Surgical Site Infection in A Tertiary Centre In Nigeria
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2017, Vol 16, Issue 3
Abstract
Background: Surgical site infection (SSI) previously called wound infection is defined as that infection presenting up to 30 days after a surgical procedure if no prosthesis is placed and up to 1 year if a prosthesis is implanted in the patient.It has been reported to be second only to urinary tract infection as the commonest hospital acquired infection and actually the most commonly encountered form of nosocomial infection in surgical practice. The commonest organisms causing SSI have been reported to be gram positive cocci and gram negative bacilli. Aim: To identify the risk factors of SSI together with the identification of the aetiological bacterial agents. Patients And Methods: This is a 3 year prospective study conducted at the University of Port Harcourt Teaching Hospital (UPTH) between 1st July, 2013 and 30th June, 2016. All patients with SSI were recruited for the study. Data which included age, sex, duration of surgery, type of surgical wound, nature of operation (elective of emergency), body mass index (BMI), site of operation, organisms isolated and associated risk factors ( e.g diabetes) were obtained and recorded on a data sheet. Data were analyzed using the Statistical Package for Social Sciences (SPSS) version 16. Chi square (x2) and Fisher’s exact tests were used to observe associations. P value of ˂ 0.05 was considered statistically significant. Results: There were 32 cases of surgical site infection out of the 350 surgeries within the study period and this constitutes about 9.1%. There were 20 (62.5%) males and 12 females (37.5%) with a male to female ratio of 1.7:1. Their ages ranged from 27 to 65 years with a mean of 40.4±3.7 years and the most commonly affected age group was 21-30 years. Significant risk factors included emergency operation, prolong surgeries ( ˃ 2 hours), dirty wounds and obesity. There was no significant association between SSI and diabetes. Conclusion: The rate of SSI was 9.1% and the identified risk factors were emergency operations, dirty wounds, long duration of surgery (˃ 2 hours) and obesity.The commonest organism isolated was Klebsiella.
Authors and Affiliations
Dodiyi-Manuel Amabra. , Dodiyi-Manuel . Sotonye T
Keywords
Related Articles
- EP ID EP591257
- DOI 10.9790/0853-1603010811
- Views 41
- Downloads 0
To Compare The Effect of Conventional Huffing with Therapist Made Huffing Device on Sputum Volume In Subjects With Acute Exacerbation of COPD
Chronic obstructive pulmonary disease (COPD), is a lung disease characterised by chronic obstruction of lung airflow that interferes with normal breathing and is not fully reversible. COPD causes coughing that produce la...
Long-Term Effect of Chemoradiotherapy At Gastric Cancer on Pancreas
Local or regional disease recurs or distant metastasis occur after resection in a significant proportion of those with gastric cancer.The reduce the risk of recurrence and mortality, adjuvant chemoradiotherapy has been p...
Prevention and Management of Cardiovascular Disease through Physical Exercise
Cardiovascular disease is rapidly increasing in incidence and prevalence worldwide. As a result there is growing concern not only about the rapid increase but in the changing pattern of these diseases that are now appear...
Five-Year Analysis of Mandible Fracture and its Associated Factors
This retrospective study evaluated the mandibular fracture in patients who presented our center between January Year 2011 to December Year 2015. A total of 222 patients with 368 mandibular fractures were analysed. The ag...
Gnathic Osteosarcomas- An Institutional Experience Of 10 Cases
Background: Sarcomas are neoplasms arising from the mesodermal tissue and constitute < 1% of body tumors. Of these,only 5-15% occur in the head and neck region. Among these osteosarcomas are the most common. They are dif...