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Surgical site infections following caesarean sections in the largest teaching hospital in Ghana

BACKGROUND: Surgical site infections complicate up to 15% of all surgical procedures depending on surgery type and underlying patient status. They constitute 14–31% of all hospital-acquired infections, placing huge financial burdens on patients, healthcare institutions and the nation. OBJECTIVE: To...

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Autores principales: Onuzo, C.N., Sefogah, P.E., Nuamah, M.A., Ntumy, M., Osei, M.-M., Nkyekyer, K.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8898913/
https://www.ncbi.nlm.nih.gov/pubmed/35265827
http://dx.doi.org/10.1016/j.infpip.2022.100203
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author Onuzo, C.N.
Sefogah, P.E.
Nuamah, M.A.
Ntumy, M.
Osei, M.-M.
Nkyekyer, K.
author_facet Onuzo, C.N.
Sefogah, P.E.
Nuamah, M.A.
Ntumy, M.
Osei, M.-M.
Nkyekyer, K.
author_sort Onuzo, C.N.
collection PubMed
description BACKGROUND: Surgical site infections complicate up to 15% of all surgical procedures depending on surgery type and underlying patient status. They constitute 14–31% of all hospital-acquired infections, placing huge financial burdens on patients, healthcare institutions and the nation. OBJECTIVE: To determine the incidence, risk factors, microbiological aetiology and antibiotic susceptibility patterns of surgical-site infections following caesarean sections (CSs) at Korle Bu Teaching Hospital (KBTH), Accra, Ghana. METHODS: This prospective study involved 500 women who underwent CS from April to July 2017 at KBTH. Overall, 474 women completed the study with 26 women lost to follow-up or opting out of the study. Women were recruited on the first postoperative day and followed-up postnatally. Sociodemographic and obstetric data were obtained using a structured questionnaire. Swabs of infected surgical wounds were taken for culture and sensitivity testing using the Kirby–Bauer disk diffusion technique. Data was analysed using SPSS version 22. RESULTS: Sixty-one (61/474) women (12.8%) had SSIs after CS. Of these, 41 (67.2%) were superficial, 18 (29.5%) were deep incisional and 2 (3.3%) were organ space SSIs. Significant risk factors for SSI were: emergency CS after 8 h of active labour, midline incisions, use of stored water for surgeon's pre-operative scrubbing, maternal status being single and alcohol consumption during pregnancy. Staphylococcus aureus was the commonest pathogen isolated with 6 (9.8%) being meticillin resistant (MRSA). Antibiotic susceptibility was mostly to quinolones. CONCLUSION: SSI occurred in 12.8% of CS wounds at the KBTH, commonly caused by S. aureus.
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spelling pubmed-88989132022-03-08 Surgical site infections following caesarean sections in the largest teaching hospital in Ghana Onuzo, C.N. Sefogah, P.E. Nuamah, M.A. Ntumy, M. Osei, M.-M. Nkyekyer, K. Infect Prev Pract Original Research Article BACKGROUND: Surgical site infections complicate up to 15% of all surgical procedures depending on surgery type and underlying patient status. They constitute 14–31% of all hospital-acquired infections, placing huge financial burdens on patients, healthcare institutions and the nation. OBJECTIVE: To determine the incidence, risk factors, microbiological aetiology and antibiotic susceptibility patterns of surgical-site infections following caesarean sections (CSs) at Korle Bu Teaching Hospital (KBTH), Accra, Ghana. METHODS: This prospective study involved 500 women who underwent CS from April to July 2017 at KBTH. Overall, 474 women completed the study with 26 women lost to follow-up or opting out of the study. Women were recruited on the first postoperative day and followed-up postnatally. Sociodemographic and obstetric data were obtained using a structured questionnaire. Swabs of infected surgical wounds were taken for culture and sensitivity testing using the Kirby–Bauer disk diffusion technique. Data was analysed using SPSS version 22. RESULTS: Sixty-one (61/474) women (12.8%) had SSIs after CS. Of these, 41 (67.2%) were superficial, 18 (29.5%) were deep incisional and 2 (3.3%) were organ space SSIs. Significant risk factors for SSI were: emergency CS after 8 h of active labour, midline incisions, use of stored water for surgeon's pre-operative scrubbing, maternal status being single and alcohol consumption during pregnancy. Staphylococcus aureus was the commonest pathogen isolated with 6 (9.8%) being meticillin resistant (MRSA). Antibiotic susceptibility was mostly to quinolones. CONCLUSION: SSI occurred in 12.8% of CS wounds at the KBTH, commonly caused by S. aureus. Elsevier 2022-02-04 /pmc/articles/PMC8898913/ /pubmed/35265827 http://dx.doi.org/10.1016/j.infpip.2022.100203 Text en © 2022 The Authors https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Original Research Article
Onuzo, C.N.
Sefogah, P.E.
Nuamah, M.A.
Ntumy, M.
Osei, M.-M.
Nkyekyer, K.
Surgical site infections following caesarean sections in the largest teaching hospital in Ghana
title Surgical site infections following caesarean sections in the largest teaching hospital in Ghana
title_full Surgical site infections following caesarean sections in the largest teaching hospital in Ghana
title_fullStr Surgical site infections following caesarean sections in the largest teaching hospital in Ghana
title_full_unstemmed Surgical site infections following caesarean sections in the largest teaching hospital in Ghana
title_short Surgical site infections following caesarean sections in the largest teaching hospital in Ghana
title_sort surgical site infections following caesarean sections in the largest teaching hospital in ghana
topic Original Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8898913/
https://www.ncbi.nlm.nih.gov/pubmed/35265827
http://dx.doi.org/10.1016/j.infpip.2022.100203
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