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Objective: To know the frequency of surgical site infection in children undergoing laparatomies on elective list.
Material and methods: This cross sectional study was conducted in pediatric surgery unit of Khyber Teaching Hospital from 10th October 2019 to 20th March 2020. This study includes a total of 112 patients. Data was collected regarding age, gender and operative time. Patients were observed clinically for development of infection and confirmed by culture from the laboratory. Collected data was analyzed using SPSS version 20. Statistical significance was accepted at a value p<0.05.
Results: Mean age of the patients was 3.5±2.4 years. Gender distribution showed female patients were 33.9% and male patients were 66.1%. An infection was recorded in a total of 25.9% (29 out of 112). Mean duration to develop infection was 4.8±0.9 days. Patients having age up to one year had wound infection rate of 9.6%, age 1 to 5 years had wound infection 72.3% and age above 5 years had 18.1% ( p value of 0.92). Distribution of operative time showed that less than 30 min surgery had a zero percent infection, 30 to 60 min surgery had 13.8%, 60 to 120 min surgery had 44.8% and more 120 min surgery had 41.4% infection ( p value 0.01).
Conclusion: Percentage of surgical site infection for elective laparatomies is higher in our setup and longer duration of surgery is a risk factor for developing infection.
Key words: Surgical site infection, SSI, pediatric elective surgery, laparatomy.
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