Time of developing surgical site infections and its association with patient and procedure characteristics
Background: Understanding the timeframe and risk of developing surgical site infection (SSI) is essential for effective prevention and management strategies. The objective was to examine the post-operative duration before developing SSI and to characterize their patient and procedure characteristics...
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| Language: | English |
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Elsevier
2025-05-01
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| Series: | Journal of Infection and Public Health |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S1876034125000838 |
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| author | Saad A. Almohrij |
| author_facet | Saad A. Almohrij |
| author_sort | Saad A. Almohrij |
| collection | DOAJ |
| description | Background: Understanding the timeframe and risk of developing surgical site infection (SSI) is essential for effective prevention and management strategies. The objective was to examine the post-operative duration before developing SSI and to characterize their patient and procedure characteristics. Methods: Prospective SSI surveillance was conducted on 15 operative procedures between 2014 and 2023 in a tertiary-care hospital system. The duration before developing SSI was divided into two groups; early-onset (<median) and late-onset (≥ median) SSIs. Results: A total 322 SSI events were included. Approximately 76.7 % of them were superficial, 13.0 % deep, and 10.2 % organ. The majority were detected after discharge (66.6 %) and were laboratory-confirmed (64.6 %). The majority of procedures with SSI were inpatient procedures (96.9 %) and had risk index category of one (70.2 %). The median and mode (most frequent) duration before developing SSI were 15 and 10 days, respectively. Approximately 92.5 % and 98.8 % of SSI were detected within first 30 or 60 days, respectively. After adjusting for all variables that were associated with the duration before developing SSI in univariate analysis, early-onset SSI was significantly associated with female gender (odds ratio [OR] = 2.29, 95 % confidence 1.18–4.45, p = 0.015) and detection before hospital discharge (OR = 8.06, 95 % confidence 3.83–16.93, p < 0.001) but not coronary artery bypass graft (OR = 0.27, 95 % confidence 0.15–0.51, p < 0.001). Conclusions: As most of SSI are detected after discharge, the findings underscore the importance of post-discharge surveillance that can be considered as a quality indicator for surveillance. Reducing the SSI follow-up durations from 90 days to 60 days, wouldn’t make much difference. |
| format | Article |
| id | doaj-art-84f2748a69de4ebfbfe055723fc32395 |
| institution | OA Journals |
| issn | 1876-0341 |
| language | English |
| publishDate | 2025-05-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Journal of Infection and Public Health |
| spelling | doaj-art-84f2748a69de4ebfbfe055723fc323952025-08-20T02:09:40ZengElsevierJournal of Infection and Public Health1876-03412025-05-0118510273410.1016/j.jiph.2025.102734Time of developing surgical site infections and its association with patient and procedure characteristicsSaad A. Almohrij0King Saud bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia; King Abdulaziz Medical City (KAMC), Ministry of National Guard Health Affairs (MNGHA), Riyadh, Saudi Arabia; Correspondence address: King Saud bin Abdulaziz University for Health Sciences, Riyadh 11426, Saudi Arabia.Background: Understanding the timeframe and risk of developing surgical site infection (SSI) is essential for effective prevention and management strategies. The objective was to examine the post-operative duration before developing SSI and to characterize their patient and procedure characteristics. Methods: Prospective SSI surveillance was conducted on 15 operative procedures between 2014 and 2023 in a tertiary-care hospital system. The duration before developing SSI was divided into two groups; early-onset (<median) and late-onset (≥ median) SSIs. Results: A total 322 SSI events were included. Approximately 76.7 % of them were superficial, 13.0 % deep, and 10.2 % organ. The majority were detected after discharge (66.6 %) and were laboratory-confirmed (64.6 %). The majority of procedures with SSI were inpatient procedures (96.9 %) and had risk index category of one (70.2 %). The median and mode (most frequent) duration before developing SSI were 15 and 10 days, respectively. Approximately 92.5 % and 98.8 % of SSI were detected within first 30 or 60 days, respectively. After adjusting for all variables that were associated with the duration before developing SSI in univariate analysis, early-onset SSI was significantly associated with female gender (odds ratio [OR] = 2.29, 95 % confidence 1.18–4.45, p = 0.015) and detection before hospital discharge (OR = 8.06, 95 % confidence 3.83–16.93, p < 0.001) but not coronary artery bypass graft (OR = 0.27, 95 % confidence 0.15–0.51, p < 0.001). Conclusions: As most of SSI are detected after discharge, the findings underscore the importance of post-discharge surveillance that can be considered as a quality indicator for surveillance. Reducing the SSI follow-up durations from 90 days to 60 days, wouldn’t make much difference.http://www.sciencedirect.com/science/article/pii/S1876034125000838Surgical site infectionSurveillanceFollow-up durationEarly-onsetSaudi Arabia |
| spellingShingle | Saad A. Almohrij Time of developing surgical site infections and its association with patient and procedure characteristics Journal of Infection and Public Health Surgical site infection Surveillance Follow-up duration Early-onset Saudi Arabia |
| title | Time of developing surgical site infections and its association with patient and procedure characteristics |
| title_full | Time of developing surgical site infections and its association with patient and procedure characteristics |
| title_fullStr | Time of developing surgical site infections and its association with patient and procedure characteristics |
| title_full_unstemmed | Time of developing surgical site infections and its association with patient and procedure characteristics |
| title_short | Time of developing surgical site infections and its association with patient and procedure characteristics |
| title_sort | time of developing surgical site infections and its association with patient and procedure characteristics |
| topic | Surgical site infection Surveillance Follow-up duration Early-onset Saudi Arabia |
| url | http://www.sciencedirect.com/science/article/pii/S1876034125000838 |
| work_keys_str_mv | AT saadaalmohrij timeofdevelopingsurgicalsiteinfectionsanditsassociationwithpatientandprocedurecharacteristics |