Surgical site infections in an abdominal surgical ward at Kosovo Teaching Hospital

Background: Abdominal surgical site infections (SSI) cause substantial morbidity and mortality for patients undergoing operative procedures. We determined the incidence of and risk factors for SSI after abdominal surgery in the Department of Abdominal Surgery at the University Clinical Centre of Kos...

Full description

Saved in:
Bibliographic Details
Main Authors: Lul Raka, Avdyl Krasniqi, Faton Hoxha, Ruustem Musa, Gjyle Mulliqi, Selvete Krasniqi, Arsim Kurti, Antigona Dervishaj, Beqir Nuhiu, Baton Kelmendi, Dalip Limani, Ilir Tolaj
Format: Article
Language:English
Published: The Journal of Infection in Developing Countries 2007-12-01
Series:Journal of Infection in Developing Countries
Subjects:
Online Access:https://jidc.org/index.php/journal/article/view/375
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1850193006732247040
author Lul Raka
Avdyl Krasniqi
Faton Hoxha
Ruustem Musa
Gjyle Mulliqi
Selvete Krasniqi
Arsim Kurti
Antigona Dervishaj
Beqir Nuhiu
Baton Kelmendi
Dalip Limani
Ilir Tolaj
author_facet Lul Raka
Avdyl Krasniqi
Faton Hoxha
Ruustem Musa
Gjyle Mulliqi
Selvete Krasniqi
Arsim Kurti
Antigona Dervishaj
Beqir Nuhiu
Baton Kelmendi
Dalip Limani
Ilir Tolaj
author_sort Lul Raka
collection DOAJ
description Background: Abdominal surgical site infections (SSI) cause substantial morbidity and mortality for patients undergoing operative procedures. We determined the incidence of and risk factors for SSI after abdominal surgery in the Department of Abdominal Surgery at the University Clinical Centre of Kosovo (UCCK). Methodology: Prospective surveillance of patients undergoing abdominal surgery was performed between December 2005 and June 2006. CDC definitions were followed to detect SSI and study forms were based on Europe Link for Infection Control through Surveillance (HELICS) protocol. Results: A total of 253 surgical interventions in 225 patients were evaluated. The median age of patients was 42 years and 55.1% of them were male. The overall incidence rate of SSI was 12%. Follow-up was achieved for 84.1% of the procedures. For patients with an SSI, the median duration of hospitalization was 9 days compared with 4 days for those without an SSI (p2, use of antibiotic prophylaxis and NNIS class of >2 were all significant at p < .001. The SSI rates for the NNIS System risk classes 0, 1 and 2-3 were 4.2%, 46.7% and 100%, respectively. Conclusions: SSI caused considerable morbidity among surgical patients in UCCK. Appropriate active surveillance and infection control measures should be introduced during preoperative, intra-operative, and postoperative care to reduce infection rates.
format Article
id doaj-art-2a0800a8e56945128cbd9a25bb1f8e35
institution OA Journals
issn 1972-2680
language English
publishDate 2007-12-01
publisher The Journal of Infection in Developing Countries
record_format Article
series Journal of Infection in Developing Countries
spelling doaj-art-2a0800a8e56945128cbd9a25bb1f8e352025-08-20T02:14:22ZengThe Journal of Infection in Developing CountriesJournal of Infection in Developing Countries1972-26802007-12-0110310.3855/jidc.375Surgical site infections in an abdominal surgical ward at Kosovo Teaching HospitalLul Raka0Avdyl Krasniqi1Faton Hoxha2Ruustem Musa3Gjyle Mulliqi4Selvete Krasniqi5Arsim Kurti6Antigona Dervishaj7Beqir Nuhiu8Baton Kelmendi9Dalip Limani10Ilir Tolaj11National Institute for Public Health of Kosova, PrishtinaDepartment of Surgery, University Clinical Centre of Kosova, PrishtinaDepartment of Surgery, University Clinical Centre of Kosova, PrishtinaDepartment of Surgery, University Clinical Centre of Kosova, PrishtinaNational Institute for Public Health of Kosova, PrishtinaNational Institute for Public Health of Kosova, PrishtinaNational Institute for Public Health of Kosova, PrishtinaNational Institute for Public Health of Kosova, PrishtinaDepartment of Surgery, University Clinical Centre of Kosova, PrishtinaDepartment of Surgery, University Clinical Centre of Kosova, PrishtinaDepartment of Surgery, University Clinical Centre of Kosova, PrishtinaSchool of Medicine, Prishtina University, PrishtinaBackground: Abdominal surgical site infections (SSI) cause substantial morbidity and mortality for patients undergoing operative procedures. We determined the incidence of and risk factors for SSI after abdominal surgery in the Department of Abdominal Surgery at the University Clinical Centre of Kosovo (UCCK). Methodology: Prospective surveillance of patients undergoing abdominal surgery was performed between December 2005 and June 2006. CDC definitions were followed to detect SSI and study forms were based on Europe Link for Infection Control through Surveillance (HELICS) protocol. Results: A total of 253 surgical interventions in 225 patients were evaluated. The median age of patients was 42 years and 55.1% of them were male. The overall incidence rate of SSI was 12%. Follow-up was achieved for 84.1% of the procedures. For patients with an SSI, the median duration of hospitalization was 9 days compared with 4 days for those without an SSI (p2, use of antibiotic prophylaxis and NNIS class of >2 were all significant at p < .001. The SSI rates for the NNIS System risk classes 0, 1 and 2-3 were 4.2%, 46.7% and 100%, respectively. Conclusions: SSI caused considerable morbidity among surgical patients in UCCK. Appropriate active surveillance and infection control measures should be introduced during preoperative, intra-operative, and postoperative care to reduce infection rates.https://jidc.org/index.php/journal/article/view/375Kosovanosocomial infectionssurgical site infections
spellingShingle Lul Raka
Avdyl Krasniqi
Faton Hoxha
Ruustem Musa
Gjyle Mulliqi
Selvete Krasniqi
Arsim Kurti
Antigona Dervishaj
Beqir Nuhiu
Baton Kelmendi
Dalip Limani
Ilir Tolaj
Surgical site infections in an abdominal surgical ward at Kosovo Teaching Hospital
Journal of Infection in Developing Countries
Kosova
nosocomial infections
surgical site infections
title Surgical site infections in an abdominal surgical ward at Kosovo Teaching Hospital
title_full Surgical site infections in an abdominal surgical ward at Kosovo Teaching Hospital
title_fullStr Surgical site infections in an abdominal surgical ward at Kosovo Teaching Hospital
title_full_unstemmed Surgical site infections in an abdominal surgical ward at Kosovo Teaching Hospital
title_short Surgical site infections in an abdominal surgical ward at Kosovo Teaching Hospital
title_sort surgical site infections in an abdominal surgical ward at kosovo teaching hospital
topic Kosova
nosocomial infections
surgical site infections
url https://jidc.org/index.php/journal/article/view/375
work_keys_str_mv AT lulraka surgicalsiteinfectionsinanabdominalsurgicalwardatkosovoteachinghospital
AT avdylkrasniqi surgicalsiteinfectionsinanabdominalsurgicalwardatkosovoteachinghospital
AT fatonhoxha surgicalsiteinfectionsinanabdominalsurgicalwardatkosovoteachinghospital
AT ruustemmusa surgicalsiteinfectionsinanabdominalsurgicalwardatkosovoteachinghospital
AT gjylemulliqi surgicalsiteinfectionsinanabdominalsurgicalwardatkosovoteachinghospital
AT selvetekrasniqi surgicalsiteinfectionsinanabdominalsurgicalwardatkosovoteachinghospital
AT arsimkurti surgicalsiteinfectionsinanabdominalsurgicalwardatkosovoteachinghospital
AT antigonadervishaj surgicalsiteinfectionsinanabdominalsurgicalwardatkosovoteachinghospital
AT beqirnuhiu surgicalsiteinfectionsinanabdominalsurgicalwardatkosovoteachinghospital
AT batonkelmendi surgicalsiteinfectionsinanabdominalsurgicalwardatkosovoteachinghospital
AT daliplimani surgicalsiteinfectionsinanabdominalsurgicalwardatkosovoteachinghospital
AT ilirtolaj surgicalsiteinfectionsinanabdominalsurgicalwardatkosovoteachinghospital