Factors Contributing to Surgical Site Infections: A Comprehensive Systematic Review of Etiology and Risk Factors

Author:

Bucataru Alexandra12,Balasoiu Maria3,Ghenea Alice Elena3ORCID,Zlatian Ovidiu Mircea3ORCID,Vulcanescu Dan Dumitru45ORCID,Horhat Florin George45ORCID,Bagiu Iulia Cristina45ORCID,Sorop Virgiliu Bogdan6,Sorop Madalina Ioana7,Oprisoni Andrada8,Boeriu Estera8,Mogoanta Stelian Stefanita910ORCID

Affiliation:

1. Doctoral School Department, University of Medicine and Pharmacy of Craiova, 200349 Craiova, Romania

2. Infectious Disease Department, Victor Babes University Hospital Craiova, 200515 Craiova, Romania

3. Department of Bacteriology-Virology-Parasitology, University of Medicine and Pharmacy of Craiova, 200349 Craiova, Romania

4. Department of Microbiology, “Victor Babes” University of Medicine and Pharmacy, Eftimie Murgu Square 2, 300041 Timisoara, Romania

5. Multidisciplinary Research Center on Antimicrobial Resistance (MULTI-REZ), Microbiology Department, “Victor Babes” University of Medicine and Pharmacy, Eftimie Murgu Square 2, 300041 Timisoara, Romania

6. Department of Obstetrics and Gynecology, “Victor Babes” University of Medicine and Pharmacy, Eftimie Murgu Square, No. 2, 300041 Timisoara, Romania

7. Doctoral School, “Victor Babes” University of Medicine and Pharmacy, 300041 Timisoara, Romania

8. Department of Pediatrics, Discipline of Pediatric Oncology and Hematology, “Victor Babes” University of Medicine and Pharmacy, Eftimie Murgu Square, No. 2, 300041 Timisoara, Romania

9. Third General Surgery Department, Clinical Emergency County Hospital, 200642 Craiova, Romania

10. Department of General Surgery, Faculty of Dental Medicine, University of Medicine and Pharmacy of Craiova, 200349 Craiova, Romania

Abstract

Surgical site infections persist as a substantial concern within the realm of hospital-acquired infections. This enduring issue is further compounded by the mounting challenge of antibiotic resistance, a surge in surgical interventions, and the presence of comorbidities among patients. Thus, a comprehensive exploration of all discernible risk factors, as well as proactive preventive and prophylactic strategies, becomes imperative. Moreover, the prevalence of multidrug-resistant microorganisms has reached alarming proportions. Consequently, there is an acute need to investigate and scrutinize all potential therapeutic interventions to counter this burgeoning threat. Consequently, the primary objective of this review is to meticulously assess the origins and risk elements intertwined with surgical site infections across a diverse spectrum of surgical procedures. As the medical landscape continues to evolve, this critical analysis seeks to provide a nuanced understanding of the multi-faceted factors contributing to surgical site infections, with the overarching aim of facilitating more effective management and mitigation strategies. By exploring these dimensions comprehensively, we endeavor to enhance patient safety and the quality of surgical care in this era of evolving healthcare challenges.

Publisher

MDPI AG

Subject

General Medicine

Reference42 articles.

1. (2023, August 24). Center for Disease Control Surgical Site Infection Event (SSI), Available online: https://www.cdc.gov/nhsn/pdfs/pscmanual/9pscssicurrent.pdf.

2. Bacterial biofilms on implanted suture material are a cause of surgical site infection;Kathju;Surg. Infect.,2014

3. Doyle, D.J., Hendrix, J.M., and Garmon, E.H. (2022). American Society of Anesthesiologists Classification, StatPearls.

4. (2023, August 24). European Centre for Disease Prevention and Control Surveillance of Surgical Site Infections and Prevention Indicators in European Hospitals—HAISSI Protocol. Available online: https://www.ecdc.europa.eu/en/publications-data/surveillance-surgical-site-infections-and-prevention-indicators-european.

5. (2023, June 12). European Center for Disease Prevention and Control Healthcare-Associated Infections: Surgical Site Infections—Annual Epidemiological Report for 2017. Available online: https://www.ecdc.europa.eu/en/publications-data/healthcare-associated-infections-surgical-site-infections-annual-1.

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