RESUMEN
Coronavirus disease 2019 (COVID-19) is an infectious disease caused by the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) with a primary target on the human respiratory system. Coronavirus disease was first discovered in Wuhan, China in December 2019 and has currently become a global pandemic. A lot is still unknown about COVID -19 pathogenesis. Prompt assessment, adequate follow up, test and retest of recovered cases to corroborate immune related considerations will go a long way to understand the pathogenesis
RESUMEN
Background: Surgical Site Infections (SSI) afterelective/emergency laparotomy contributes topostoperative morbidity, mortality and resourceutilization. Risk factors related to abdominal SSIs arewell known. Nevertheless, National data guide effortsto improve efficiency, which cannot identify specificorganizational risk factors. Aim and Objectives: Todescribe the prevalence and risk factors associated withSSI in patients undergoing laparotomy. Material andMethods: Descriptive, observational study of elective/emergency laparotomy patients uses institutional datafrom 2017-2019. Univariate and Multivariable logisticregression identified risk factors associated with SSIdevelopment. Results: Of 393 patients studied. 88developed SSI (superficial 19.60%, deep 2.30%, organspace 0.50%), age (40-60 years), males, Body MassIndex (BMI) >25, smoking, diabetes, alcohol, higherwound class, low hematocrit, low serum albumin,Longer duration of surgery were associated withincreased SSI rate. Associated co-morbidities, Lowhematocrit and higher duration of surgery weresignificant independent risk factors (p<0.05).Conclusion: Institutional SSI modeling shows thatmany previously suggested nationally defined riskfactors do not contribute to SSI, at our institution.Identifying SSI's institutional contextual predictors,rather than relying on external data assumptions, is avital endeavor to promote quality improvements andmaximize the value of quality investments.