PEDIATRIC SURGERY RISK-ORIENTED APPROACH IN PREVENTION OF INFECTIONS IN THE REGION OF SURGICAL INTERVENTION

Aim. To assess the risk factors for the development of IRSI among patients of children’s surgical units. One of the leading forms of health care-associated infections, developing in the postoperative period, including pediatric surgery, is infections in the region of surgical intervention (IRSI). In spite of multiple studies on the assessment of IRSI risk factors in the adult population, their significance among children remains insufficiently explored. Materials and methods. The data of surgical outcomes for 2015, including analysis of surgical protocols, analysis of cards of data collection for IRSI detecting, analysis of cards of active epidemiological observation of surgical outcomes were retrospectively analyzed. To reveal patient’s infection, standard determination of IRSI case, developed by The Center for Control and Prevention of Diseases (CDC, USA) was used. Influence of external and internal factors on the development of IRSI in pediatric surgery was estimated. Results. It was revealed while studying that IRSI frequency among patients of pediatric surgery units was 13,6 per 100 operative interventions. This index is significantly higher than the data of official registration and proves the necessity of introducing qualitative epidemiological observation in respect of IRSI at such units and use effective measures for their prevention. The most frequently complicated surgeries were those on the gastrointestinal tract, airways, appendectomy. Conclusions. The results of this study demonstrate that IRSI frequency significantly depends on the availability of concomitant diseases, ASA index, surgical wound class, risk index NNIS.

Infection in the region of surgical intervention, pediatric surgery, risk factors