Skip to content
Research Article Open access CC BY 3.0

Rates and Risk Factors Associated with Surgical Site Infections in a Tertiary Care Center in South-Western Nigeria

O. E. Amoran, A. O. Sogebi, O. M. Fatugase

International Journal of TROPICAL DISEASE & Health · pp. 25–36 · Published 26 Feb 2013

10.9734/IJTDH/2013/1769

Abstract

Background: Surgical site infections [SSI] are one of the most common nosocomial infections. This study was therefore carried out to determine the incidence and risk factors associated with surgical site infection among patients in a tertiary care center in Western Nigeria. Methods: The study was a 6 months Retrospective cohort study which reviewed case files obtained from the surgical departments. The study was carried out between 23rd January 2012 and 3rd february 2012 at Olabisi Onabanjo University Teaching Hospital, Sagamu, Nigeria. Result: A total of 386 surgical patients were recruited into the study. The overall incidence rate of SSI was 13.0%. The children had the highest infection rate of 22.9%. Factors associated with SSI were Pre-existing Medical Condition [X2=70.76, p=0.00001] Department of Care [X2=11.68, p=0.039] and age[X2=9.50, p=0.05]. There was no statistically significant difference in the SSI rate among the respondents due to Sex [X2=1.74, p=0.187], Operation site [X2=9.01, p=0.109] and Occupation [X2=5.84, p=0.12]. Forty-nine (98.0%) out of the 50 clinical surgical site infections were culture-positive and 20 (40.0%) of them had polymicrobial infection. The most frequently isolated bacteria were Staphyloccocus aureus, 16 [32.7%] and E. Coli 17 [34.7]. Pre-existing medical condition [OR=0.46, C.I=0.36-0.59] and length of post operative stay in the hospital [OR=0.33, C.I=0.21-0.50] were predictors of risk of surgical site infection. Conclusion: The study suggests that pre-existing medical condition and length of post operative stay in the hospital were predictors of risk of surgical site infection. This suggest that home based care of surgical wounds in patients that are ambulatory should be encouraged.

Surgical site infection rates risk factors surgical wards Nigeria

References (32)

  1. 1 Guideline for Prevention of Surgical Site Infection, 1999 [DOI]
  2. 2 CDC definitions of nosocomial surgical site infections, 1992: A modification of CDC definitions of surgical wound infections [DOI]
  3. 3 Principles of Surgery
  4. 4 The Impact of Surgical-Site Infections Following Orthopedic Surgery at a Community Hospital and a University Hospital Adverse Quality of Life, Excess Length of Stay, and Extra Cost [DOI]
  5. 5 IDENTIFYING PATIENTS AT HIGH RISK OF SURGICAL WOUND INFECTION [DOI]
  6. 6 Wound Tissue Oxygen Tension Predicts the Risk of Wound Infection in Surgical Patients [DOI]
  7. 7 Surgical Site Infections: Reanalysis of Risk Factors [DOI]
  8. 8 Surgical Site Infections in Orthopedic Surgery: The Effect of Mupirocin Nasal Ointment in a Double‐Blind, Randomized, Placebo‐Controlled Study [DOI]
  9. 9 Nosocomial infection in surgery wards: A controlled study of increased duration of hospital stays and direct cost of hospitalization [DOI]
  10. 10 Surgical-site infections at Kilimanjaro Christian Medical Center [DOI]
  11. 11 Six Years of Surgical Wound Infection Surveillance at a Tertiary Care Center [DOI]
  12. 12 Surgical Site Infection in Children: Prospective Analysis of the Burden and Risk Factors in a Sub-Saharan African Setting [DOI]
  13. 13 Incidence of surgical site infections and accompanying risk factors in Vietnamese orthopaedic patients [DOI]
  14. 14 Nosocomial Pneumonia in the ICU— Year 2000 and Beyond [DOI]
  15. 15 Reduction of orthopaedic wound infections in 21 hospitals [DOI]
  16. 16 Incisional infection after colorectal surgery in obese patients.
  17. 17 Reducing surgical site infections through a multidisciplinary computerized process for preoperative prophylactic antibiotic administration [DOI]
  18. 18 Wound infection in Tikur Anbessa hospital, surgical department.
  19. 19 Surgical wound infection in a teaching hospital in Ethiopia.
  20. 20 Hospital-acquired infections among surgical patients in Tikur Anbessa Hospital, Addis Ababa, Ethiopia [DOI]
  21. 21 Évolution de la prévalence des infections nosocomiales dans un centre hospitalier universitaire en Algérie (2001 à 2005) [DOI]
  22. 22 Promoting Appropriate Antimicrobial Drug Use: Perspective from the Centers for Disease Control and Prevention [DOI]
  23. 23 Prevalence of nosocomial infections in two Latvian hospitals. [DOI]
  24. 24 Surgical wound infection surveillance: results from the Belgian hospital network.
  25. 25 Wound Infection in a Rural Hospital: The Benefit of a Wound Management Protocol [DOI]
  26. 26 A Computerized Nationwide Network for Nosocomial Infection Surveillance in Belgium [DOI]
  27. 27 Surgical site infections [DOI]
  28. 28 World Wide Web resources on prevention and treatment of postoperative infections [DOI]
  29. 29 Rush University Review of Surgery
  30. 30 [Ten-year surveillance of nosocomial surgical site infections in an orthopedic surgery department].
  31. 31 [Surgical site infection surveillance: an effective preventive measure].
  32. 32 [Hospital infections in general surgery wards].

Cited by 56

Surgical site infection and pathogens in Ethiopia: a systematic review and meta-analysis

Yeneabat Birhanu, Aklilu Endalamaw · Patient Safety in Surgery · 2020

Risk factors for surgical site infections in obstetrics: a retrospective study in an Ethiopian referral hospital

Teshager Mamo, Tilaye Workneh Abebe, Tesfaye Yitna Chichiabellu · Patient Safety in Surgery · 2017

Isolation and in vitro evaluation of bacteriophages against MDR-bacterial isolates from septic wound infections

Roja Rani Pallavali, Vijaya Lakshmi Degati, Dakshayani Lomada · PLOS ONE · 2017

Surgical site infection in Nigerian patients

George Okwudilichukwu Enweluzo, Olasode I. Akinmokun, Eyitayo O. Alabi · Journal of Clinical Sciences · 2023

Antibacterial Activity of Honey against Methicillin-Resistant Staphylococcus aureus : A Laboratory-Based Experimental Study

Mohammedaman Mama, Teklu Teshome, Jafer Detamo · International Journal of Microbiology · 2019

Pattern of antibiotics use, incidence and predictors of surgical site infections in a Tertiary Care Teaching Hospital

Ezaedin Halawi, Tamrat Assefa, Sadikalmahdi Hussen · BMC Research Notes · 2018

Assessment of surgical antimicrobial prophylaxis in Orthopaedics and Traumatology Surgical Unit of a Tertiary Care Teaching Hospital in Addis Ababa

Nitsuh Alemayehu Argaw, Kibruyisfawe Zewdie Shumbash, Alemseged Ayele Asfaw · BMC Research Notes · 2017

Showing 16 of 56 known citations — external sources report more than can currently be individually listed.

Article metrics

Real usage data collected on this platform.

63

Page views

0

PDF downloads

21

Outbound clicks

56

Citations

Views over time

Views by country

Approximate, from request IP at view time — not citizenship or institution. Countries with fewer than 5 views are grouped as "Other".

Traffic sources

Referring site, by host.

Views and downloads exclude known bots/crawlers. Citations combines this platform's own DOI-resolved index with each external source's own reported total — see Cited by above for individually listed citing works. Last refreshed 0 seconds ago.