Predictors of surgical site infections among patients undergoing major surgery at Bugando Medical Centre in Northwestern Tanzania
TLDR
SSI is common among patients admitted in surgical wards at BMC and pre-morbid illness, use of drain, iodine alone in skin preparation, prolonged duration of the operation and cigarette smoking were found to predict SSI.Abstract:
Background
Surgical site infection (SSI) continues to be a major source of morbidity and mortality in developing countries despite recent advances in aseptic techniques. There is no baseline information regarding SSI in our setting therefore it was necessary to conduct this study to establish the prevalence, pattern and predictors of surgical site infection at Bugando Medical Centre Mwanza (BMC), Tanzania.read more
Citations
More filters
Journal ArticleDOI
A systematic review of risk factors associated with surgical site infections among surgical patients.
Ellen E. Korol,Karissa Johnston,Nathalie Waser,Frangiscos Sifakis,Hasan S. Jafri,Mathew Lo,Moe H. Kyaw +6 more
TL;DR: Risk factors consistently identified as associated with SSI included co-morbidities, advanced age, risk indices, patient frailty, and surgery complexity, which allows for identification of patients with the greatest need for optimal preventive measures to be identified and pre-treatment prior to surgery.
Journal ArticleDOI
Antimicrobial resistance in human and animal pathogens in Zambia, Democratic Republic of Congo, Mozambique and Tanzania: an urgent need of a sustainable surveillance system
TL;DR: A one-health approach of systematic surveillance across the public and animal health sectors, as well as the adherence to the FAO-OIE-WHO –WHO (World Health Organization) recommendations for non-human antimicrobial usage are strongly recommended.
Journal ArticleDOI
Predominance of Klebsiella pneumoniae ST14 carrying CTX-M-15 causing neonatal sepsis in Tanzania
Stephen E. Mshana,Torsten Hain,Eugen Domann,Eligius Lyamuya,Trinad Chakraborty,Can Imirzalioglu +5 more
TL;DR: The high prevalence of blaCTX-M-15 observed among ESBL producing K. pneumoniae in Tanzania, is possibly due to the spread of a common IncFII 145 kb plasmid and of certain clones such as ST14 and ST48.
Journal ArticleDOI
Incidence and predictors of surgical site infections following caesarean sections at Bugando Medical Centre, Mwanza, Tanzania.
Filbert J Mpogoro,Stephen E. Mshana,Mariam M. Mirambo,Benson R. Kidenya,Balthazar Gumodoka,Can Imirzalioglu +5 more
TL;DR: SSIs are common among women undergoing CSs at Bugando Medical Centre and other centres in developing countries and strategies to control these factors are urgently needed to control SSIs post CS.
Journal ArticleDOI
Antimicrobial resistance in hospitalized surgical patients: a silently emerging public health concern in Uganda
Jeremiah Seni,Jeremiah Seni,Christine F. Najjuka,David P. Kateete,Patson Makobore,Moses Joloba,Henry Kajumbula,Antony Kapesa,Freddie Bwanga +8 more
TL;DR: Isolation of MRSA and ESBL-producing Enterobacteriaceae in higher proportions than previously reported calls for laboratory guided SSIs- therapy and strengthening of infection control surveillance in this setting are presented.
References
More filters
Book
Performance Standards for Antimicrobial Disk Susceptibility Tests; Approved Standard
Matthew A. Wikler,Clinical +1 more
Journal ArticleDOI
The Epidemiology of Wound Infection: A 10-Year Prospective Study of 62,939 Wounds
Peter J. E. Cruse,Rosemary Foord +1 more
TL;DR: The authors consider the effects of the following factors on the rate of infection: length of preoperative stay, preparation of the patient for surgery, identification of patients at risk, surgical technique and choice of procedure, and acquainting staff with statistics of wound infection rates.
Journal ArticleDOI
Impaired leucocyte functions in diabetic patients.
TL;DR: All steps of PMN functioning are altered in diabetic patients, which may increase the risk of vascular complications and infectious episodes.
Journal ArticleDOI
Identifying patients at high risk of surgical wound infection a simple multivariate index of patient susceptibility and wound contamination
Robert W. Haley,David H. Culver,W. Meade Morgan,John W. White,T.Grace Emori,Thomas M. Hooton +5 more
TL;DR: The authors used information collected on 58,498 patients undergoing operations in 1970 to develop a simple multivariate risk index and found that a subgroup, consisting of half the surgical patients, can be identified in whom 90% of the surgical wound infections will develop.
Journal ArticleDOI
Total Anomalous Pulmonary Venous Drainage, Technical and Physiological Considerations
TL;DR: Total Anomalous Pulmonary Venous Drainage, Technical and Physiological Considerations BENSON ROE; Annals of Surgery.