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Incidence and risk factors of abdominal surgical site infection in a Nigerian Tertiary Health care centre

机译:尼日利亚第三级卫生保健中心腹部手术部位感染的发生率和危险因素

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This study aims to determine the incidence of and identify the risk factors responsible for surgical site infection (SSI) following laparotomies in adult patients in a Nigerian tertiary care facility. This is a prospective study carried out between January and December 2012. Wound assessment was done using standardized criteria stipulated by the Centres for Disease Control and Prevention. There were 291 patients during the study period, out of which 223 met the inclusion criteria: 157 (70.4%) males and 66 (29.6%) females. Surgical site infection was diagnosed in 85 patients giving an incidence rate of 38.1%. Identified risk factors for SSI include anaemia, contaminated and dirty wounds, retroviral disease status, physiological status (ASA scores IV and V), prolonged surgery time, cadre of surgeon, emergency surgeries and use of drains. The high incidence of SSI observed in this study was found more in patients that presented with septic abdomen and those that had large bowel procedures. Paying close attention to identified risk factors will reduce the burden of SSI.
机译:这项研究旨在确定尼日利亚三级医疗机构中成年患者开腹手术后发生手术部位感染(SSI)的发生率并确定其危险因素。这是一项在2012年1月至2012年12月之间进行的前瞻性研究。伤口评估是使用疾病控制与预防中心规定的标准化标准进行的。在研究期间,共有291名患者,其中223名符合纳入标准:男性157名(70.4%),女性66名(29.6%)。 85例患者被诊断出手术部位感染,发生率为38.1%。已确定的SSI危险因素包括贫血,污染和肮脏的伤口,逆转录病毒病状态,生理状态(ASA评分IV和V),手术时间延长,外科医生干部,急诊手术和使用引流管。在本研究中观察到的SSI发生率较高,存在于化脓性腹部和大肠手术患者中。密切注意已识别的风险因素将减轻SSI的负担。

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