Introduction: Surgical site infection accounts for approximately 38% of hospital-acquired infections globally and is associated with increased length of hospitalization and mortality. The aim of the study was to determine the incidence of surgical site infection, causative organisms and factors which were associated with its occurrence at a central hospital in South Africa. Methods: A retrospective review of records of patients who developed surgical site infection over a 12-months period was conducted. Data were extracted from records of weekly morbidity and mortality meetings of the Department of Surgery. Data retrieved included demographic information, co-morbidities, nature of surgery, class of surgical site infection and microscopy, culture and sensitivity results and overall outcome including the length of hospital stay. Results: During the study period 3 005 surgical procedures were performed of which 46.8% were elective operations. A total of 147 records of patients who developed surgical site infection were found. The mean age of these 147 patients who developed surgical site infection was 47.3±17.21 years. The incidence of reported surgical site infection was 4.8% (147/3 005) with 72.6% (93/147) occurring in males. Nineteen of the 147 cases had to be excluded and thus only 128 patient files were suitable for the study. Of patients who developed surgical site infection, 30.5% (39/128) had diabetes mellitus, 21.9% (28/128) had hypertension and 18.8% (24/128) had both diabetes and hypertension, while 15.6% (20/128) of patients were known to be HIV positive. Sixty-four percent (64.1%: 82/128) of the patients who developed SSI had positive culture results and the two most commonly cultured organisms were E. coli (44%, 36/82) and P. aeruginosa (29.3%, 24/82). Conclusion: The overall rate of occurrence of surgical site infection was 4.8% and most of the infections were diagnosed in male patients. The two most commonly cultured organisms were E. coli and P. aeruginosa. Thirty-one percent who had surgical site infection had diabetes mellitus.
| Published in | Journal of Surgery (Volume 10, Issue 2) |
| DOI | 10.11648/j.js.20221002.17 |
| Page(s) | 83-88 |
| Creative Commons |
This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
| Copyright |
Copyright © The Author(s), 2022. Published by Science Publishing Group |
Surgical Site Infection, Classification, Co-morbidities, Diabetes Mellitus, Gender, HIV
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APA Style
Barbakh Mohamed Khaled Eyadah, Muganza Adelin, Luvhengo Thifhelimbilu Emmanuel, Nel Marietha. (2022). Surgical Site Infection at a Central Academic Hospital in Johannesburg: A One-year Audit. Journal of Surgery, 10(2), 83-88. https://doi.org/10.11648/j.js.20221002.17
ACS Style
Barbakh Mohamed Khaled Eyadah; Muganza Adelin; Luvhengo Thifhelimbilu Emmanuel; Nel Marietha. Surgical Site Infection at a Central Academic Hospital in Johannesburg: A One-year Audit. J. Surg. 2022, 10(2), 83-88. doi: 10.11648/j.js.20221002.17
AMA Style
Barbakh Mohamed Khaled Eyadah, Muganza Adelin, Luvhengo Thifhelimbilu Emmanuel, Nel Marietha. Surgical Site Infection at a Central Academic Hospital in Johannesburg: A One-year Audit. J Surg. 2022;10(2):83-88. doi: 10.11648/j.js.20221002.17
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Download@article{10.11648/j.js.20221002.17,
author = {Barbakh Mohamed Khaled Eyadah and Muganza Adelin and Luvhengo Thifhelimbilu Emmanuel and Nel Marietha},
title = {Surgical Site Infection at a Central Academic Hospital in Johannesburg: A One-year Audit},
journal = {Journal of Surgery},
volume = {10},
number = {2},
pages = {83-88},
doi = {10.11648/j.js.20221002.17},
url = {https://doi.org/10.11648/j.js.20221002.17},
eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.js.20221002.17},
abstract = {Introduction: Surgical site infection accounts for approximately 38% of hospital-acquired infections globally and is associated with increased length of hospitalization and mortality. The aim of the study was to determine the incidence of surgical site infection, causative organisms and factors which were associated with its occurrence at a central hospital in South Africa. Methods: A retrospective review of records of patients who developed surgical site infection over a 12-months period was conducted. Data were extracted from records of weekly morbidity and mortality meetings of the Department of Surgery. Data retrieved included demographic information, co-morbidities, nature of surgery, class of surgical site infection and microscopy, culture and sensitivity results and overall outcome including the length of hospital stay. Results: During the study period 3 005 surgical procedures were performed of which 46.8% were elective operations. A total of 147 records of patients who developed surgical site infection were found. The mean age of these 147 patients who developed surgical site infection was 47.3±17.21 years. The incidence of reported surgical site infection was 4.8% (147/3 005) with 72.6% (93/147) occurring in males. Nineteen of the 147 cases had to be excluded and thus only 128 patient files were suitable for the study. Of patients who developed surgical site infection, 30.5% (39/128) had diabetes mellitus, 21.9% (28/128) had hypertension and 18.8% (24/128) had both diabetes and hypertension, while 15.6% (20/128) of patients were known to be HIV positive. Sixty-four percent (64.1%: 82/128) of the patients who developed SSI had positive culture results and the two most commonly cultured organisms were E. coli (44%, 36/82) and P. aeruginosa (29.3%, 24/82). Conclusion: The overall rate of occurrence of surgical site infection was 4.8% and most of the infections were diagnosed in male patients. The two most commonly cultured organisms were E. coli and P. aeruginosa. Thirty-one percent who had surgical site infection had diabetes mellitus.},
year = {2022}
}
TY - JOUR T1 - Surgical Site Infection at a Central Academic Hospital in Johannesburg: A One-year Audit AU - Barbakh Mohamed Khaled Eyadah AU - Muganza Adelin AU - Luvhengo Thifhelimbilu Emmanuel AU - Nel Marietha Y1 - 2022/04/20 PY - 2022 N1 - https://doi.org/10.11648/j.js.20221002.17 DO - 10.11648/j.js.20221002.17 T2 - Journal of Surgery JF - Journal of Surgery JO - Journal of Surgery SP - 83 EP - 88 PB - Science Publishing Group SN - 2330-0930 UR - https://doi.org/10.11648/j.js.20221002.17 AB - Introduction: Surgical site infection accounts for approximately 38% of hospital-acquired infections globally and is associated with increased length of hospitalization and mortality. The aim of the study was to determine the incidence of surgical site infection, causative organisms and factors which were associated with its occurrence at a central hospital in South Africa. Methods: A retrospective review of records of patients who developed surgical site infection over a 12-months period was conducted. Data were extracted from records of weekly morbidity and mortality meetings of the Department of Surgery. Data retrieved included demographic information, co-morbidities, nature of surgery, class of surgical site infection and microscopy, culture and sensitivity results and overall outcome including the length of hospital stay. Results: During the study period 3 005 surgical procedures were performed of which 46.8% were elective operations. A total of 147 records of patients who developed surgical site infection were found. The mean age of these 147 patients who developed surgical site infection was 47.3±17.21 years. The incidence of reported surgical site infection was 4.8% (147/3 005) with 72.6% (93/147) occurring in males. Nineteen of the 147 cases had to be excluded and thus only 128 patient files were suitable for the study. Of patients who developed surgical site infection, 30.5% (39/128) had diabetes mellitus, 21.9% (28/128) had hypertension and 18.8% (24/128) had both diabetes and hypertension, while 15.6% (20/128) of patients were known to be HIV positive. Sixty-four percent (64.1%: 82/128) of the patients who developed SSI had positive culture results and the two most commonly cultured organisms were E. coli (44%, 36/82) and P. aeruginosa (29.3%, 24/82). Conclusion: The overall rate of occurrence of surgical site infection was 4.8% and most of the infections were diagnosed in male patients. The two most commonly cultured organisms were E. coli and P. aeruginosa. Thirty-one percent who had surgical site infection had diabetes mellitus. VL - 10 IS - 2 ER -
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