Duration of operation and diagnosis of hepatitis B (HBV) is an independent risk factor for surgical site infections after liver transplantation
Yıl: 2022 Cilt: 38 Sayı: 3 Sayfa Aralığı: 289 - 293 Metin Dili: İngilizce DOI: 10.47717/turkjsurg.2022.4790 İndeks Tarihi: 31-10-2022
Duration of operation and diagnosis of hepatitis B (HBV) is an independent risk factor for surgical site infections after liver transplantation
Öz: Objective: Surgical site infections (SSI) are the most common complications after liver transplantation (LT). Although there are some risk factors known in the literature after LT, the available data is insufficient for routine use. In the present study, it was aimed to define the parameters that may be used to clearly determine the risk of SSI after LT in our clinic. Material and Methods: In the present study, we evaluated 329 patients who underwent liver transplantation with regard to risk factors for surgical site infections. The relation between demographic data and SSI was evaluated using SPSS, Graphpad, and Medcalc statistical programs. Results: In a total of 329 patients, SSIs were determined in 37 (11.24%). Among the 37 patients, 24 were classified as organ space (64.9%) and 13 as deep SSI (35.1%). None of these patients developed superficial incisional infection. SSI showed statistically significant relation with operation time (p= 0.008), diabetes (p= 0.004), and cirrhosis due to hepatitis B (p< 0.001). Conclusion: As a result, deep and organ space infections are much more observed in patients undergoing liver transplantation with hepatitis B, diabetes mellitus and prolonged surgery. This is thought to have developed because of chronic irritation and increased inflammation. Since data on hepatitis B and duration of surgery are limited in the literature, this study is considered to be a contribution to the literature.
Anahtar Kelime: Hepatit B (HBV) tanısı ve operasyon süresi karaciğer transplantasyonu sonrası cerrahi alan enfeksiyonları için bağımsız bir risk faktörüdür
Öz: Giriş ve Amaç: Cerrahi alan enfeksiyonları (CAE), karaciğer nakli (KN) sonra en sık görülen komplikasyonlardan biridir. Literatürde KN sonrası bilinen bazı risk faktörleri olmasına rağmen, mevcut veriler rutin kullanım için yetersizdir. Bu çalışmada, kliniğimizde KN sonrası CAE riskini açıkça belirlemek için kullanılabilecek parametrelerin tanımlanması amaçlanmıştır. Gereç ve Yöntem: Bu çalışmada, KN uygulanan 232 hastayı değerlendirdik. Demografik veriler ve CAE arasındaki ilişki SPSS, Graphpad, Medcalc istatistik programları kullanılarak analiz edilmiştir. Bulgular: Toplam 232 hastada 26 (%11,26) CAE saptandı. 26 hastanın 16’sı organ boşluk 16 (61,5) ve 10’u (39,5) derin CAE olarak sınıflandırıldı. Bu hastaların hiçbirinde yüzeysel cerrahi alan enfeksiyonu gelişmedi.Derin ve organ boşluk SS, operasyon süresi (p= 0,01), diyabet (p= 0,004), HBV enfeksiyonu (p= 0,001) arasında istatistiksel olarak anlamlı ilişki saptandı. Sonuç: Sonuç olarak, karaciğer nakli uygulanan hepatit B tanısı olan, diyabetik ve ameliyat süresi uzayan hastalarda daha fazla derin ve organ boşluk enfeksiyonu geliştiği görülmektedir. Bunun da kronik irritasyon ve artmış enflamasyon sonucunda geliştiği düşünülmüştür. Literatürde hepatit B ve ameliyat süresi ile ilgili veriler kısıtlı olduğundan bu çalışmanın literatüre katkı sağlayabileceği düşünülmüştür.
Anahtar Kelime: Belge Türü: Makale Makale Türü: Derleme Erişim Türü: Erişime Açık
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| APA | Aksoy F, dündar h, Kaya E (2022). Duration of operation and diagnosis of hepatitis B (HBV) is an independent risk factor for surgical site infections after liver transplantation. , 289 - 293. 10.47717/turkjsurg.2022.4790 |
| Chicago | Aksoy Fuat,dündar halit ziya,Kaya Ekrem Duration of operation and diagnosis of hepatitis B (HBV) is an independent risk factor for surgical site infections after liver transplantation. (2022): 289 - 293. 10.47717/turkjsurg.2022.4790 |
| MLA | Aksoy Fuat,dündar halit ziya,Kaya Ekrem Duration of operation and diagnosis of hepatitis B (HBV) is an independent risk factor for surgical site infections after liver transplantation. , 2022, ss.289 - 293. 10.47717/turkjsurg.2022.4790 |
| AMA | Aksoy F,dündar h,Kaya E Duration of operation and diagnosis of hepatitis B (HBV) is an independent risk factor for surgical site infections after liver transplantation. . 2022; 289 - 293. 10.47717/turkjsurg.2022.4790 |
| Vancouver | Aksoy F,dündar h,Kaya E Duration of operation and diagnosis of hepatitis B (HBV) is an independent risk factor for surgical site infections after liver transplantation. . 2022; 289 - 293. 10.47717/turkjsurg.2022.4790 |
| IEEE | Aksoy F,dündar h,Kaya E "Duration of operation and diagnosis of hepatitis B (HBV) is an independent risk factor for surgical site infections after liver transplantation." , ss.289 - 293, 2022. 10.47717/turkjsurg.2022.4790 |
| ISNAD | Aksoy, Fuat vd. "Duration of operation and diagnosis of hepatitis B (HBV) is an independent risk factor for surgical site infections after liver transplantation". (2022), 289-293. https://doi.org/10.47717/turkjsurg.2022.4790 |
| APA | Aksoy F, dündar h, Kaya E (2022). Duration of operation and diagnosis of hepatitis B (HBV) is an independent risk factor for surgical site infections after liver transplantation. Turkish Journal of Surgery, 38(3), 289 - 293. 10.47717/turkjsurg.2022.4790 |
| Chicago | Aksoy Fuat,dündar halit ziya,Kaya Ekrem Duration of operation and diagnosis of hepatitis B (HBV) is an independent risk factor for surgical site infections after liver transplantation. Turkish Journal of Surgery 38, no.3 (2022): 289 - 293. 10.47717/turkjsurg.2022.4790 |
| MLA | Aksoy Fuat,dündar halit ziya,Kaya Ekrem Duration of operation and diagnosis of hepatitis B (HBV) is an independent risk factor for surgical site infections after liver transplantation. Turkish Journal of Surgery, vol.38, no.3, 2022, ss.289 - 293. 10.47717/turkjsurg.2022.4790 |
| AMA | Aksoy F,dündar h,Kaya E Duration of operation and diagnosis of hepatitis B (HBV) is an independent risk factor for surgical site infections after liver transplantation. Turkish Journal of Surgery. 2022; 38(3): 289 - 293. 10.47717/turkjsurg.2022.4790 |
| Vancouver | Aksoy F,dündar h,Kaya E Duration of operation and diagnosis of hepatitis B (HBV) is an independent risk factor for surgical site infections after liver transplantation. Turkish Journal of Surgery. 2022; 38(3): 289 - 293. 10.47717/turkjsurg.2022.4790 |
| IEEE | Aksoy F,dündar h,Kaya E "Duration of operation and diagnosis of hepatitis B (HBV) is an independent risk factor for surgical site infections after liver transplantation." Turkish Journal of Surgery, 38, ss.289 - 293, 2022. 10.47717/turkjsurg.2022.4790 |
| ISNAD | Aksoy, Fuat vd. "Duration of operation and diagnosis of hepatitis B (HBV) is an independent risk factor for surgical site infections after liver transplantation". Turkish Journal of Surgery 38/3 (2022), 289-293. https://doi.org/10.47717/turkjsurg.2022.4790 |
