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Surgical site infections, occurrence, and risk factors, before and after an alcohol-based handrub intervention in a general surgical department in a rural hospital in Ujjain, India
Karolinska Inst, Dept Publ Hlth Sci, Global Hlth IHCAR, SE-17177 Stockholm, Sweden..
Karolinska Inst, Dept Publ Hlth Sci, Global Hlth IHCAR, SE-17177 Stockholm, Sweden.;Ruxmaniben Deepchand Gardi Med Coll, Dept Pharmacol, Ujjain, Madhya Pradesh, India..
Ruxmaniben Deepchand Gardi Med Coll, Ujjain, Madhya Pradesh, India..
Ruxmaniben Deepchand Gardi Med Coll, Dept Surg, Ujjain, Madhya Pradesh, India..
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2015 (English)In: American Journal of Infection Control, ISSN 0196-6553, E-ISSN 1527-3296, Vol. 43, no 11, 1184-1189 p.Article in journal (Refereed) Published
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Text
Abstract [en]

Background: This study set out to determine occurrence of and risk factors for surgical site infections (SSIs) before and after implementation of an alcohol-based handrub (ABHR) intervention in general surgery wards in a rural, tertiary care hospital in India. Methods: Patients who underwent surgery between October 2010 and August 2011 (preintervention period) or September 2011 and August 2013 (intervention period) in the department of surgery were included. ABHR was introduced in September 2011. SSI was defined as per the Centers for Disease Control and Prevention guidelines. Comparison of SSI rate between the 2 periods was performed using analysis of variance. Risk factors were determined using multiple logistic regression models. Results: Incidence of SSI was 5% (36/720) and 6.5% (103/1,581) respectively, showing nonsignificant difference (P = .5735). The risk factor common for SSI in both periods was the duration of surgery (OR = 2.6 vs OR = 1.96, pre- and intervention periods, respectively). Risk factors in the intervention period were being a woman (OR = 2.18), renal disease (OR = 3.61), diabetes (OR = 4.43), smoking (OR = 2.14), preoperative hospitalization (<3 vs >15 days; OR = 3.22), and previous hospitalization (OR = 3.5). Compared with other studies, the amount of ABHR used in our study was low. Conclusion: The amount of ABHR used might not be sufficient to interrupt the chain of contamination of microorganisms; therefore, continuation of the intervention and surveillance is recommended.

Place, publisher, year, edition, pages
2015. Vol. 43, no 11, 1184-1189 p.
Keyword [en]
Surgical wound infection, Developing countries, Hand hygiene, General surgery, Cross infection
National Category
Infectious Medicine Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
URN: urn:nbn:se:uu:diva-268793DOI: 10.1016/j.ajic.2015.06.010ISI: 000364499400010PubMedID: 26231549OAI: oai:DiVA.org:uu-268793DiVA: diva2:881119
Funder
Sida - Swedish International Development Cooperation AgencySwedish Research CouncilSida - Swedish International Development Cooperation Agency
Available from: 2015-12-09 Created: 2015-12-09 Last updated: 2017-12-01Bibliographically approved

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