The risk of purulent septic postoperative complications

Abstract

Introduction: In the structure of nosocomial infections prevail purulent septic infections, which represent about 85.0 % and the total number of illnesses by septic -purulent nosocomial infections recorded in the country and 66.6 % of them occur in surgical separtments. Materials and Methods: In order to determine the actual incidence of nosocomial purulent septic infections in general surgery, the active method of diagnosis were used - by studying the retrospective observational records of patients with complications admitted to surgical aseptic departments of CNSPMU during 2010. Results: Depending on the underlying diagnosis, the risk of purulent septic postoperative complications is higher in chest trauma (750.0%) and liver cirrhosis (667.7 %), followed by surgerie: for appendicitis (446.8%) and abdominal trauma (400.0%). The study found that in patients with duration of up to one hour, the absolute risk of developing purulent septic complications is 173.9 cases per 1000 patients, if the surgery duration was from 1 to 2 hours, the risk of purulent septic complications is 341.1 cases per 1,000 operated patients, and surgery lasting more than 2 hours increased the risk of postoperative septic infection to 416.6 cases per 1000 of patients operated. According to the results obtained in the group of patients who underwent a single surgery the incidence of postsurgical septic complications are 192.1 cases per 1,000 patients, whereas in the group of patients who have undergone two surgeries this index is 700.0 cases 1000 patients operated, which is 3.62 times higher. Conclusions: Length of hospital stay in patients with septic postoperative complications is about 2 times higher compared to the duration of hospital stay in patients without septic complications and is, average, 12.859 ± 1.934 days/bed . On average, each case of septic, nosocomial infection, made hospital stay of the patient longer up to 7.326 days, this leaded to significant additional expenditures.