The incidence of septic nosocomial complications in surgical wards

Abstract

Introduction: Nosocomial infections continue to be a current issue for all medical institutions, especially in surgical profile. Materials and Methods: We studied 462 observation forms, including 249 patients treated conservatively and 213 sheets of patients treated surgically. Were extensive and intensive use indices, absolute risk, risk attribution and the relative risk were used. Results: The study found that of 462 patients hospitalized in the Department of aseptic surgery, 57 patients developed septic nosocomial infection, the incidence constituting 12.34%, or 123.4 cases per 1000 patients (%o). It was found that the nosocomial septic complication’s actual incidence in patients treated conservatively is 3.6 % and, in the group of patients undergoing surgery, the real incidence by septic infections is 24.6%. Therefore, the absolute risk of making a septic complication, based on our study is: for patients treated conservatively - 36.14 % and among patients undergoing surgery - 246.2 %. Attributable risk of surgery for septic complications is 210.06 cases per 1,000 patients operated, and the relative risk in people exposed to surgery is 6.81. Therefore, patients undergoing surgery have about 7 times higher chance of septic complications compared with patients treated conservatively. Risk of septic complications turned out to be higher in men (44.0 %) compared with female patients (56.0 %), the incidence rate is reversed, and the incidence of septic complications is 142.85% for men and 108,1% for women. Conclusions: The real incidence of septic nosocomial infections in aseptic surgery ward is 123.4% of hospitalized patients, including conservative treatment group, the risk of developing of septic complications is 36.0 % and in the group of patients, undergoing surgery is 246.2 %.