Surgical-site infections in emergency abdominal paediatric surgeries at a tertiary-care hospital in Pakistan

Ali Faisal Saleem, Huma Faiz Halepota, Hasaan Omar, Areeba Zain, Muhammad Arif Mateen Khan

Research output: Contribution to journalReview articlepeer-review


A retrospective chart review was carried out in children (neonates to 18 years) who underwent acute surgical abdominal exploration during 2012-2016 at the Aga Khan University Hospital, Karachi, to evaluate the postoperative surgical site infection rates in emergency paediatric abdominal surgery. Incidence of surgical site infection (SSI) was estimated. P-value was calculated, chi-square and non-parametric tests were performed by comparing pre-surgical and post-surgical procedure pathogen occurrence and pre-procedure wound status. Pathogen occurrence related to time-trend of 98 paediatric patients who underwent emergency abdominal surgery was plotted. Of the 94 who were discharged in stable condition, it was found that there was no significant difference between pre- and post-surgical pathogens. Escherichia coli (n=10) was found to be the most common pathogen. Contaminated wounds were associated with higher SSI (p=0.036, OR 1.95 95% CI 0.7-5.4). The study found that pre-surgery wound status could be an indicator for risk of SSI in a post-operative scenario.

Original languageEnglish
Pages (from-to)2244-2246
Number of pages3
JournalJournal of the Pakistan Medical Association
Issue number12
Publication statusPublished - Dec 2020


  • Paediatric emergency
  • Post-surgical
  • Risk factors
  • Surgical site infection
  • Wound classification


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