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20. Post-Operative Wound Infection and its Management in Pediatric Surgical Patients: A Study of 560 Infants and Children
Mohseena Siddiq Mansoori1, Khair Jan Habib2, Amnah Azim1 and Shajia Haider3
ABSTRACT
Objective: Aim was to determine the prevalence of post-operative wound infection and its management in pediatric surgical patients.
Study Design: Descriptive/ observational study
Place and Duration of Study: This study was conducted at the Murshid Hospital & Health Care/ NICH, Karachi. Jun,2020 to Feb,2021.
Materials and Methods: Total 560 infants and children were presented. After getting informed written consent detailed demographics of enrolled cases included age, sex, weight and gestational age were recorded. All the patients were underwent for surgery and admitted for proper follow up. Post-operative frequency of wound infection and its risk factors were assessed. SPSS 22.0 was used to analyze all data.
Results: Among 560 patients, 160 were infants and 400 were older children. Mean age of the infants were 18.6±5.25 days and mean age of children was 3.4±7.16 years. Mean gestational age of the patients was 37.11±9.31 weeks. Frequency of found infection was found in 42 (7.5%) cases. Among 42 cases of WI, frequency of surgical site infection was 24 (57.1%), burst abdomen was in 14 (33.3%) and wound dehiscence in 4 (9.5%). Frequency of infection as per wound classification, dirty wounds were higher in 17 (40.5%) followed by contaminated, clean contaminated and clean wounds. We noticed that the infection rate increased with the time of the operation (P 0.002), the presence of contamination throughout the procedure (P 0.003), and the insertion of a new element into the procedure (such as a resident or intern) (P 0.001).
Conclusion: We concluded in this study that rate of post-operative wound infection was higher among 7.5% cases, in which surgical site infection was common. Except this increase in surgery time, presence of contamination throughout the procedure and the insertion of a new element into the procedure were the most common risk factors for increase in infection rate among infants and children.
Key Words: Pediatric Surgery, Infants, Children, Wound Infection, Risk Factors
Citation of article: Mansoori MS, Habib KJ, Azim A, Haider S. Post-Operative Wound Infection and its Management in Pediatric Surgical Patients: A Study of 560 Infants and Children. Med Forum 2023;34(2):
89-93.