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Title | Surgical site infection after laparoscopic hysterectomy for benign gynecological disease in Ukraine |
Authors |
Salmanov, A.G.
Vitiuk, A.D. Kovalyshyn, O.A. Terekhov, Volodymyr Andriiovych Patey, P.M. Kutytska, T.V. Voloshynovych, N.S. |
ORCID |
http://orcid.org/0000-0002-9837-5374 |
Keywords |
laparoscopic hysterectomy benign gynecological disease surgical site infection risk factors antimicrobial resistance |
Type | Article |
Date of Issue | 2022 |
URI | https://essuir.sumdu.edu.ua/handle/123456789/87913 |
Publisher | Aluna Publishing |
License | Creative Commons Attribution - NonCommercial - NoDerivatives 4.0 International |
Citation | Salmanov AG, Vitiuk AD, Kovalyshyn OA, Terekhov VA, Patey PM, Kutytska TV, Voloshynovych NS. SURGICAL SITE INFECTION AFTER LAPAROSCOPIC HYSTERECTOMY FOR BENIGN GYNECOLOGICAL DISEASE IN UKRAINE. Wiad Lek. 2022;75(1 pt 2):251-258. |
Abstract |
Objective: The aim: To obtain the first estimates of the current incidence, and risk factors for Surgical Site Infection (SSI) after laparoscopic hysterectomy, and antimicrobial resistance of responsible pathogens in Ukraine.
Patients and methods: Materials and methods: We performed a multicenter prospective cohort study was patient-based on surveillance data for SSIs were according to CDC/NHSN methodology. This study included women's undergoing a laparoscopic hysterectomy in 8 hospitals from different regions of Ukraine from January 2018 to December 2020.
Results: Results: A total of 1184 women underwent a laparoscopic hysterectomy and 14.9% SSI were identified within 30 days of the operation. Majority of SSI were deep/organ-space. The deep/organ-space SSI incidence rate was 9.2% in total laparoscopic hysterectomy, 15.2% in laparoscopic-assisted vaginal hysterectomy, and 17% in laparoscopic supracervical hysterectomy. The predominant SSI types were Pelvic abscess or cellulitis (19.1%), Salpingitis (16%), Oophoritis (15.3%), Adnexa utery (14.5%), Vaginal cuff infections (13.7%), Endometritis (11.1%), and Chorioamnionitis (9.9%). 93.8% of SSIs were detected post discharge. The most commonly identified pathogen were Escherichia coli (21.6%), Enterobacter spp. (13.1%), followed by Klebsiella spp. (8,1%), Streptococcus spp. (7%), and Pseudomonas aeruginosa (7%). The overall proportion of extended spectrum beta-lactamase production (ESBL) among Enterobacteriaceae was 17.1% and of methicillin-resistance in S. aureus (MRSA)15.8%. Resistance to third-generation cephalosporins was observed in 13.7% E.coli and 8.5% Klebsiella spp. isolates. Carbapenem resistance was in 9.7% of P.aeruginosa strains.
Conclusion: Conclusions: Our study identified high incidence rates of SSI within 30 days surveillance of the laparoscopic hysterectomy in Ukraine, and many cases were caused by pathogens that are resistant to antibiotics. |
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File | Size | Format | Downloads |
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Salmanov_et_al_laparoscopic_hysterectomy_WLek202201218.pdf | 811.44 kB | Adobe PDF | 1228213701 |
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