Evidence map›Paper›PMID 39256696›Full record

ArticleBMC surgery2024

Assessing the impact of enhanced hygiene precautions during the COVID-19 pandemic on surgical site infection risk in abdominal surgeries.

Samer Ganam, Theo Sher, Rimi Assy, Amitai Bickel, Antonyo Khoury, Leiba Ronit, Eli Kakiashvili

Abstract read
In one paragraph

Article in BMC surgery, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Samer GanamDepartment of Surgery A, Galilee Medical Center, 22100, Nahariya, Israel. ganamsamer11@gmail.com.
Theo SherUniversity of South Florida Morsani College of Medicine, Tampa, USA.
Rimi AssyDepartment of Surgery B, Galilee Medical Center, Nahariya, Israel.
Amitai BickelDepartment of Surgery A, Galilee Medical Center, 22100, Nahariya, Israel.
Antonyo KhouryDepartment of Surgery A, Galilee Medical Center, 22100, Nahariya, Israel.
Leiba RonitGalilee Medical Center, Leiba Ronit Bio- Statistician, Nahariya, Israel.
Eli KakiashviliDepartment of Surgery A, Galilee Medical Center, 22100, Nahariya, Israel.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundA surgical site infection (SSI) is a postoperative infection that occurs at or near the surgical incision. SSIs significantly increase morbidity, mortality, length of hospital stay, and healthcare costs. The World Health Organization (WHO) has established hospital hygiene precaution guidelines for the prevention of SSIs, which were enhanced during the COVID-19 pandemic. The current study aims to explore the effect of the COVID-19 pandemic on SSI incidence among initially uninfected postoperative patients. We hypothesize that these enhanced precautions would reduce the incidence of SSIs. MATERIALS AND

methodsA retrospective study comparing surgical outcomes before and during the pandemic. Patients who had abdominal surgery between June and December 2019 (Non-COVID-19) or between February and June 2020 (COVID-19) were included. The two groups were matched in a 1:1 ratio based on age, Sex, acuity (elective or emergent), surgical approach, and comorbidities. Electronic medical records were reviewed to identify SSIs and hospital readmissions within 30 days after surgery. Pearson's chi-square test and Fisher's exact test were used.

resultsData was collected and analyzed from 976 patients who had surgery before the COVID-19 pandemic (non-COVID group) and 377 patients who had surgery during the pandemic (COVID group). After matching, there were 377 patients in each group. In our study, we found 23 surgical site infections (SSIs) in both laparoscopic and open surgeries. The incidence of SSIs was significantly higher in the non-COVID period compared to the COVID period [17 cases (4.5%) vs. 6 cases (1.6%), respectively, p = 0.032], especially in non-COVID open surgeries. The incidence of SSIs in laparoscopic surgeries was also higher during the non-COVID period, but not statistically significant.

conclusionsEnhanced hygiene precautions during the COVID -19 pandemic may have reduced SSIs rates following abdominal surgery.

Indexed as

COVID-19Surgical Wound InfectionAbdomenAdultAgedFemaleHumansHygieneIncidenceInfection ControlMaleMiddle AgedPandemicsRetrospective StudiesSARS-CoV-2Abdominal surgeryCovid-19 PandemicHygiene PrecautionsSurgical Site Infection

Identifiers

PMID39256696
PMCPMC11386118

What Socratic holds

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LicenceCC BY-NC-ND
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.