Deviana Restu Rerung, Erie Bambang Priyono Setiabudi Andar
Introduction: Surgical site infection (SSI) remains as substantial cause of morbidity, prolonged hospitalization and death. The most common types of inpatient surgical procedures include neurosurgery procedures. The aim of this study is to provide the incidence of surgical site infection in neurosurgical procedure and determine the most common etiological agent of surgical site infection in Kariadi General Hospital period January till December of 2017.
Methods: This was a descriptive-retrospective study. Data were collected from medical record of patient who underwent neurosurgical intervention in Kariadi General Hospital between 1 January – 31 December 2017. All respondent with neurosurgery procedure that meets the criteria of National Nosocomial Infections Surveillance (NNIS) of superficial incisions and Hulton criteria were included.
Results: A total of 196 patients underwent neurosurgery procedure during between 1 January – 31 December 2017. Of these, 15 cases (7.65%) experienced surgical site infections. There were 6 female cases and 9 male cases (2:3). The highest incidence rate was in old age group(45-65 yo). In microbiology study, we found some bacteria such as Acinetobacter baumannii 2 cases (13.3%), Escherichia coli 4 cases (26,6%), Enterococcus faecalis 1 case (6,6%), Proteus mirabilis 1 case (6,6%), no-bacteria 6 cases (40%) and 1 unidentified (6,6%).
Discussions: Surgical site infections are frequent and serious complications of surgical procedures and remain a major issue for patient safety. Several independent predictors of SSI is commonly in older people, including comorbid conditions, perioperative variables and socioeconomic factors. In an analysis of etiologic agents of infections in this study is Escherichia coli. According to the literature that the responsible pathogens in most SSIs are originate from the patient’s endogenous flora, in addition of exogenous resources. Its important to follow the evidence-based guidelines for the prevention of SSIs, from preoperative, perioperative and postoperative procedure.
Conclusion: We found 15 cases of surgical site infection in neurosurgery procedure in 1year period of time. Numerous patient-related and procedure-related factors influence the risk, and it requires a bundle approach to prevent the SSI incidence
Keywords: surgical site infection, neurosurgery, infection