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首页> 外文期刊>Nigerian Medical Journal >The effect of hospital infection control policy on the prevalence of surgical site infection in a tertiary hospital in South-South Nigeria
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The effect of hospital infection control policy on the prevalence of surgical site infection in a tertiary hospital in South-South Nigeria

机译：尼日利亚南南三级医院中医院感染控制策略对手术部位感染发生率的影响

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Background:Surgical site infections (SSIs) are a significant cause of morbidity, emotional stress and financial cost to the affected patients and health care institutions; and infection control policy has been shown to reduce the burden of SSIs in several health care institutions. This study assessed the effects of the implementation of the policy on the prevalence of SSI in the University of Port Harcourt Teaching Hospital, Nigeria.Patients and Methods:A review of the records of all Caesarean sections carried out in the hospital, before and 2 years after the implementation of the infection control policy was conducted. Data collected include the number and characteristics of the patients that had Caesarean section in the hospital during the period and those that developed SSI while on admission.Results:The proportion of patients with SSI decreased from 13.33% to 10.34%, 2 years after the implementation of the policy (P-value = 0.18). The implementation of the policy did not also result in any statistically significant change in the nature of the wound infection (P-value = 0.230), in the schedule of the operations (P-value = 0.93) and in the other predisposing factors of the infections (P-value = 0.72); except for the significant decrease in the infection rate among the un-booked patients (P-value = 0.032).Conclusion:The implementation of the policy led to a small decrease in SSI, due to the non-implementation of some important aspects of the WHO policy. The introduction of surveillance activities, continuous practice reinforcing communications and environmental sanitation are recommended to further decrease the prevalence of SSI in the hospital.
机译：背景：手术部位感染（SSI）是发病率，情绪压力和对受影响患者和医疗机构造成经济损失的重要原因。事实证明，感染控制政策可以减轻一些医疗机构中SSI的负担。这项研究评估了该政策的实施对尼日利亚哈科特港大学教学医院的SSI患病率的影响。患者和方法：回顾了该医院之前和2年内在该医院进行的所有剖腹产的记录。在实施感染控制政策之后。收集的数据包括该期间住院的剖腹产患者和入院时发生SSI的患者的数量和特征。结果：实施SSI后2年，SSI的患者比例从13.33％下降到10.34％的政策（P值= 0.18）。该政策的实施也没有导致伤口感染的性质（P值= 0.230），手术时间表（P值= 0.93）和其他导致感染的易感因素发生统计学上的显着变化。感染（P值= 0.72）;结论：该政策的实施导致SSI的小幅下降，原因是未实施该计划的一些重要方面。世卫组织政策。建议引入监视活动，加强交流和环境卫生的持续实践，以进一步降低医院中SSI的患病率。

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