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Date Published: 12/09/2024
Abstract Views: 139
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DOI: https://doi.org/10.51298/vmj.v542i1.11004
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Vol. 542 No. 1 (2024)
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Hà , H. K. Y., Phan, T. H., & Nguyễn , X. V. (2024). IDENTIFYING RISK FACTORS FOR SURGICAL SITE INFECTION IN HYSTERECTOMY PATIENTS AT HUNG VUONG HOSPITAL. Vietnam Medical Journal, 542(1). https://doi.org/10.51298/vmj.v542i1.11004

IDENTIFYING RISK FACTORS FOR SURGICAL SITE INFECTION IN HYSTERECTOMY PATIENTS AT HUNG VUONG HOSPITAL

Huỳnh Kim Yến Hà , Thị Hằng Phan, Xuân Vũ Nguyễn

Main Article Content

Abstract

Background: Surgical site infection (SSI) after hysterectomy was a common hospital - acquired infection that prolongs hospital stay, increases antibiotic use and resistance. Objectives: Determining the preoperative and intraoperative risk factors associated with SSI after hysterectomy. Methods: Case-control study with a ratio of 1: 2, collecting data from medical records of subjects undergoing hysterectomy for gynecological diseases at Hung Vuong hospital from 2018 – 2022. Results: The study recruited 390 patients, including 130 patients with surgical site infections (case group) and 260 patients without surgical site infections (control group) who underwent hysterectomy through different methods: abdominal, vaginal, and laparoscopic. Multivariate logistic regression analysis showed risk factors associated with SSI included preoperative diabetes (aOR = 3,18; 95% Cl: 1,51 - 6,71; p=0,002), body mass index (BMI) ≥ 30 (aOR = 3,04; 95% Cl: 1,24 – 7,4; p = 0,014), duration of surgery (aOR = 1,53 95% Cl: 1,18 – 2; p = 0,001), surgical drainage (aOR = 3,13; 95% Cl: 1,25-7,84; p=0,011). Conclusions: Preoperative diabetes, obesity (BMI ≥ 30), increased operation duration, surgical drainage are risk factors for SSI in women undergoing hysterectomy.

Article Details

Keywords

Surgical site infection, hysterectomy.

References

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