الفهرس 
Title : Incidence of surgical site infection following clean and clean contaminated emergency abdominal surgeries and it’s impact on hospital stay prospective study
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Abstract
Introduction: Infections at surgical sites are both frequent and hazardous. Surgical site infections are currently the most prevalent and costly type of hospital-acquired infection, accounting for 20% of all hospital-acquired infections. Surgical site infections are linked to increased duration of stay and a 2- to 11-fold increase in mortality risk. Although most people recover from an SSI without long-term consequences, the infection itself is responsible for 77% of death in SSI patients.
Aim: Describe the incidence of surgical site infection in patients undergoing emergency abdominal surgeries and its impact on hospital stay.
Patients and methods: we conducted a cross sectional analytical study that included all patients presented to emergency department of Kasr AlAiny following emergent open abdominal surgeries, they were followed up for postoperative complications, readmission, hospital stay, and surgical site infections.
Results: We enrolled 100 patients who were indicated for urgent surgical intervention and were admitted to the emergency department of Kasr Al-Ainy for management. They had a mean age 33.2 ± 14.1 years, 36% were males, while 64% were females. In the present work, thirty-six (36%) patients had positive culture postoperatively, among those 6 patients had E-coli, 8 were positive for MRSA and 12 had staphylococcus colonies. Our data showed that 13 (13%) patients had burst abdomen, it was more commonly reported among patients with higher alcohol consumption (0.026), patients with exploratory laparotomy were more borne to burst abdomen (0.0001), contaminated wounds (0.0001), positive culture (0.0001) and positive culture for MRSA or staphylococcus (0.0001). Additionally, logistic regression model showed that positive culture was
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an independent risk factor for development of burst abdomen with p values 0.003, and odds ratio 13.8 (95% CI 2.4 - 79.6).
Conclusion: surgical site infection is the commonest co morbidity of emergency major abdominal surgeries, it is a significant risk factors for poor clinical outcomes as readmission, need for ICU admission, anastomotic leakage and most significantly burst abdomen. Surgical site infection has a 13-fold increase in incidence of burst abdomen among patients who underwent emergency abdominal surgeries.