single statehospital between 2007 November and 2009 August wereretrospectively reviewed for SSIs and its relationship withfactors such as age, gender, ASA (American Society ofAnesthesiologists) scores, timing and site of surgery, typeof wound and underlying diseases.Results: Patients ranged in age from 4 to 82 years (mean36,1 ±15,8) and female to male ratio was 43/ 57. Of 1040patients, 53 (5,1 %) had a diagnosis of SSI. The isolatedpathogen in the 39,2 % of the patients who developedwound infection was S. aureus. The hospital stay was average 7 days in the patients developed SSI while it was 2,7days in the patients without SSI. The age, wound type,ASA scores and underlying diseases were found significant in the development of SSIs (p<0,05).Conclusions: Postoperative wound infection rates in ourpatients were in compatible with literature. Patient’s age,ASA score, wound type and the presence of additionaldisease are not changed factors but this risk can be reduced in patients with preoperative antibiotic prophylaxis. 
Keywords:

Surgical site infection, incidence, risk factors,

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Kocatepe Tıp Dergisi-Cover
  • ISSN: 1302-4612
  • Yayın Aralığı: Yılda 4 Sayı
  • Başlangıç: 1999
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