Cyriaque Dégbey1,2, Alphonse Kpozehouen1, Drissa Coulibaly1, Pascal Chigblo3, Josué Avakoudjo4, Edgard-Marius Ouendo1, Aristote Hans-Moevi3. 1. Regional Institute of Public Health, University of Abomey-Calavi, Ouidah, Benin. 2. University Hospital Hygiene Clinic, National University Hospital Centre Hubert Koutoukou Maga, Cotonou, Benin. 3. University Clinic for Traumatology-Orthopedics and Reconstructive Surgery, Centre National University Hospitalier Hubert Koutoukou Maga, Cotonou, Benin. 4. University Urology Clinic, National University Hospital Centre Hubert Koutoukou Maga, Cotonou, Benin.
Abstract
Objectives: Study the prevalence and factors associated with the occurrence of surgical site infections in University Clinics of Trauma-Orthopedics, Reconstructive Surgery and Urology in a developing country. Methods: This was a retrospective descriptive and analytical study of 384 people operated on during the period of 2019. Logistic regression was used to study the factors associated with surgical site infections. The associations between the dependent variable and the other variables were assessed by the odds ratio (OR) followed by their 95% confidence interval. Results: The prevalence of surgical site infections was 7.81% CI 95% = (5.12-10.51). The factors linked to the surgical site infections in the studied population were the patient's admission method [OR = 2.74; 95% CI = (1.08-6.95)] and the length of the postoperative stay [OR = 8.75; 95% CI = (2.83-26.98)]. The interview and direct observation identified health care system dysfunctions, medical errors, patient monitoring and financial unavailability as factors that could favor the onset of surgical site infections. Conclusion: Interventions should be focused on the factors identified for the effective management of operated patients.
Objectives: Study the prevalence and factors associated with the occurrence of surgical site infections in University Clinics of Trauma-Orthopedics, Reconstructive Surgery and Urology in a developing country. Methods: This was a retrospective descriptive and analytical study of 384 people operated on during the period of 2019. Logistic regression was used to study the factors associated with surgical site infections. The associations between the dependent variable and the other variables were assessed by the odds ratio (OR) followed by their 95% confidence interval. Results: The prevalence of surgical site infections was 7.81% CI 95% = (5.12-10.51). The factors linked to the surgical site infections in the studied population were the patient's admission method [OR = 2.74; 95% CI = (1.08-6.95)] and the length of the postoperative stay [OR = 8.75; 95% CI = (2.83-26.98)]. The interview and direct observation identified health care system dysfunctions, medical errors, patient monitoring and financial unavailability as factors that could favor the onset of surgical site infections. Conclusion: Interventions should be focused on the factors identified for the effective management of operated patients.
Authors: K El Rhazi; S Elfakir; M Berraho; N Tachfouti; Z Serhier; C Kanjaa; C Nejjari Journal: East Mediterr Health J Date: 2007 Jan-Feb Impact factor: 1.628