scholarly journals Prevalence and root causes of surgical site infections at an academic trauma and burn center in Ethiopia: a cross-sectional study

2020 ◽  
Vol 14 (1) ◽  
Author(s):  
Rahel Mezemir ◽  
Awole Seid ◽  
Teshome Gishu ◽  
Tangut Demas ◽  
Addisu Gize
Keyword(s):  
Surgical Site Infection ◽  
Hospital Stay ◽  
Surgical Techniques ◽  
Cross Sectional Study ◽  
Outcome Variable ◽  
Site Infection ◽  
Sectional Study ◽  
Cross Sectional ◽  
Asa Score ◽  
Burn Center

Abstract Background Despite modern surgical techniques and the use of antibiotic prophylaxis, surgical site infection remains a burden for the patient and health system. It is a major cause of morbidity, prolonged hospital stay, and increased health costs. Thus, the main aim of this study was to determine the prevalence and root causes of surgical site infection among patients undergoing major surgery at an academic trauma and burn center in Ethiopia. Methods A hospital based cross-sectional study was conducted on 249 patients during 6-months’ time window. Data entered in SPSS and multivariate logistic regression was employed to determine the root causes and the outcome variable. Results The prevalence of surgical site infection was found to be 24.6% of whom 10% develop deep site, 9.2% organ spaced and the remaining 5.2% develop superficial space surgical site infection. The prevalence was high in patients who had undergone orthopedics (54.3%) and abdominal (30%) surgeries. Educational status, pre-morbid illness, duration of pre-operative and post-operative hospital stay, ASA score, and type of the wound were significantly associated with SSI at p-value of ≤0.05. However, no association was found with BMI and location of the wound. Conclusions The prevalence of surgical site infection in the study population is still high. Preoperative hospital stay, pre-morbid illness, pre-operative and post-operative hospital stay, ASA score, and type of the wound were the independent predictors of surgical site infection. The duration of pre and post-operative periods should be kept to a minimum as much as possible. Patients with pre-morbid history of chronic diseases and contaminated wound require special attention to decrease the rate of occurrence of infections. In addition, longitudinal studies should be carried out to identify more risk factors.

Predictors and Risk Factors of Surgical Site Infection (SSI) Following Adult Spine Surgery: A Cross-sectional Study

2021 ◽  
pp. 6
Author(s):  
Waleed Awwad ◽  
Abdullah Alnasser ◽  
Abdulrahman Almalki ◽  
Rohail Mumtaz ◽  
Bander Alsubaie ◽  
...  
Keyword(s):  
Risk Factors ◽  
Surgical Site Infection ◽  
Hospital Stay ◽  
Spine Surgery ◽  
Length Of Hospital Stay ◽  
Cross Sectional Study ◽  
Site Infection ◽  
Sectional Study ◽  
Cross Sectional ◽  
Duration Of Surgery

Introduction: Surgical site infection (SSI) is a major cause of morbidity and mortality as it is known to increase the length of hospital stay, revision surgery, and re-operation. Identifying patients at risk of developing SSI before surgery is the key to prevent SSI. Methodology: This cross-sectional study was performed at the orthopedic department in King Khalid University Hospital, Riyadh, Saudi Arabia. SSIs were defined according to the Centers for Disease Control (CDC) case definition for SSI. Potential risk factors for postoperative wound infection were collected. Data were analyzed using the SPSS, version 23.0, and p-value < 0.05 was considered to be statistically significant. Result: A total of 214 patients were included in the study and the incidence of SSI following spine surgery was 9.81% (N = 21). Obesity, diabetes, location of surgery, ASA score, duration of surgery, length of hospital stay, and location/level of operated vertebrae were all found to have a significant correlation with the SSI (p < 0.05). Conclusion: Having a strong background of SSI risk factors and predictors is core to preventing the incidence of SSI and further enhance and optimize operative outcomes, as well as increasing the cost-effectiveness of the surgical intervention.

scholarly journals An Assessment Scale for Patients with Postoperative Superficial Incisional Surgical Site Infection: a Cross-Sectional Study

2016 ◽  
Vol 80 (3) ◽  
pp. 259-268 ◽  
Author(s):  
Medhat Mohamed Anwar ◽  
Alice Edward Reizian ◽  
Aneesa Mohammad El Kholy ◽  
Iman El Sayed ◽  
Marwa Khalil Hafez
Keyword(s):  
Surgical Site Infection ◽  
Cross Sectional Study ◽  
Assessment Scale ◽  
Site Infection ◽  
Sectional Study ◽  
Cross Sectional ◽  
Incisional Surgical Site Infection

scholarly journals Awareness and level of knowledge of Surgical Site Infection among Surgical Staff in King Abdullah Medical City in Hajj-2019: A Cross-Sectional Study

2020 ◽  
Author(s):  
Eman Bamoosa ◽  
Khalid Idris ◽  
Rufaydah Alsabbah ◽  
Ghali Faidah ◽  
Shahd Alharbi ◽  
...  
Keyword(s):  
Surgical Site Infection ◽  
Cross Sectional Study ◽  
Site Infection ◽  
Sectional Study ◽  
Microbial Infection ◽  
Cross Sectional ◽  
Surgical Subspecialty ◽  
Medical City ◽  
Level Of Knowledge ◽  
Hajj Season

Abstract Background: Surgical site infection (SSI) is a microbial infection of the surgical wound during 30 days of any procedure or within 1 year after the operation. More than 1,600 operations are performed in Makkah during Hajj every year. Many studies examined SSI awareness internationally but up to our knowledge non studies were conducted in Makkah. The purpose of this study is to assess the level of knowledge about SSI among Surgical staff in KAMC during Hajj. Methods: A cross-sectional study conducted to assess the Awareness and level of knowledge of Surgical Site Infection among Surgical Staff in King Abdullah Medical City those who had been participating in healthcare provider team of Hajj season of 2019 using a 20-item anonymous multiple-choice questionnaire Result: About 39.2% of respondents had poor knowledge, 50% had fair knowledge while only 13.7% had good knowledge. There was a relationship between years of experience and level of knowledge. Surgical subspecialty was not associated with the level of knowledge. Almost 20% of respondents did not recognize the SSI definition. There was no association between surgical subspecialty and the level of knowledge. Doctors were more aware than nurses about epidemiological part questions. Age of Surgical Staff was associated with and level of knowledge.Conclusion: Level of knowledge among Surgical Staff needs reinforcement on a larger scale thus we recommend proper awareness courses regarding SSI.

scholarly journals Post cesarean section surgical site infection and associated factors among women who delivered in public hospitals in Harar city, Eastern Ethiopia: A hospital-based analytic cross-sectional study

PLoS ONE ◽  
2021 ◽  
Vol 16 (6) ◽  
pp. e0253194
Author(s):  
Tsegaw Alemye ◽  
Lemessa Oljira ◽  
Gelana Fekadu ◽  
Melkamu Merid Mengesha
Keyword(s):  
Confidence Interval ◽  
Cesarean Section ◽  
Surgical Site Infection ◽  
Cross Sectional Study ◽  
Public Hospitals ◽  
Site Infection ◽  
Sectional Study ◽  
Cross Sectional ◽  
Eastern Ethiopia ◽  
Factors Associated

Background Cesarean section (CS) is often complicated by surgical site infection (SSI) that may happen to a woman within 30 days after the operation. This study was conducted to estimate the prevalence of SSI and identify the factors associated with SSI. Methods A hospital-based analytic cross-sectional study was conducted based on the review of medical records of 1069 women who underwent CS in two public hospitals in Harar city. The post-CS SSI is defined when it occurred within 30 days after the CS procedure. Factors associated with SSI were identified using a multivariable binary logistic regression analysis. The analysis outputs are presented using an adjusted odds ratio (aOR) with a corresponding 95% confidence interval (CI). All statistical tests are defined as statistically significant at P-values<0.05. Results The prevalence of SSI was 12.3% (95% confidence interval (CI): 10.4, 14.4). Emergency-CS was conducted for 75.9% (95% CI: 73.2, 78.3) of the women and 13.2% (95% CI: 11.3, 15.4) had at least one co-morbid condition. On presentation, 21.7% (95% CI: 19.3, 24.3) of women had rupture of membrane (ROM). Factors significantly and positively associated with post-CS SSI include general anesthesia (aOR = 2.0, 95%CI: 1.10, 2.90), ROM (aOR = 2.27, 95%CI: 1.02, 3.52), hospital stay for over 7 days after operation (aOR = 3.57, 95%CI: 1.91, 5.21), and blood transfusion (aOR = 4.2, 95%CI: 2.35, 6.08). Conclusion The prevalence of post-CS SSI was relatively high in the study settings. Screening for preoperative anemia and appropriate correction before surgery, selection of the type of anesthesia, close follow-up to avoid unnecessary prolonged hospitalization, and careful assessment of membrane status should be considered to avoid preventable SSI and maternal morbidity.

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