An original research paper on incidence and risk factors for surgical site infections following major abdominal surgeries in obstetrics and gynaecology

Shalini Mahana Valecha, Manisha Narayan Saswade


Background: Surgical site infections associated with substantial morbidity and mortality, increase in hospital stay and enhanced cost of health care. Objective of present study is to analyse the incidence of surgical site infections after major abdominal obstetrics and gynaecologic surgeries and risk factors for development SSIs.

Methods: It is observational study carried out at Department of Obstetrics and Gynaecology, ESI-PGIMSR at a teaching public hospital Mumbai, Maharashtra, India. It is a tertiary care centre and a teaching hospital. Women who had undergone abdominal surgery for various Obstetrics and Gynaecology indications.

Results: 7.3% of operated subjects had SSI. And significant risk factors are anemia, obesity hypoprotenemia, prolonged pre-operative hospital stay, Diabetes mellitus.

Conclusions: Post-operative abdominal wound infection represents a substantial burden of disease both for the patients and the healthcare services in terms of the morbidity, mortality and economic costs.


Abdominal hysterectomy, Body mass index, Surgical site infection

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Mangram AJ, Horan TC, Pearson ML, Silver LC, Jarvis WR. Guideline for prevention of surgical site infection. Centers for Disease Control and Prevention (CDC) Hospital Infection Control Practices Advisory Committee. Am J Infect Control. 1999;27:97-132.

Emori TG, Gaynes RP. An overview of nosocomial infections, including the role of the microbiology laboratory. Clin Microbiol Rev. 1993;6(4):428-42.

Martins MA, Fran├ža E, Matos JC, Goulart EMA. Post-discharge surveillance of children and adolescents treated for surgical site infections at a university hospital in Belo Horizonte, Minas Gerais State, Brazil. Cad Saude Publica 2008;24:1033-41.

CDC//NHSN surveillance definition of health care associated infection and criteria for specific types of infections in the acute care setting. Am J Infect Diseas Control. 2009;36:309-15.

Olsen MA, Nepple JJ, Riew KD, Lenke LG, Bridwell KH, Mayfield J et al. Risk factors for surgical site infection following orthopaedic spinal operations. J Bone Joint Surg Am. 2008;90:62-9.

Bangal VB, Borawake SK, Shinde KK, Gavhane SP. Study of Surgical Site infections following gynaecological surgery at tertiary care teaching hospital in Rural India. Int J Biomed Res 2014;5(2):113-6.

Mansour RS, Ibrahimpoor M, Kashani A, Jafarian A. Abdominal surgical site infections: incidence and risk factors at an Iranian teaching hospital. Bio Med Central Surg. 2005;5(2):1-5.

Barwolff S, Sohr D, Geffers C, Brandt C, Vonberg RP, Halle H et al. Reduction of surgical site infections after Caesarean delivery using surveillance. J of Hosp Inf. 2006;64: 156-61.

Johnson A, Young D and Reilly J. et al. Caesarean section surgical site infection surveillance. J of Hosp Inf. 2006; 64(1):30-5.

Hoer J, Lawong G, Klinge U, Schumpelick V: Factors influencing the development of incisional hernia. A retrospective study of 2,983 laparotomy patients over a period of 10 years. Chirurg 2002 , 73:474-480

John S. Wound dehiscence: is still a problem in the 21th century: a retrospective study. World Journal of Emergency Surgery 2009; 4:12 doi:10.1186/1749 7922-4-12.

Waqar Study of wound infection in Pakisthan institute of medical sciences. Ulus trauma, 2001; 7(2):96-9.

Kowli SS, Nayak MH, Mehta AP, Bhalerao RA (1985). Hospital infection. Indian J. Surg. 48: 475-86.

Anvikar AR, Deshmukh AB, Karyakarte RP, Damle AS, Patwardhan NS, Malik AK, Bichile LK, Bajaj JK, Baradkar VP, Kulkarni JD, Sachdeo SM (1999). A one year prospective study of 3,280 surgical wounds. Indian J. Med. Microbiol. 17: 129-32.

Devjani. Risk factors analysis and microbial etiology of surgical site infections following lower segment cesarean section. Int J Antibiotics. 2013;283025:1.

Lilani SP, Jangale N, Chaudhary A, Daver GB. Surgical site infections in clean and contaminated surgeries.Indian J Med Microbiol 2005; 23 (4):249-52.