Incidence des infections du site opératoire en Afrique sub-saharienne: revue systématique et méta-analyse

Ngaroua,; Ngah, Joseph Eloundou; Bénet, Thomas; Djibrilla, Yaouba

doi:10.11604/pamj.2016.24.171.9754

Cited by 37 publications

(32 citation statements)

References 27 publications

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“…The rate of infection at the operative site ranged from 6.8% to 26% with predominance in general surgery [16]. There is no statistically significant difference between our results and those of Tonye, Sylla and Askarian [12] [15] and [17].…”

Section: Morbiditycontrasting

confidence: 41%

Complications Per and Post Operatory (CPPO) at the Gabriel Toure University Hospital in Bamako

Samaké¹,

Dembele²,

Konaté³

et al. 2019

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Introduction: Despite the use of less invasive and increasingly effective techniques in order to reduce the morbi-mortality per and post-operative, the CPPO remain an important problem in surgery. Objectives: To determine the rate of per and post-operative complications, to describe the types of complications and to identify their risk factors. Methodology: This was a prospective study carried out from 04 April to 03 June 2016 in the surgical department of CHU-Gabriel TOURE. All patients aged 18 and over operated in the Surgical Department

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Section: Morbiditycontrasting

confidence: 41%

Complications Per and Post Operatory (CPPO) at the Gabriel Toure University Hospital in Bamako

Samaké¹,

Dembele²,

Konaté³

et al. 2019

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“…Diabetes, arterial hypertension and renal failure were co-morbidity factors associated with a high risk of site infection [12] [13]. Many other risk factors are found in the literature such as: obesity, intraoperative hyperglycemia, smoking, malnutrition, anemia, inadequate practice of care.…”

Section: Discussionmentioning

confidence: 99%

Incidence and Risk Factors of Surgical Site Infections in Urological Surgery at Brazzaville Teaching Hospital

Atipo¹,

Ondziel²,

Odzébé³

et al. 2019

OJU

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Aim: To evaluate the incidence of surgical site infection in the Urology Department of Brazzaville teaching hospital. Methods: This was a prospective study performed in the Urology Department and operating room of the Brazzaville teaching hospital during six months from February 2 nd to July 2 nd 2017. The study concerned all patients who had undergone surgery, selected during the operating program and those who had been in emergency and then hospitalized in the urology department. These patients were followed for one month after the intervention date. Results: 209 patients were operated on of whom 48 had surgical site infection, a cumulative incidence of 22.96%. The average age of infected patients was 58.3 years ± 17.73 ds (extremes from 13 to 85 years). 43.75% infected patients had co-morbidity factors. The SSI rate was 70% in patients with positive urine culture. Urinary catheters were found in 33.33% of patients. The average length of preoperative hospital stay was two days. The rate of SSI in patients classified Asa I was 10.41%, Asa II 37.5% and Asa III 52.09%. The SSI rate was respectively 5.21%, 56.76% and 38.03%. The infected patients operated first in the operative program accounted for 10.42%. The group of patients who underwent prostatic surgery accounted for 42.58% of patients with an SSI rate of 47.91%. The practice of aseptic measures by staff was found in 70% of cases. The infection rate in patients with drain was 73.23%. The infection rate in patients with catheters was 54.26%. The SSI was superficial in 66.67% of cases, deep in 25% of cases and organ in 8.33% of cases. Escherichia coli was the most frequently isolated germ 50%. Conclusion: Surgical site infection (ISO) is a common feature in our practice. The advanced age of patients and comorbidity factors are associated with a high risk of occurrence of SSI. These infections were not inevitable, their incidence can be greatly reduced by specific preventive measures.

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“…There are therefore two main categories of risk factors: the first are intrinsic to the patients, and reflect the existence of a relative immune-depression, or a pathology responsible for a particular sensitivity to certain infections (extreme age, chronic pathology, cardiovascular, renal, respiratory or hepatic, malnutrition, diabetes, cancerous disease, homeopathy, immunoglobulin deficiency) and the latter are extrinsic factors to the patients, directly or indirectly related to medical interventions and the environment in which those These are done [20][21][22][23][24][25][26][27].…”

Section: Discussionmentioning

confidence: 99%

“…In a systematic review and meta-analysis of sub-Saharan Africa, the main risk factors for nosocomial infections of surgical wounds found involved both caregivers and patients, including the long duration of surgery (6 times), the high level of contamination in the patient or Altemeir Class 3 and 4 (4 times); anemia (3 times); the presence of drain (2 times), lack of preparation of patients (4 times) and a long preoperative stay [24].…”

Section: Discussionmentioning

confidence: 99%

Factors Associated With the Nosocomial Infection of Surgical Wounds in the Maternity of Lubumbashi Public Hospitals in the Democratic Republic of the Congo

Hendrick¹,

Abel²,

Makoutodé³

et al. 2018

Microbiol Infect Dis

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Introduction: In Africa, up to 20% of women who have had a caesarean section contract a nosocomial infection of surgical wounds, compromising their health and ability to care for their children. In the DRC the field of hospital hygiene is of little interest to researchers, so it is difficult to analyze the problem when it is a thorny public health problem. Methods: We conducted a cross-sectional study whose study population consisted of women, whose delivery was associated with surgery, including a caesarean section or an episiotomy. The data collection was exhaustive and one nosocomial case of surgical wounds was defined according to the WHO definition. Associated factors were evaluated by the prevalence ratio at the significance level p ˂ 0.05. Results: We obtained 443 surgical cases; of which 253 were caesarean sections 57.1% and 190 or 42.9% were episiotomies and the prevalence of nosocomial surgical wound infections was 9.9%. The risk of developing a nosocomial surgical site infection was 6.8 times high at the Congo Railroad Hospital (SNCC) and 5.0 times at Jason Sendwe General Referral Hospital than at the Hospital. The GeneralReference Hospital (HGR) of Kenya and its association were statistically significant (p = 0.0022). A statistically significant difference was observed between the rate of nosocomial infections of surgical wounds and the age group of pregnancy between 32 to 34 WS, parturient who gave birth in this age group was 4 times at the risk of developing nosocomial infection surgical wounds. Long stay of more than 10 days (p=0.0010), delivery by caesarean section (p=0.0481), parturient carrying the indwelling catheter (p = 0.0162) and taking antibiotics were associated with the onset of nosocomial infection of surgical wounds. Conclusion: The factors associated with nosocomial infections of surgical wounds in maternity wards of public hospitals in Lubumbashi are related to the state of the structures, to the health care administered to clients. It is necessary to improve the hygiene conditions of the maternities, to train the personnel on the measures of hygiene and to apply a good policy of use of the antibacterial ones.

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Incidence des infections du site opératoire en Afrique sub-saharienne: revue systématique et méta-analyse

Cited by 37 publications

References 27 publications

Complications Per and Post Operatory (CPPO) at the Gabriel Toure University Hospital in Bamako

Complications Per and Post Operatory (CPPO) at the Gabriel Toure University Hospital in Bamako

Incidence and Risk Factors of Surgical Site Infections in Urological Surgery at Brazzaville Teaching Hospital

Factors Associated With the Nosocomial Infection of Surgical Wounds in the Maternity of Lubumbashi Public Hospitals in the Democratic Republic of the Congo

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