Risk Factors For Wound Infection Post Ileostomy Closure: A Retrospective Analysis.

Following ileostomy closing, wound infection is a frequent consequence. Preoperative infection or inflammation, obesity, poor diet, insufficient intraoperative antimicrobial prevention, inappropriate handling of the stoma site, and wound dehiscence are risk factors linked to increased rates of wound infection after ileostomy closure. Additionally, old age, inflammation, and elevated blood glucose levels can all impede wound recovery. The chance of skin infection may also be increased by additional elements like smoking, glucocorticoid use, and a history of radiation treatment. As a result, it's crucial that healthcare professionals take all of these risk factors into account when providing for individuals who have received ileostomy closure.. Material and Methods This Retrospective Analysis study conducted in department of surgery HMC Peshawar from January 2022 to july 2022 we examined 100 instances of ileostomy closure carried out at a solitary tertiary care facility over a period of six months, Age, gender, BMI, medical history, preoperative infection or inflammation, perioperative antibiotic prophylaxis, manipulation of the stoma site, wound dehiscence, blood glucose levels, immunosuppression, history of radiation therapy, smoking, and corticosteroid use were all taken into account when reviewing the patients' medical records. Any infection of the surgery incision as noted in the medical file was referred to as a wound infection. Results A wound infection followed ileostomy closing in 37 (or 37%) of the 100 cases. The patients' average age was 61.8 years. (range, 19-90). BMI average was 28.3 kg/m2. (range, 18.3- 40.2). Diabetes (n = 45, 45%), hypertension (n = 43, 43%), and obesity (n = 34, 34%) were the most prevalent conditions. 17 patients (17%) had preoperative infection or inflammation, 16 patients (16%) had insufficient postoperative antimicrobial protection, 8 patients (8%), extensive handling of the stoma site, and 4 patients (4%), wound dehiscence. In addition to these risk variables, 27 patients (27%), 9 patients (9%), and 17 patients (17%), respectively, had immunodeficiency, elevated blood sugars, and advanced age. There were 3 patients (3%), 10 patients (10%), and 5 patients (5%) with a history of smoking, glucocorticoid use, and radiation treatment, respectively. Conclusion The study showed that wound infection following ileostomy closing is a frequent consequence with numerous risk factors. The most frequent risk factors included obesity, poor diet, insufficient postoperative antimicrobial prevention, inappropriate handling of the stoma site, preoperative infection or inflammation, and wound dehiscence. Other elements like elevated blood sugar, inflammation, old age, smoking, glucocorticoid use, and The chance of skin infection may also be increased by a background of radiation treatment. Therefore, when providing for individuals who have received ileostomy closure, healthcare professionals must take all of these risk factors into account. [ABSTRACT FROM AUTHOR]