IMPLEMENTING “BUNDLED INTERVENTIONS” IN REDUCING SURGICAL SITE INFECTIONS AMONG PATIENTS UNDERGOING SURGERY FOR GYNECOLOGICAL INDICATIONS – A PROSPECTIVE STUDY

Puja Jain Dewan, Rashmi Pilania, Monika Singh, Rohini
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Abstract

Objective: Surgical site infection (SSI) is the most common infection among surgical patients. This study evaluated the impact of bundled interventions in reducing SSI rates in gynecological surgery. Therefore, it is a vital tool to improve patient safety. Methods: One hundred study participants were taken in the tertiary care hospital and divided into Group I and Group II. In Group I, 50 patients were involved in elective OT with bundled interventions, and in Group II, 50 controls operated in identical OT without bundled intervention. Incidence of SSI, type of SSI, antibiotic usage, need for secondary suturing, duration, etc., was noticed. Results: Our findings showed that six out of fifty cases developed the symptoms with a 10% SSI rate. Two had superficial SSI, and three had deep SSI. None of the patients had organ space SSI. In the control group, the SSI rate was 12%. The bundled intervention was associated with a significant reduction in infection rate. Conclusion: The study indicates that SSIs are associated with severe morbidity and mortality. It is a straightforward, feasible approach to the reduction of the SSI rate.
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实施 "捆绑式干预 "以减少妇科手术患者的手术部位感染--一项前瞻性研究
目的:手术部位感染(SSI)是外科手术患者中最常见的感染。本研究评估了捆绑式干预对降低妇科手术 SSI 感染率的影响。因此,它是提高患者安全的重要工具:方法:在三级医院抽取 100 名参与者,分为 I 组和 II 组。在 I 组中,50 名患者接受了捆绑式干预的择期手术,在 II 组中,50 名对照组患者接受了无捆绑式干预的相同手术。我们对 SSI 的发生率、SSI 的类型、抗生素的使用、二次缝合的需要、持续时间等进行了观察:结果:我们的研究结果表明,50 个病例中有 6 个出现了 SSI 症状,SSI 感染率为 10%。其中 2 例为浅表 SSI,3 例为深部 SSI。没有一名患者出现器官间隙 SSI。对照组的 SSI 感染率为 12%。捆绑式干预显著降低了感染率:研究表明,SSI 与严重的发病率和死亡率有关。这是降低 SSI 感染率的一种直接、可行的方法。
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