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Incidence and predictors of surgical site infection in Ethiopia: prospective cohort.
- Source :
-
BMC infectious diseases [BMC Infect Dis] 2017 Feb 03; Vol. 17 (1), pp. 119. Date of Electronic Publication: 2017 Feb 03. - Publication Year :
- 2017
-
Abstract
- Background: Surgical site infections are commonest nosocomial infections and responsible for considerable morbidity and mortality as well as increased hospitalizations and treatment cost related to surgical operations. The aim of this study was to determine incidence and predictors of surgical site infections at surgical ward of Hawassa University Referral Hospital, Southern Ethiopia.<br />Methods: We performed prospective study involving 105 patients that undergone major surgical procedure at Hawassa University Referral Hospital from March 2 to May 2, 2015. Data were extracted from paper based medical charts, operational and anesthesia note, by direct observation and patients' interview. All patients were followed daily before, during and after operation for 30 days starting from the date of operation. Data were analyzed using Statistical Package for Social Science (SPSS) for window version 20.0 software. Predictors of Surgical site infections were identified using multivariable logistic regression model. P-value less than 0.05 was considered to be statistically significant.<br />Result: We studied 105 patients. Sixty four patients (61%) were males. The mean age of the patients was 30.85 ± 17.72 years. The mean Body Mass Index (BMI) was 21.6 ± 4 kg/m <superscript>2</superscript> . Twenty patients (19.1%) developed surgical site infections. Age greater than 40 years, AOR = 7.7(95% CI [1.610-40.810 p = 0.016,]), preoperative hospital stay more than 7 days, AOR = 22.4(95% CI [4.544-110.780, p = 0.001]), duration of operation more than 1 hour, AOR = 8.01(95% CI [1.562-41.099, p = 0.013]) and administering antimicrobial prophylaxis before 1 hour of operation, AOR = 11.1 (95% CI [1.269-75.639, p = 0.014]) were independent predictors for surgical site infections.<br />Conclusion: Surgical site infection is relatively high.
- Subjects :
- Adolescent
Adult
Age Factors
Child
Child, Preschool
Cohort Studies
Cross Infection epidemiology
Digestive System Surgical Procedures
Ethiopia epidemiology
Female
Hospitals, University
Humans
Incidence
Infant
Male
Middle Aged
Otorhinolaryngologic Surgical Procedures
Prospective Studies
Risk Factors
Urologic Surgical Procedures
Young Adult
Antibiotic Prophylaxis statistics & numerical data
Length of Stay statistics & numerical data
Operative Time
Surgical Procedures, Operative
Surgical Wound Infection epidemiology
Subjects
Details
- Language :
- English
- ISSN :
- 1471-2334
- Volume :
- 17
- Issue :
- 1
- Database :
- MEDLINE
- Journal :
- BMC infectious diseases
- Publication Type :
- Academic Journal
- Accession number :
- 28158998
- Full Text :
- https://doi.org/10.1186/s12879-016-2167-x