The incidence of abdominal surgical site infections after abdominal birth defects surgery in infants: A systematic review with meta-analysis

Background: Surgical site infections (SSI) are a frequent and significant problem understudied in infants operated for abdominal birth defects. Different forms of SSIs exist, namely wound infection, dehiscence, anastomotic leakage, post-operative peritonitis fistula development. These complications can extend hospital stay, surge medical costs increase mortality. If the incidence was known, it would provide context clinical decision making aid future research. Therefore, this review aims to aggregate available literature on different who needed surgery defects.Method: The electronic databases Pubmed, EMBASE, Cochrane library were searched February 2020. Studies describing infectious (under three years age) considered eligible. Primary outcome infants. categorized postoperative peritonitis, Secondary depending type defect. Meta-analysis performed pooling reported incidences total per defect separately.Results: 154 studies, representing 11,786 patients included. overall pooled percentage after 6% (95%-CI:0.05–0.07) ranging from 1% (95% CI:0.00–0.05) choledochal cyst 10% (95%-CI:0.06–0.15) gastroschisis surgery. Wound dehiscence occurred 4% (95%-CI:0.03–0.07) infants, (95%-CI:0.00–0.03) duodenal obstruction (95%-CI:0.04–0.08) gastroschisis. Anastomotic leakage had an 3% (95%-CI:0.02–0.05), (95%-CI:0.00–0.04) 14% CI:0.06–0.27) colon atresia Postoperative development could not be specified (95%-CI:0.01–0.09) 2% (95%-CI:0.01–0.04).Conclusions: This has systematically shown that common correction defects distribution SSI differs between