Resources

Share this article

An observational study of the surgical site infection rate in a General Surgery Department at a General Hospital in Malaysia

Samantha Holloway
22 September 2019

Background: Surgical site infection (SSI) is one of the most common healthcare-associated infections globally. A consequence of infection is wound dehiscence with an associated high mortality rate. 
Method: A surveillance study of SSI was undertaken in a Surgical Department of a General Hospital in East Malaysia to determine the SSI incidence and to identify the risk factors and outcomes associated with SSI. This was a prospective cohort study of 222 patients, who were admitted for either elective or emergency operations. 
Results: The SSI incidence was 11.7% (n=26) and the risk factors associated with an SSI were male gender (OR 3.47, 95% CI 1.40–8.64; AOR 2.54, 95% CI 0.98–6.55, P=0.054) and surgical wounds classified as contaminated or dirty (OR 5.49, 95% CI 2.26–13.34; AOR 4.53, 95% CI 1.82–11.23, P=0.001). The re-admission rate was 19.2% and the mean length of stay was 20.5 days (SD=12.4). Additional microbiological data identified that Escherichia coli was the most common isolated pathogen. This study was the first prospective study on SSI incidence in the hospital where the corresponding author works and has helped to establish a baseline SSI rate to inform subsequent audits.

Free for all healthcare professionals

Sign up to the Wounds Group journals





By clicking ‘Subscribe’, you are agreeing that the Wounds Group are able to email you periodic newsletters. You may unsubscribe from these at any time. Your info is safe with us and we will never sell or trade your details. For information please review our privacy policy.

Are you a healthcare professional? This website is for healthcare professionals only. To continue, please confirm that you are a healthcare professional below.

We use cookies responsibly to ensure that we give you the best experience on our website. If you continue without changing your browser settings, we’ll assume that you are happy to receive all cookies on this website. Read about how we use cookies.

I am not a healthcare professional.