Prevalence and Risk Factors for Surgical Site Infection at PKU Muhammadiyah Gamping Hospital, Yogyakarta

Authors

  • Kusbaryanto Universitas Muhammadiyah Yogyakarta

DOI:

https://doi.org/10.59890/ijnhs.v4i3.270

Keywords:

Surgical Site Infection, Prevalence, Risk Factors, Surgery, Patient Safety

Abstract

Surgical Site Infection (SSI) remains one of the most common healthcare-associated infections and contributes to increased morbidity, prolonged hospitalization, and higher healthcare costs, making its prevention an important priority in surgical services. This study aimed to determine the prevalence of SSI and identify patient-related and procedure-related risk factors associated with its occurrence among postoperative patients at PKU Muhammadiyah Gamping Hospital, Yogyakarta. A quantitative analytical observational study with a cross-sectional design was conducted using secondary data obtained from medical records of 150 postoperative patients selected through total sampling. Data on demographic characteristics, comorbidities, diabetes mellitus, duration of surgery, length of hospital stay, type of surgery, and SSI incidence were collected and analyzed using descriptive statistics and Chi-square tests with a significance level of p<0.05. The results showed that the prevalence of SSI was 12.0% (18 of 150 patients). Significant factors associated with SSI were diabetes mellitus (p=0.014), comorbid conditions (p=0.009), duration of surgery exceeding two hours (p=0.002), and length of hospital stay exceeding five days (p=0.001). Age, sex, and type of surgery were not significantly associated with SSI occurrence. In conclusion, SSI remains a substantial postoperative complication, and both patient-related and procedure-related factors contribute to its incidence. Early identification and management of modifiable risk factors are essential to reduce SSI rates, improve patient safety, and enhance the quality of surgical care

References

Allegranzi, B., Bischoff, P., de Jonge, S., Kubilay, N. Z., Zayed, B., Gomes, S. M., Abbas, M., Atema, J. J., Gans, S., van Rijen, M., Boermeester, M. A., Egger, M., Kluytmans, J., Pittet, D., Solomkin, J. S., & World Health Organization Surgical Site Infection Guidelines Development Group. (2022). New WHO recommendations on intraoperative and postoperative measures for surgical site infection prevention: An evidence-based global perspective. The Lancet Infectious Diseases, 22(5), e123–e136. https://doi.org/10.1016/S1473-3099(21)00695-2

Bahru, T. T., Gobena, M. A., Anteneh, B. T., Meskelu, H. A., Legese, A. T., Berhanu, H. T., Aschenaki, W. K., Zehredin, E. E., Dawud, A. S., & Wakshume, A. A. (2025). Prevalence of Surgical Site Infection and Associated Factors Among Post‐Operative Patients. International Wound Journal, 22(7), e70730.

Bucataru, A., Popescu, D., Rusu, M., & Ionescu, C. (2024). Preoperative patient status and surgical wound healing outcomes: A clinical review. International Wound Journal, 21(2), 245–256. https://doi.org/10.1111/iwj.14567

Calò, F., Cinaglia, P., De v Cassai, A., Boscolo, A., & Navalesi, P. (2023). Prevention of surgical site infections: Current evidence and future perspectives. Journal of Clinical Medicine, 12(14), 4672. https://doi.org/10.3390/jcm12144672

Creswell, J. W., & Creswell, J. D. (2021). Research design: Qualitative, quantitative, and mixed methods approaches (5th ed.). SAGE Publications.

Dhole, S., Mahakalkar, C., Kshirsagar, S., & Bhargava, A. (2023). Antibiotic prophylaxis in surgery: current insights and future directions for surgical site infection prevention. Cureus, 15(10).

Edmiston Jr, C. E., Spencer, M., Gunja, N. J., Holy, C. E., Ruppenkamp, J. W., & Leaper, D. J. (2023). Longitudinal rates, risk factors, and costs of superficial and deep incisional surgical-site infection (SSI) after primary and revision total knee arthroplasty: A US retrospective claims database analysis. Infection Control & Hospital Epidemiology, 44(10), 1587–1595.

Etikan, I. (2020). Comparison of convenience sampling and purposive sampling. American Journal of Theoretical and Applied Statistics, 5(1), 1–4. https://doi.org/10.11648/j.ajtas.20160501.11

Field, A. (2022). Discovering statistics using IBM SPSS statistics (6th ed.). SAGE Publications.

Kazan, Z., Saifan, A., Dagher, J., Mroueh, F., Afyouni, A., Hamideh, K., & Msheik, L. (2023). Surgical site infections in diabetic patients: literature review. J. Intern. Med, 2(4), 28.

Martin, E. T., Kaye, K. S., Knott, C., Nguyen, H., Santarossa, M., Evans, R., Bertran, E., & Jaber, L. (2021). Diabetes and risk of surgical site infection: A systematic review and meta-analysis. Infection Control & Hospital Epidemiology, 42(3), 281–289. https://doi.org/10.1017/ice.2020.1312

Marzoug, A., Ahmed, M., Elhadi, M., & Khalifa, A. (2023). Risk factors associated with surgical site infections: A systematic review and meta-analysis. Healthcare, 11(9), 1308. https://doi.org/10.3390/healthcare11091308

Mengistu, D. A., Alemu, Y. M., & Gebrehiwot, M. (2023). Surgical site infection and associated factors in low- and middle-income countries: A systematic review and meta-analysis. BMC Surgery, 23(1), 186. https://doi.org/10.1186/s12893-023-02053-8

Mukti, B. H. (2025). Methods in health research: Probability and non-probability sampling. Health Sciences International Journal, 3(2), 220–234.

Rothman, K. J., Lash, T. L., Greenland, S., & Modern Epidemiology Authors Group. (2021). Modern epidemiology (4th ed.). Wolters Kluwer.

Patil, N., Saket, R., Diwakar, R., Reddy, G. H. V., Kumar, K. A., Sathe, A. M., Reddy Sr, G. H. V., & KOTTEDA, A. K. (2026). Orthopedic trauma management: A comprehensive review of surgical interventions, rehabilitation, and patient outcomes. Cureus, 18(2).

Seidelman, J. L., Mantyh, C. R., & Anderson, D. J. (2023). Surgical site infections: Epidemiology, prevention, and management. JAMA, 329(8), 680–691. https://doi.org/10.1001/jama.2023.0134

Setia, M. S. (2023). Methodology series module 3: Cross-sectional studies. Indian Journal of Dermatology, 68(1), 1–6. https://doi.org/10.4103/ijd.IJD_366_22

World Health Organization. (2018). Global guidelines for the prevention of surgical site infection (2nd ed.). World Health Organization.

World Health Organization. (2021). Global guidelines for the prevention of surgical site infection. World Health Organization.

World Health Organization. (2025). Infection prevention and control: Global report on implementation and progress. World Health Organization.

Downloads

Published

2026-07-30

Issue

Section

Articles