علیرضا داهیم

Surgical Site Infection (SSI) is the most common and costly complication among patients undergoing surgery, including neurosurgery. The aim of this study was to investigate the factors associated with surgical site infection in neurosurgery of Shahid Beheshti Hospital in Kashan.

In this case-control study, out of 1350 cases of neurosurgery in Shahid Beheshti Hospital of Kashan, 30 patients had surgical site infection and were selected as the case group. Also, 90 patients without infection were selected as the control group. The required information was extracted from patients' files and analyzed by SPSS software version 22.

Out of 1350 cases of neurosurgery in Shahid Beheshti Hospital in Kashan, 30 people (2.2%) had infection at the operation site. Surgical infection was not significantly associated with gender, smoking, history of diabetes and type of surgery (p> 0.05) but was significantly associated with age and radiotherapy/chemotherapy, and was higher in older patient and patient with a history of radiotherapy/chemotherapy.

The frequency of infection at the surgery site was 2.2% and among the mentioned risk factors, age and radiotherapy/chemotherapy were the effective factors in the incidence of infection.

Background:

 An important characteristic of higher education in the last four decades is the rapid expansion of higher education institutions in developing countries, including Iran. Consequently, it is important to evaluate their educational services. This study aims to investigate the satisfaction of medical interns with the quality of clinical training in the internal emergency department of Shahid Beheshti Hospital in Kashan, Iran.

Methods:

 This descriptive-analytical study was conducted in 2022 on 100 interns from the internal emergency department of Shahid Beheshti Hospital who were selected by a convenience sampling method. The data collection tool was Masoomi and Dastgiri’s satisfaction scale. Data analysis was performed in SPSS software, version 16.  

Results:

 According to 56% of interns, the quality of clinical training in the emergency department of Shahid Beheshti Hospital was at a moderate level, while 38% perceived it as favorable. In terms of the domains of satisfaction with the quality of training, the highest level of satisfaction was related to the quality of training in performing main medical procedures (71.3%), followed by the quality of teaching basic skills (69.9%), the quality of time spent in the emergency department (64.8%), and the teaching quality of professors (59.1%).

Conclusion:

 According to medical interns, the quality of clinical training in the internal emergency department of Shahid Beheshti Hospital in Kashan, Iran, is at a moderate level. It is important to improve the quality of clinical training in this department for medical interns in compliance with the guidelines stipulated by the Ministry of Health and Medical Education.