21. Yếu tố nguy cơ liên quan đến nhiễm khuẩn vết mổ ở người bệnh sau phẫu thuật bệnh lý gan - mật - tụy và ống tiêu hóa: Hồi cứu 120 ca bệnh tại Bệnh viện Bạch Mai

Abstract

Reducing the incidence of surgical site infection (SSI) is an important goal for surgical quality improvement. This study aimed to determine the incidence and factors associated with SSI in a group of patients undergoing surgery for pancreatico-hepato-biliary and gastrointestinal tract diseases. We conducted a prospective descriptive study at Bach Mai Hospital from January to June 2023. The demographic and perioperative characteristics were collected, and the main outcome was SSI within 30 days post-operation.In total, 120 patients were enrolled and SSI occurred in 9 patients (7.5%). The median age was 55.9 ± 18.0 years old (14 – 91). Univariate logistic regressions were conducted to predict risk factors of SSI after hepato-biliary and gastrointestinal diseases. There was a difference in SSI between factors ASA < III or ASA ≥ III (4.3% vs. 17.9%, p = 0.017); non-history or had a history of abdominal surgery (3.5% vs 10.5%, p = 0.01); laparoscopic or open surgery (0% vs 16.4%, p = 0.001). There was no difference in SSI rates between male or female factors (8.8% vs. 5.8%, p = 0.53); age < 60 or ≥ 60 (8.5% vs. 6.6%, p = 0.69); BMI (p = 0.196); comorbidity or non-comorbidity (8.6% vs. 6.5%, p = 0.65); duration of hospital stay ≤ 7 days or > 7 days (13% vs. 6.2%, p = 0.26); emergency or planned surgery (5.9% vs. 8.7%, p = 0.56) and surgical wound classification system (p = 0.06). Conclusion: This study provides the newest data on SSI after hepato-pancreatico-biliary and gastrointestinal tract surgery was 7.5%. Significant factors associated with SSI were ASA ≥ 3, history of abdominal surgery, and open surgery.