Incidence and Etiology of Surgical Site Infections among Emergency Postoperative Patients in Mbarara Regional Referral Hospital, South Western Uganda

Surgery Research and Practice Pub Date : 2017-01-12 DOI:10.1155/2017/6365172

Abubaker Lubega, Bazira Joel, Najjuka Justina Lucy

{"title":"Incidence and Etiology of Surgical Site Infections among Emergency Postoperative Patients in Mbarara Regional Referral Hospital, South Western Uganda","authors":"Abubaker Lubega, Bazira Joel, Najjuka Justina Lucy","doi":"10.1155/2017/6365172","DOIUrl":null,"url":null,"abstract":"Background. This prospective hospital based study was conducted to determine the incidence, risk factors, and causative agents of surgical site infection their susceptibility to among 114 emergency postoperative patients at the Mbarara Regional Referral Hospital between September 2014 and January 2015. Methods. Consented patients were consecutively enrolled and their preoperative, intraoperative, and postoperative data were collected. Follow-ups were done in the surgical outpatient clinics. Wound specimens were collected and processed as per Sops; susceptibility testing was done using the Kirby-Bauer disc diffusion technique. Data was analyzed using STATA 11.0. Results. Overall SSI incidence was 16.4%: 5.9% superficial and 47.1% deep and organ space SSIs each. Klebsiella pneumoniae was the most predominant organism (50%) followed by Staphylococcus aureus (27.8%). E. coli and P. aeruginosa both accounted for 11.1%. Wound class (p = 0.009), anaemia (p = 0.024), low serum albumin (p = 0.046), and property of suture material used (p = 0.006) were significantly associated with SSIs. All organisms had 100% resistance to ampicillin, tetracycline, septrin, and erythromycin. Ciprofloxacin and ceftriaxone are highly sensitive to all organisms. Conclusion. The incidence of SSI in this hospital is very high. Klebsiella pneumoniae is the predominant cause. Ciprofloxacin are very potent antibiotics against organisms that cause SSI.","PeriodicalId":30584,"journal":{"name":"Surgery Research and Practice","volume":"53 1","pages":""},"PeriodicalIF":0.0000,"publicationDate":"2017-01-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"58","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Surgery Research and Practice","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1155/2017/6365172","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}

引用次数: 58

Abstract

Background. This prospective hospital based study was conducted to determine the incidence, risk factors, and causative agents of surgical site infection their susceptibility to among 114 emergency postoperative patients at the Mbarara Regional Referral Hospital between September 2014 and January 2015. Methods. Consented patients were consecutively enrolled and their preoperative, intraoperative, and postoperative data were collected. Follow-ups were done in the surgical outpatient clinics. Wound specimens were collected and processed as per Sops; susceptibility testing was done using the Kirby-Bauer disc diffusion technique. Data was analyzed using STATA 11.0. Results. Overall SSI incidence was 16.4%: 5.9% superficial and 47.1% deep and organ space SSIs each. Klebsiella pneumoniae was the most predominant organism (50%) followed by Staphylococcus aureus (27.8%). E. coli and P. aeruginosa both accounted for 11.1%. Wound class (p = 0.009), anaemia (p = 0.024), low serum albumin (p = 0.046), and property of suture material used (p = 0.006) were significantly associated with SSIs. All organisms had 100% resistance to ampicillin, tetracycline, septrin, and erythromycin. Ciprofloxacin and ceftriaxone are highly sensitive to all organisms. Conclusion. The incidence of SSI in this hospital is very high. Klebsiella pneumoniae is the predominant cause. Ciprofloxacin are very potent antibiotics against organisms that cause SSI.

查看原文本刊更多论文

乌干达西南部姆巴拉拉地区转诊医院急诊术后患者手术部位感染的发生率和病因学

背景。本前瞻性基于医院的研究旨在确定2014年9月至2015年1月在Mbarara地区转诊医院114例急诊术后患者手术部位感染的发生率、危险因素和致病菌及其易感性。方法。连续纳入同意的患者，收集其术前、术中和术后数据。随访在外科门诊进行。伤口标本采集并按sop处理;药敏试验采用Kirby-Bauer盘扩散技术。数据分析采用STATA 11.0。结果。总体SSI发生率为16.4%，其中浅表SSI 5.9%，深部和器官间隙SSI 47.1%。肺炎克雷伯菌是最主要的病原菌(50%)，其次是金黄色葡萄球菌(27.8%)。大肠杆菌和铜绿假单胞菌均占11.1%。伤口类型(p = 0.009)、贫血(p = 0.024)、低血清白蛋白(p = 0.046)和所用缝合材料的性质(p = 0.006)与ssi显著相关。所有微生物对氨苄西林、四环素、septrin和红霉素均100%耐药。环丙沙星和头孢曲松对所有生物都高度敏感。结论。这家医院的SSI发生率非常高。肺炎克雷伯菌是主要病因。环丙沙星是一种非常有效的抗生素，可以对抗引起SSI的微生物。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Surgery Research and Practice

自引率

0.00%

发文量

期刊介绍： Surgery Research and Practice is a peer-reviewed, Open Access journal that provides a forum for surgeons and the surgical research community. The journal publishes original research articles, review articles, and clinical studies focusing on clinical and laboratory research relevant to surgical practice and teaching, with an emphasis on findings directly affecting surgical management.