Surgical-site infections in emergency abdominal paediatric surgeries at a tertiary-care hospital in Pakistan


  • Ali Faisal Saleem Department of Peadiatric, Aga Khan University, Karachi, Pakistan
  • Huma Faiz Halepota Department of Peadiatric, Indus Hospital, Karachi, Pakistan
  • Hasaan Omar Aga Khan University, Karachi, Pakistan
  • Areeba Zain Aga Khan University, Karachi, Pakistan
  • Muhammad Arif Mateen Khan Department of Peadiatric, Aga Khan University, Karachi, Pakistan




A retrospective chart review was carried out in children (neonates to 18 years) who underwent acute surgical abdominal exploration during 2012-2016 at the Aga Khan University Hospital, Karachi, to evaluate the post-operative surgical site infection rates in emergency paediatric abdominal surgery. Incidence of surgical site infection (SSI) was estimated. P-value was calculated, chi-square and non-parametric tests were performed by comparing pre-surgical and post-surgical procedure pathogen occurrence and pre-procedure wound status. Pathogen occurrence related to time-trend of 98 paediatric patients who underwent emergency abdominal surgery was plotted. Of the 94 who were discharged in stable condition, it was found that there was no significant difference between pre- and post-surgical pathogens. Escherichia coli (n=10) was found to be the most common pathogen. Contaminated wounds were associated with higher SSI (p=0.036, OR 1.95 95% CI 0.7-5.4). Continuous...


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