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Incidence of Surgical Site Infection and Use of Antibiotics among Patients Who Underwent Caesarean Section and Herniorrhaphy at a Regional Referral Hospital, Sierra Leone
Surgical site infections (SSIs) are common postoperative complications. Surgical antibiotic prophylaxis (SAP) can prevent the occurrence of SSIs if administered appropriately. We carried out a retrospective cohort study to determine the incidence of SSIs and assess whether SAP were administered acco...
Autores principales: | , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8998544/ https://www.ncbi.nlm.nih.gov/pubmed/35409731 http://dx.doi.org/10.3390/ijerph19074048 |
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author | Carshon-Marsh, Ronald Squire, James Sylvester Kamara, Kadijatu Nabbie Sargsyan, Aelita Delamou, Alexandre Camara, Bienvenu Salim Manzi, Marcel Guth, Jamie Ann Khogali, Mohamed Ahmed Reid, Anthony Kenneh, Sartie |
author_facet | Carshon-Marsh, Ronald Squire, James Sylvester Kamara, Kadijatu Nabbie Sargsyan, Aelita Delamou, Alexandre Camara, Bienvenu Salim Manzi, Marcel Guth, Jamie Ann Khogali, Mohamed Ahmed Reid, Anthony Kenneh, Sartie |
author_sort | Carshon-Marsh, Ronald |
collection | PubMed |
description | Surgical site infections (SSIs) are common postoperative complications. Surgical antibiotic prophylaxis (SAP) can prevent the occurrence of SSIs if administered appropriately. We carried out a retrospective cohort study to determine the incidence of SSIs and assess whether SAP were administered according to WHO guidelines for Caesarean section (CS) and herniorrhaphy patients in Bo regional government hospital from November 2019 to October 2020. The analysis included 681 patients (599 CSs and 82 herniorrhaphies). Overall, the SSI rate was 6.7% among all patients, and 7.5% and 1.2% among CS patients and herniorrhaphy patients, respectively. SAP was administered preoperatively in 85% of CS and 70% of herniorrhaphy patients. Postoperative antibiotics were prescribed to 85% of CS and 100% of herniorrhaphy patients. Ampicillin, metronidazole, and amoxicillin were the most commonly used antibiotics. The relatively low rate of SSIs observed in this study is probably due to improved infection prevention and control (IPC) measures following the Ebola outbreak and the current COVID-19 pandemic. A good compliance rate with WHO guidelines for preoperative SAP was observed. However, there was a high use of postoperative antibiotics, which is not in line with WHO guidelines. Recommendations were made to ensure the appropriate administration of SAP and reduce unnecessary use of antibiotics. |
format | Online Article Text |
id | pubmed-8998544 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-89985442022-04-12 Incidence of Surgical Site Infection and Use of Antibiotics among Patients Who Underwent Caesarean Section and Herniorrhaphy at a Regional Referral Hospital, Sierra Leone Carshon-Marsh, Ronald Squire, James Sylvester Kamara, Kadijatu Nabbie Sargsyan, Aelita Delamou, Alexandre Camara, Bienvenu Salim Manzi, Marcel Guth, Jamie Ann Khogali, Mohamed Ahmed Reid, Anthony Kenneh, Sartie Int J Environ Res Public Health Article Surgical site infections (SSIs) are common postoperative complications. Surgical antibiotic prophylaxis (SAP) can prevent the occurrence of SSIs if administered appropriately. We carried out a retrospective cohort study to determine the incidence of SSIs and assess whether SAP were administered according to WHO guidelines for Caesarean section (CS) and herniorrhaphy patients in Bo regional government hospital from November 2019 to October 2020. The analysis included 681 patients (599 CSs and 82 herniorrhaphies). Overall, the SSI rate was 6.7% among all patients, and 7.5% and 1.2% among CS patients and herniorrhaphy patients, respectively. SAP was administered preoperatively in 85% of CS and 70% of herniorrhaphy patients. Postoperative antibiotics were prescribed to 85% of CS and 100% of herniorrhaphy patients. Ampicillin, metronidazole, and amoxicillin were the most commonly used antibiotics. The relatively low rate of SSIs observed in this study is probably due to improved infection prevention and control (IPC) measures following the Ebola outbreak and the current COVID-19 pandemic. A good compliance rate with WHO guidelines for preoperative SAP was observed. However, there was a high use of postoperative antibiotics, which is not in line with WHO guidelines. Recommendations were made to ensure the appropriate administration of SAP and reduce unnecessary use of antibiotics. MDPI 2022-03-29 /pmc/articles/PMC8998544/ /pubmed/35409731 http://dx.doi.org/10.3390/ijerph19074048 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Article Carshon-Marsh, Ronald Squire, James Sylvester Kamara, Kadijatu Nabbie Sargsyan, Aelita Delamou, Alexandre Camara, Bienvenu Salim Manzi, Marcel Guth, Jamie Ann Khogali, Mohamed Ahmed Reid, Anthony Kenneh, Sartie Incidence of Surgical Site Infection and Use of Antibiotics among Patients Who Underwent Caesarean Section and Herniorrhaphy at a Regional Referral Hospital, Sierra Leone |
title | Incidence of Surgical Site Infection and Use of Antibiotics among Patients Who Underwent Caesarean Section and Herniorrhaphy at a Regional Referral Hospital, Sierra Leone |
title_full | Incidence of Surgical Site Infection and Use of Antibiotics among Patients Who Underwent Caesarean Section and Herniorrhaphy at a Regional Referral Hospital, Sierra Leone |
title_fullStr | Incidence of Surgical Site Infection and Use of Antibiotics among Patients Who Underwent Caesarean Section and Herniorrhaphy at a Regional Referral Hospital, Sierra Leone |
title_full_unstemmed | Incidence of Surgical Site Infection and Use of Antibiotics among Patients Who Underwent Caesarean Section and Herniorrhaphy at a Regional Referral Hospital, Sierra Leone |
title_short | Incidence of Surgical Site Infection and Use of Antibiotics among Patients Who Underwent Caesarean Section and Herniorrhaphy at a Regional Referral Hospital, Sierra Leone |
title_sort | incidence of surgical site infection and use of antibiotics among patients who underwent caesarean section and herniorrhaphy at a regional referral hospital, sierra leone |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8998544/ https://www.ncbi.nlm.nih.gov/pubmed/35409731 http://dx.doi.org/10.3390/ijerph19074048 |
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