Is it possible to predict Surgical Site Infection?

Sezgi Gullu Erciyestepe1*, Ahmet Birtan Boran2, Merve Sezer Yildirim3, Mert Erciyestepe4

1.Department of Obstetrics and Gynecology, Acibadem Bakirkoy Hospital, Turkey
2.Department of Obstetrics and Gynecology, Istanbul Training and Research Hospital, Turkey
3.Department of Obstetrics and Gynecology, Sarıyer Hamidiye Etfal Training and Research Hospital, Turkey
4.Dr Cemil Tascioglu City Hospital, Turkey

*Corresponding Author: Sezgi Gullu Erciyestepe; E-mail:


Surgical site infection (SSI) is a widely seen postoperative complication that causes a decrease in life quality and an economic burden. In this study, we aim to find the predictive values of preoperative and postoperative neutrophile lymphocyte ratio (NLR) and platelet lymphocyte ratio (PLR) values for SSI.
In this retrospective study, 698 patients who had total abdominal hysterectomy operations with benign indications and confirmed histopathological results were accessed. In this study, the correlation of preoperative NLR, preoperative PLR, postoperative NLR, and postoperative PLR, with the occurrence of postoperative surgical site infection complications were examined.
The overall SSI rate was 9.46% (n = 66) with 30 days follow-up postoperatively. Preoperative NLR and PLR values of the patients who had SSIs were significantly lower than the control group (p < 0.05). Postoperative NLR and PLR values of the patients who had SSIs were significantly higher than control group (p < 0.05). In the patients who had postoperative SSIs, the increase of the values of postoperative NLR and PLR were significantly higher than the control group (p < 0.05).
In our study, hematological markers of NLR and PLR were found to be independent and significant predictive markers for SSI.

Key words: Hematological Marker, Lymphocyte, Neutrophile, Platelet, Surgical Site Infections.

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