A cross-sectional study to estimate the prevalence of bacterial pathogens causing surgical site infection in a tertiary care setup

Background: Caesarean section constitutes a major surgical procedure characterized with morbidity even if it is performed a planned procedure. Postoperative infection in obstetrics continues to affect the practice of every surgeon. Infection can cause an increase in patient’s stay in the hospital, create discomfort, cause disfigurement and lead to morbidities to the patient. Thus, preventive measures need to be constantly evaluated and updated and hence authors have to study and analyse prevalence of postoperative infectious morbidities.Methods: The study was conducted in an Urban Based Medical College Hospital in Ahmedabad. It was a retrospective cross-sectional study of 50 cases of patients who suffered infectious complications post caesarean from 1st March 2019 to 31st March 2020.Results: The prevalence rate of surgical site infection in my study is 5.9% whereas of post-operative puerperal sepsis is 0.6%, of post-operative urinary tract infection is 1.09%, of post-operative breast abnormalities is 0.16%. The most common infectious morbidity amongst all was surgical site infection (surgical site) infection and its prevalence was 5.9%.Conclusions: The development of post-operative infection is an important event that can be prevented by taking proper precautions and following prescribed guidelines. There should be specific use of antibiotics in the post-operative period. In the event of early signs of sepsis antibiotics should be administered properly as per culture sensitivity report. The decrease in infection rate also indirectly reduce the health costs involved in treating them post operatively.

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Magnitude and factors associated with post-cesarean surgical site infection at Hawassa University Teaching and referral hospital, southern Ethiopia: a cross-sectional study

Ethiopian Journal of Health Sciences ◽

10.4314/ejhs.v27i3.10 ◽

2017 ◽

Vol 27 (3) ◽

pp. 283 ◽

Cited By ~ 14

Author(s):

Samuel Wodajo ◽

Mehretu Belayneh ◽

Samson Gebremedhin

Keyword(s):

Surgical Site Infection ◽

Cross Sectional Study ◽

Referral Hospital ◽

University Teaching ◽

Southern Ethiopia ◽

Site Infection ◽

Sectional Study ◽

Cross Sectional ◽

Factors Associated ◽

Hawassa University

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

10.21203/rs.3.rs-35720/v1 ◽

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.

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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 ◽

10.1371/journal.pone.0253194 ◽

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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