PREDICTORS AND EARLY OUTCOMES OF SURGICAL SITE INFECTIONS AFTER STOMA REVERSAL: A SECONDARY CARE HOSPITAL EXPERIENCE

Imtiaz Ahmed Khattak; Sohail Aziz Paracha; Muhammad Israr Khan; Syed Iftikhar Alam; Waleed Mabood; Muhammad Kabir Afridi

doi:10.46903/gjms/23.3.2018

PREDICTORS AND EARLY OUTCOMES OF SURGICAL SITE INFECTIONS AFTER STOMA REVERSAL: A SECONDARY CARE HOSPITAL EXPERIENCE

Imtiaz Ahmed Khattak, Sohail Aziz Paracha, Muhammad Israr Khan, Syed Iftikhar Alam, Waleed Mabood, Muhammad Kabir Afridi

Abstract

Background: Surgical site infections (SSIs) remain a key concern after stoma reversal, increasing morbidity, hospital stays and healthcare costs. Various predictors can influence SSI risk and early surgical outcomes. Identifying these predictors in a secondary care setting is critical for optimizing patient management and improving infection prevention strategies. The aim of this study was to identify key predictors and evaluate early outcomes of SSI following stoma reversal in a secondary care hospital.

Materials & Methods: This descriptive observational study was conducted from January 2021 to April 2022 at the Department of Surgery, KMU-IMS, DHQ Teaching Hospital, Kohat. It included 124 stoma reversal patients selected through non-probability convenient sampling. Elective surgery was performed using the purse-string closure technique. Patients were monitored postoperatively and assessed for complications on 7th, 14th & 30th day postoperatively. Data was collected using a structured proforma and analyzed with SPSS V21.

Results: Among 124 patients (mean age 34.54 ± 8.19 years, male-to-female ratio 1.48:1, mean BMI 29.18 ± 5.20 kg/m²), the mean stoma duration was 3.42 ± 1.47 months and hospital stay averaged 3.79 ± 1.42 days. SSIs occurred in 19.35% (n=24), with superficial (47.05%) and deep incisional (33.33%) infections most common. SSIs were significantly associated with age (p=0.005), diabetes (p=0.01) and smoking (p=0.03). SSI patients had longer hospital stays (10.3 vs. 4.5 days, p<0.00001) and higher complication rates, including paralytic ileus (p=0.0001) and wound dehiscence (p=0.010).

Conclusion: SSIs after stoma reversal were linked to age, diabetes and smoking, leading to increased complications and hospital stays. Targeted preoperative optimization and strict wound care protocols may improve outcomes.

Keywords

Colostomy; Ileostomy; Postoperative Complications; Risk Factors; Surgical Site Infection.

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DOI: https://doi.org/10.46903/gjms/23.3.2018