Surgical Site Infection in Children: Prospective Analysis of the Burden and Risk Factors in a Sub-Saharan African Setting

Role of premorbid status and wound related factors in surgical site infection in a tertiary hospital in sub-saharan Africa

“…This study shows that 40-44% of patients with contaminated/dirty surgical wound class had SSI. The figures compared favourably with the finding by Ameh et al, in Zaria [10]. Erikson et al, in Tanzania recorded similar findings [24].…”

“…SSI rate in children undergoing surgery operation in Zaria is 23.6% [10]. Ameh et al, reported SSI rate of 14.3% in clean incisions, 19.3% in clean-contaminated incisions, 27.3% in contaminated incisions, and 60% in dirty incisions.…”

“…Emergency procedure has a higher rate (25.8%) than elective procedure (20.8%). Poor nursing services and poor hospital hygiene have also been implicated as risk factors in the study [10].…”

Health-care-associated infection in Africa: a systematic review

“…The fourth study, which included the surgical wards of two hospitals, showed Ten studies (eight with a focus only on surgical site infection) and three conference abstracts reported an incidence of surgical site infection ranging from 2.5% to 30.9% following various types of surgical procedures. 11,16,17,20,[25][26][27][28][29]31,[33][34][35] In six studies and one conference abstract, 16,17,20,26,28,29,33 elective and emergency procedures were included. One study focused on elective caesarean section only, 27 and no information on the type of surgery was available in three articles 11,25,31 and two abstracts.…”

Surgical site infections in infants admitted to the neonatal intensive care unit

“…Some studies excluded significant neonatal risk groups such as very low birth weight (VLBW) infants [11][12][13]. Finally, other neonatal studies were performed in an ambulatory care setting or in resourcelimited countries [12,[14][15][16][17][18][19], which limits generalization of data to the neonatal intensive care setting where most high-risk interventions occur [10,20]. Given the frequent occurrence of surgical interventions and serious clinical consequences of infection in neonates, and the lack of recent data reporting rates of SSI in this age group, we sought to determine the incidence and clinical impact of SSI in a population-based cohort of infants admitted to a large provincial tertiary care neonatal unit.…”