Factors associated with surgical site infections within the first week post-operatively at Amana regional referral hospital Tanzania
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Date
2023
Authors
Journal Title
Journal ISSN
Volume Title
Publisher
Hubert Kairuki Memorial University
Abstract
Background: Surgical site infection (SSI) is among the most common infections in
hospitals that affect patients having surgery. It is linked to longer hospital stays,more
morbidity, and higher costs for medical care, therefore this study is going toaddress
about factors associated with the occurrence of SSI at Amana Regional Referral Hospital
within the first week post operatively.
Objectives: To determine the prevalence and associated factors of SSI within the first
week postoperatively at Amana Regional Referral Hospital.
Materials and Methods observational prospective hospital-based study conducted
between March 2023 and July 2023 in the surgical ward at Amana Regional Referral
Hospital.
All patients who underwent surgery were consecutively enrolled and followed for a
period of 7 days.
On every follow-up, surgical sites were inspected for signs of SSI.
Questionnaires were used to record socio-demographic and clinical information from
patients and clinical case files. Data were entered and analyzed using Statistical
Package for the Social Sciences
Multivariate analyses were used to find associations between dependent and
independent variables..
Results: During the study period, 258 patients were enrolled in the study, 6 patients
passed away after the operation and 2 patients were referred and lost to follow-up.
As a result, 250 patients were available for follow-up and were monitored for 7 days.
The majority of the patients, 95
least were under 14, with only 16
were the largest group of participants, while 41
co-morbidities. Almost all of the patients, 204
The study found that 22.8% of patients had surgical site infections
and the duration of surgery and wound class type were significant factors in causing
SSI.
Conclusion: This study found that 57 out of 250 patients
Several factors were linked to SSI, including comorbidities, smoking, operator skill
level, prophylactic antibiotics taken before surgery, shaving in the operating room or
ward, length of surgery, and wound type. However, the two strongest predictors of
SSI in this study were the length of the procedure and wound classification. The use
of prophylactic antibiotics before surgery was found to be an important factor in
preventing SSI.These factors can be modified, so these results will help reduce SSI
rates after general surgery at ARRH.
Recommendations:-Surgical site infections
and mortality in patients who have undergone surgery. Therefore, it is important to
focus on prevention measures at ARRH in order to reduce the prevalence of SSI. It
would be beneficial for the hospital to provide regular training sessions and
supervision for Surgeons on how to properly manage SSI.
Keywords: Surgical site infection, associated factors, modifiable factors, Dar es
salaam, Tanzania
Description
A dissertation submitted in partial fulfillment of the requirements for the
Degree of Master of Medicine in General Surgery at Hubert Kairuki Memorial University
Keywords
Surgical site infection, Associated factors, Dares salaam, Tanzania.
Citation
Mwakasitu, Last N, 2023. Factors associated with surgical site infections within the first week post-operatively at Amana regional referral hospital Tanzania. HKMU.