A study of incidence and risk factors for surgical site infection in spine surgery at Ramathibodi Chakri Naruebodindra Hospital
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Abstract
Surgical Site Infection (SSI) is a severe complication in spinal surgery. It is significantly associated with medical costs, morbidity, and mortality. The criteria for diagnosing surgical wound infection are based on the US Centers for Disease Control and Prevention (CDC), meaning infection that occurs within 30 days after surgery. This retrospective study aimed to investigate the incidence of SSI and factors associated with SSI among patients who received spinal surgery at Ramathibodi Chakri Naruebodindra Hospital. The 183 samples were obtained from medical data in Ramathibodi Chakri Naruebodindra hospital records by selecting from ICD-10, who meet the inclusion criteria such as aged 15 years and over, undergoing spine surgery by advanced appointment and having an uninfected surgical wound between 1 January 2021 to 31 December 2022. The data were analyzed using descriptive statistics, chi-square, and fisher exact test at a statistical significant level of .05. The results found that an incidence of surgical site infection was found in 2 cases (1.09%). The factors associated with SSI were found as following; Charlson comorbidity index greater than 4 points (p-value=.020), length of hospital stay more than seven days (p-value=0.044), and not receiving postoperative antibiotics (p-value=.033). Health care professonals should plan the surgery and the design of care guidelines to reduce surgical site infections and complications among patients safely.
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เนื้อหาและข้อมูลในบทความที่ลงตีพิมพ์ในวชิรสารการพยาบาลถือเป็นข้อคิดเห็นและความรับผิดชอบของผู้เขียนบทความโดยตรง ซึ่งกองบรรณาธิการไม่จำเป็นต้องเห็นด้วย หรือร่วมรับผิดชอบใด ๆ ทั้งสิ้น
บทความ ข้อมูล เนื้อหา รูปภาพ ฯลฯ ที่ได้รับการตีพิมพ์ในวชิรสารการพยาบาล ถือเป็นลิขสิทธิ์ของวชิรสารการพยาบาล หากบุคคลใดหรือหน่วยงานใดต้องการนำทั้งหมดหรือส่วนหนึ่งส่วนใดไปเผยแพร่ต่อหรือเพื่อกระทำการใด ๆ จะต้องได้รับอนุญาตเป็นลายลักอักษรจากวชิรสารการพยาบาลก่อนเท่านั้น
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