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Information Journal Paper

Title

INVESTIGATION OF THE RELATION BETWEEN PATHOGENS IN THE SURGEON AND SURGEON ASSISTANT HANDS AND SURGERY SITE, AND ORGANISMS IN THE WOUND INFECTION SITE IN PATIENTS THAT HAD CESAREAN IN RASOOL-AKRAM AND AKBAR-ABADI HOSPITALS AND RETURNED WITH POST-CESAREAN SECTION WOUND INFECTION

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 Start Page 1 | End Page 10

Abstract

 Background: WOUND INFECTION is a common complication after surgery. In this study, the goal was to compare the pathogens of the surgeon’s hands and patient’s surgical site with pathogens of the WOUND INFECTION, and recognize the possible infective factor.Methods: 122 patients, who had undergone cesarean operation in the hospitals of Rasool Akram and Shahid Akbarabadi in Tehran, were considered for the study. The method of sampling was that after washing the surgeon’s and surgeon assistant’s hands with sterile soap, a culture was taken from the grooves of their hand palms on the sheep blood agar. After preparation of the operation site and before cutting, a culture was also taken from the operation site. After 5 to 7 days, the patients were called by phone to the hospital, and their operation site was investigated. If any sign of infection including stiffness, erythema, and discharge was seen, once more a culture was taken from the operation site, and the type of pathogen of operation site and the surgeon’s and surgeon assistant’s hands and that of the wound site were compared and their relation were investigated.Results: The results were positive for 4.9% of cases of the surgeon’s hands culture, 16.4% of cases of the surgical site culture, and finally, for 6.6% of cases of the WOUND INFECTION culture. For investigation of relation of the WOUND INFECTION culture result with the other recorded parameters of the operation and also with the surgeon’s hands and operation site culture results, calculation of P Value and Pearson correlation was used. Also with the help of Odds Ratio calculation, the possibility that various parameters could be a risk factor for WOUND INFECTION positive culture was examined.Conclusion: This study shows that culture result of WOUND INFECTION has significant and direct relation with the surgeon’s hand culture result, however, no significant relation is observed with the surgical site culture result. In order to recognize the risk factors for the WOUND INFECTION culture result, these factors demonstrated Odds Ratios larger than unity: age above 30 yrs, being an urgent operation, being a repeated operation, obesity, illiteracy, past medical history, hypertension or pre-eclampsy, type of washing solution (Povidine iodine), and surgeon’s hands positive culture result.

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