Abstract

ackground: Currently, in addition to the advancement of surgical and anesthesia techniques has relieved the risks of surgery, however, the surgical site infections remains a challenge for both patients and physicians. Surgical site infections is unwanted medical incident that increasing aggravate illness, prolonged hospitalization and increased mortality in surgical patients.

Objectives: 1. Identify the rate of surgical site infections and a few of the characteristics of surgical site infections.; 2. Determines related factors and bacteria causing surgical site infections in Orthopaedic Trauma Center of Hue Central Hospital. Subjects and Methods: A cross-sectional descriptive study. Hospitalized patients, post- operative 48 hours, from 3- 7/2019.

Results: The rate of surgical site infections was 5.4%. The rate of SSIs in contaminated surgery was highest (22.0%) compared with other types. The rate of SSIs in open surgery and laparoscopic surgery, surgery with drainage had the rate of SSIs higher that not set. Patients with emergency surgery or plan surgery, methods of anesthesia had not the rate of SSIs in difference. The characteristics of SSI are usually fluid stagnant 47.0%, pus stagnant 31.4%. The ways to deal with this problem is to change the dressing daily (52.9 and 84.0%), remove the fluid and pus 19.6%. Solutions used to wash the incision are 0.9% Sodium Chlorua and Iode / Betadine alcohol. In 51 cases of SSIs, there were 31 cases of positive bacteria by 60,8%. Bacteria identified most of S.aureus, accounted for 32,3%.

Conclusions: We found that the rate of surgical site infections in Orthopaedic Trauma Center of Hue Central Hospital of this study was low and the leading bacteria causing ISS was S.aureus.