A Cross Sectional Study on the Incidence and Risk Factors for Abdominal Surgical Site Infections: At Halibet National Referral Hospital, Asmara, Eritrea
Journal Title: International Journal of Medical and Health Sciences - Year 2018, Vol 7, Issue 2
Abstract
Introduction: Abdominal Surgical Site Infections (ASSIs) are infections that occur commonly within 30 days after an operation and related to the operation in general surgery. Methods and Materials: A cross-sectional study was conducted to assess the incidence and risk factors of ASSI: at Halibet National Referral Hospital (HNRH), Asmara, Eritrea. The study included all patients (140) who underwent abdominal surgery from September 4 to December 23, 2017. Results: The study results revealed an overall incidence of 5 percent; 71.4 percent as superficial and 28.6 percent as deep. ASSI was observed in patients with prostatectomy (42.8%), appendectomy (28.6%), cholecystectomy (14.3%) and colonic surgery (14.3%); being more prevalent in males (61.4%). Preoperative hospital stay was also observed to be longer (6.86 days) in patients with ASSI. The study results indicated a significant association with preoperative hospital stay (p – value = 0.026), type of surgery (p-value = 0.039) and duration of operation (p-value = 0.01). Out of the seven samples with ASSI, five (71.4%) were found with culture growth of S.aureus, E.coli and Klebsella spp. that were mainly resistant to ampicillin, cephalexin, ceftazidime but sensitive to chloramphenicol and nitofurantoin. Conclusion: ASSI at HNRH was found to be low as compared to other hospitals. Therefore, the study recommends decreased preoperative hospital stay and the use of sensitive antibiotics, in order to reduce the rate of infection to a lower level than the existing prevalence.
Authors and Affiliations
Merhawi Ghirmay Gebregergish, Yosief Yohannes, Elias Teages Adgoy
Keywords
Related Articles
- EP ID EP40056
- DOI -
- Views 263
- Downloads 0
Prevalence of Anemia Among Female Undergraduate Students of Government Medical College Kottayam, Kerala
Background: Anemia is a problem among young adult females. The present study was planned to estimate the prevalence and selected determinants of anemia among female undergraduates of Government Medical College Kottayam....
Preventive Role of Fish oil (Omega-3 Fatty Acids ) Against HCl Induced Oxidative Stress in Rat Gastric Mucosa
Fish oil contains more amount of Omega-3-fatty acids and have more biological uses than alphalinolenic acid. The goal of this study was to evaluate the antioxidant and gastric mucosal protective activity of fish oil in...
Effect of Hypertension and Hypercholesterolemia on Auditory Brainstem Response in Adults
Introduction: Cerebrovascular comorbidity factors (CCF) namely hypertension (HT) and hypercholesterolemia (HC) has been associated individually to the abnormalities seen in absolute peak latencies (APL) and inter-peak l...
Prevalence of Eating Disorders among Female University Medical Students in Dammam, Saudi Arabia
Background: The social media pressure on women to be thin and the advertisement for strict diet plans have been linked to the expression of serious eating disorders. The prevalence of eating disorder risk in university...
Efficacy of Sildenafil therapy in Paediatrics & Neonates with Pulmonary Artery Hypertension– A study from a Tertiary Care University Hospital
Background: Sildenafil citrate is one of the predominant drugs for treatment of paediatric and neonatal pulmonary artery hypertension (PAH). But there is an uncertainty in the current treatment pattern of sildenafil in...