Reliability and validity of using telephone calls for post-discharge surveillance of surgical site infection following caesarean section at a tertiary hospital in Tanzania

Nguhuni, Boniface; Nardo, Pasquale De; Gentilotti, Elisa; Chaula, Zainab; Damian, Caroline; Mencarini, Paola; Nicastri, Emanuele; Fulment, Arnold K.; Piscini, Alessandro; Vairo, Francesco; Aiken, Alexander M.; Ippolito, Giuseppe

doi:10.1186/s13756-017-0205-0

Cited by 52 publications

(70 citation statements)

References 29 publications

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“…In a study with variable patient follow-up methods, most of the hospitals (73, 68%) were using PDS and showed higher SSI rates than hospitals with no PDS [23]. Telephonebased detection was found to be a useful tool for PDS in low income settings [24]. There is no scientific consensus on an ideal method of PDS and different approaches have been employed in different settings [25].…”

Section: Discussionmentioning

confidence: 99%

Surveillance of surgical-site infections and antimicrobial resistance patterns in a tertiary hospital in Alexandria, Egypt

Raouf

Ghazal²,

Kassem

et al. 2020

J Infect Dev Ctries

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Introduction: Surveillance and antimicrobial resistance (AMR) monitoring are fundamental to Health care associated infections control. Limited data are available from developing countries for both. This study aimed to evaluate incidence and risk factors of surgical site infections (SSIs), etiological pathogens and AMR patterns identification. Methodology: A prospective active surveillance study was implemented over a 24- month period at a 110-bed multispecialty non-teaching tertiary hospital. Follow up data were collected for 30-90 days. SSI was diagnosed according to Centers for Disease Control and Prevention and National Healthcare Safety Network (CDC/NHSN) criteria. The SSI isolates were identified by Matrix-assisted laser desorption ionization–time of flight mass spectrometry (MALDITOF/MS). Antibiotics susceptibility test was performed according to Clinical Laboratory Standards Institute (CLSI) and European Committee on Antimicrobial Susceptibility Testing (EUCAST). Results: Out of a total of 3,642 patients, 70% had complete follow-up. SSI was detected in 57 cases (2.3%), 61.4% of which were detected post discharge. Factors significantly associated with increased SSI risk included smoking, diabetes, ASA score 5/E, ICU admission, previous admission and increased hospital stay. Sixty-five isolates were obtained; 70.8% were GNB while 24.6% were GPC and 4.6% were Candida albicans. Regarding AMR, 58.7% of isolates were extended spectrum β lactamase (ESBL) producers while 45.7% were Carbapenem resistant. Multi drug resistant (MDR) was detected in 13% of isolates, 54.3% were extended drug resistant (XDR) and 10.9% were pan drug resistant (PDR). Eighty-six percent of Staphylococci isolates were methicillin-resistant. Conclusion: Despite low SSI rates detected, the high incidence of AMR identified is alarming.

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Section: Discussionmentioning

confidence: 99%

Surveillance of surgical-site infections and antimicrobial resistance patterns in a tertiary hospital in Alexandria, Egypt

Raouf

Ghazal²,

Kassem

et al. 2020

J Infect Dev Ctries

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“…[1,24,25] The rate of SSI related to CS in our data was 6.3%, which is considered low in comparison to other parts of the globe, like in Norway (8.3%) [26], UK (9.6%) [27], and (17%) in Australia [28]. Going to Africa; 9.1% was in Nigeria [19], 11.4% in Ethiopia [29], and an extremely high rate (48%) in Tanzania [1]. While in India; it was 7.4% which was slightly higher than this study.…”

Section: Discussionmentioning

confidence: 99%

“…We divided BMI readings into two categories; either < 30 (non-obese) or ≥30 (obese). [1,21,22] Regarding SSI, all types were involved in this study which included: [23] Superficial SSI: infection involves just skin or underlying subcutaneous tissue that was managed in a conservative way by daily dressing and appropriate antibiotics.…”

Section: Methodsmentioning

confidence: 99%

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Post Cesarean Section Surgical Site Infection; Incidence and Risk Factors

2017

IJSR

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Abstract:The rate of births delivered by cesarean section (CS) has gone up substantially all over the world. Post-cesarean surgical site infection (SSI) is a common cause of maternal morbidity and mortality that results in prolonged period of hospitalization with increased cost and direct health implications, especially in low socioeconomic population, resource-restricted settings, and war-related conditions with internal forced movement. This study was aimed to find incidence of post cesarean section surgical site infection withthe accompanying risk factors.Pregnant ladies admitted to department of obstetrics and gynecology at Medical City Hospital in Baghdad who had undergone CSs were followed up prospectively from first of January 2017 till end of June 2017. Full medical evaluation was done to assess all clinical, laboratory, and sociodemographic characteristics ofboth; patients and controls. Statistical comparison was measured to appraise the important risk factors.A total of 3036 pregnant ladies were recruited, 191 patients had SSI with and an incidence rate of 6.3%. The above-mentioned 191 patients constituted of 93 (48.7%) internally moved patients due to the war, while they were 97 patients (25.4%) out of 382 control-group. Obesity, diabetes mellitus, emergency CS, vertical incision, interrupted suturing, and rupture of membranes before CS, were significant risk factors of post CS SSI. Rate and several risk factors of post CS SSI were studied to increase the public attention, and to take full steps to decrease it prophylactically.

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“…In low-and middle-income countries (LMIC), due to the challenges in establishing proper reporting systems, PCSI prevalence is usually considered under-estimated and inaccurate (Allegranzi & Pittet, 2008;Lukas et al, 2016). The reported PCSI rates in LMIC varies substantially from 0.2% to 48% due to a number of factors including inadequate surveillance systems that often underestimate the true incidence of PCSI (Bizimana et al, 2016;Gur et al, 2015;Nguhuni et al, 2017;Srun et al, 2013).…”

Section: Introductionmentioning

confidence: 99%

A Quality Improvement Study Project to Improve Post Cesarean Section Surgical Site Infection Surveillance in a District Hospital in Kigali City

Uwamungu¹,

Rutagengwa²,

Logan³

et al. 2019

JMS

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Post-caesarean surgical site infection (PCSI) is one of the most common cesarean section-related complications. In low- and middle-income countries (LMIC), PCSI prevalence is often under-reported and inaccurate because LMIC surveillance systems are often unable to detect PCSIs developed after discharge; this can ultimately wrongly inform the decision-making related to reducing PCSIs.This paper describes the establishment of a post-discharge PCSI surveillance system for identification of PCSI rate in a district hospital in Rwanda.A total of 540 women underwent CS in the hospital from November 2017 to February 2018, and 536 (99.3%) consented to participate in the surveillance. Among those consented, 22 had no telephone and 174 could not be reached by telephone despite multiple attempts. At the end of this study, a total of 340 women completed the entire surveillance period. The total PCSI rate was 11.5%.Out of all PCSIs, 21% were detected during hospitalization period and 79% were detected during the post-discharge period.The PCSI surveillance system developed in this project covered the 30-day period after surgery and provided a more accurate estimate of PCSI rate. The system was able to track PCSIs developed after a patient was discharged from the hospital. Long term sustainability of the project must be evaluated.

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Reliability and validity of using telephone calls for post-discharge surveillance of surgical site infection following caesarean section at a tertiary hospital in Tanzania

Cited by 52 publications

References 29 publications

Surveillance of surgical-site infections and antimicrobial resistance patterns in a tertiary hospital in Alexandria, Egypt

Surveillance of surgical-site infections and antimicrobial resistance patterns in a tertiary hospital in Alexandria, Egypt

Post Cesarean Section Surgical Site Infection; Incidence and Risk Factors

A Quality Improvement Study Project to Improve Post Cesarean Section Surgical Site Infection Surveillance in a District Hospital in Kigali City

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