A meta‐analysis showing the effect of surgical site wound infections and associated risk factors in neonatal surgeries. Issue 8 (21st April 2022)

• Record Type: Journal Article
• Authors: Abdelgawad, Mohamed A.; Parambi, Della G.T.; Ghoneim, Mohammed M.; Alotaibi, Nasser Hadal; Alzarea, Abdulaziz Ibrahim; Alanazi, Abdullah S.; Hassan, Ahmed; Tony, Sara M.; Abdelrahim, Mohamed EA
• Is Part Of: International wound journal. Volume 19:Issue 8(2022)
• Page Start: 2092
• Page End: 2100
• Publication Date: 2022-04-21
• Subjects: gestational age at birth of neonates -- length of hospital stay -- preoperative antibiotic prophylaxis -- surgical site wound infections -- the birthweight of neonates; Wounds and injuries -- Treatment -- Periodicals; Wounds and injuries -- Periodicals; Wound healing -- Periodicals; 617.1005
• DOI: 10.1111/iwj.13814
• Languages: English
• ISSNs: 1742-4801

Abstract

Abstract: A meta‐analysis was performed to assess the effect of surgical site wound infections and risk factors in neonates undergoing surgery. A systematic literature search up to January 2022 incorporated 17 trials involving 645 neonates who underwent surgery at the beginning of the trial; 198 of them had surgical site wound infections, and 447 were control for neonates. The statistical tools like the dichotomous or continuous method used within a random or fixed‐influence model to establish the odds ratio (OR) and mean difference (MD) with 95% confidence intervals (CIs) to evaluate the risk factors and influence of surgical site wound infections in neonates undergoing surgery. Surgical site wound infections had significantly higher mortality with OR value 2.03 at 95% CI 1.40–2.95 with P ‐value <0.001, the longer length of hospital stay (MD, 31.88; 95% CI, 18.17–45.59, P < 0.001), and lower birthweight of neonates (MD, −0.30; 95% CI, −0.53 to −0.07, P = 0.01) compared with neonates with no surgical site wound infections undergoing surgery. However, no remarkable change was observed with surgical site wound infections in the gestational age at birth of neonates (MD, −0.70; 95% CI, −1.46 to 0.05, P = 0.07), and the preoperative antibiotic prophylaxis (OR, 1.28; 95% CI, 0.57–2.87, P = 0.55) compared with no surgical site wound infections for neonates undergoing surgery. Surgical site wound infections had significantly higher mortality, a longer length of hospital stay, and lower birthweight of neonates. However, they had no statistically significant difference in the gestational age at birth of neonates and the preoperative antibiotic prophylaxis compared with no surgical site wound infections for neonates undergoing surgery. Furthermore, evidence is needed to confirm the outcomes.