摘要
Background: Surgical site infections (SSIs) are considered as result of the healthcare quality in hospitals. Objective: to study SSI at Saint Jean de Dieu Hospital Tanguieta (SJDHT), prior to the implementation of a permanent monitoring system. Method: transversal, and descriptive study with prospective data collection was performed from 1 July to 31 janvier 2017 in the department of general surgery of SJDHT. The hospital lacks in a microbiology unit. All patients who underwent surgery during this period were included and the monitoring lasted one month. SSIs diagnostic was carried out according to WHO criteria as described in the Practical Guide for the Prevention of Nosocomial Infections published in 2002. Statistical tests (χ-square and Student’s t-test) were applied and p 0.05 were statistically significant. Results: Of 343 patients recorded, 105 (30.6%) had SSI. Their age averaged 40.3 years and the sex-ratio (men/women) was 2.8. The emergency surgery resulted in a 50.0% rate of SSI (p = 0.00). The SSI rate for clean and clean-contaminated surgery was 6.3% against 94.6% for infected surgery (p = 0.00). The SSI rates were 100% and 66.7% for NNISS = 2 and NNISS = 1 (p = 0.00), respectively. Superficial SSI rate was 13.3%, while deep SSI and organ/space SSI were 46.7% and 40%, respectively. The hospital stay of patients with SSI was three times longer than the length of patients without SSI (p = 0.00). Conclusion: SSIs are real burden at SJDHT. Appropriate measures must be adopted to reduce its prevalence.
Background: Surgical site infections (SSIs) are considered as result of the healthcare quality in hospitals. Objective: to study SSI at Saint Jean de Dieu Hospital Tanguieta (SJDHT), prior to the implementation of a permanent monitoring system. Method: transversal, and descriptive study with prospective data collection was performed from 1 July to 31 janvier 2017 in the department of general surgery of SJDHT. The hospital lacks in a microbiology unit. All patients who underwent surgery during this period were included and the monitoring lasted one month. SSIs diagnostic was carried out according to WHO criteria as described in the Practical Guide for the Prevention of Nosocomial Infections published in 2002. Statistical tests (χ-square and Student’s t-test) were applied and p 0.05 were statistically significant. Results: Of 343 patients recorded, 105 (30.6%) had SSI. Their age averaged 40.3 years and the sex-ratio (men/women) was 2.8. The emergency surgery resulted in a 50.0% rate of SSI (p = 0.00). The SSI rate for clean and clean-contaminated surgery was 6.3% against 94.6% for infected surgery (p = 0.00). The SSI rates were 100% and 66.7% for NNISS = 2 and NNISS = 1 (p = 0.00), respectively. Superficial SSI rate was 13.3%, while deep SSI and organ/space SSI were 46.7% and 40%, respectively. The hospital stay of patients with SSI was three times longer than the length of patients without SSI (p = 0.00). Conclusion: SSIs are real burden at SJDHT. Appropriate measures must be adopted to reduce its prevalence.
作者
Montcho Adrien Hodonou
Bio Tamou
Sêmêvo Romaric Tobome
Thierry Hessou
Robert Akpata
Allassan Boukari
Ulrich Parfait Otchoun
Roméo Haoudou
Gambattista Priuli
Salako Alexandre Allodé
Gildas Kedalo
Mohamed Abbas
Delphin Kuassi Mehinto
Roberto Caronna
Montcho Adrien Hodonou;Bio Tamou;Sêmêvo Romaric Tobome;Thierry Hessou;Robert Akpata;Allassan Boukari;Ulrich Parfait Otchoun;Roméo Haoudou;Gambattista Priuli;Salako Alexandre Allodé;Gildas Kedalo;Mohamed Abbas;Delphin Kuassi Mehinto;Roberto Caronna(Department of General Surgery, Regional University Hospital of Borgou, Faculty of Medicine, University of Parakou, Parakou, Republic of Benin;Department of General Surgery, Saint Jean de Dieu Hospital Tanguiéta (SJDHT), Tanguiéta, Republic of Benin;French National Institute of Health and Medical Research (Inserm), Bordeaux, France;Office of The Sanitary Zone of Kouandé-Kérou-Péhunco, Kouandé, Republic of Benin;Infection Control Program, Geneva University Hospital and Faculty of Medicine, Geneva, Switzerland;Faculty of Health Sciences, Cotonou, Bénin;Department of Surgical Sciences, Sapienza University of Roma, Roma, Italy)
