Surgical site infections following caesarean sections in the largest teaching hospital in Ghana
Summary: Background: Surgical site infections complicate up to 15% of all surgical procedures depending on surgery type and underlying patient status. They constitute 14–31% of all hospital-acquired infections, placing huge financial burdens on patients, healthcare institutions and the nation. Obje...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2022-06-01
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| Series: | Infection Prevention in Practice |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S259008892200004X |
| _version_ | 1818554404660314112 |
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| author | C.N. Onuzo P.E. Sefogah M.A. Nuamah M. Ntumy M.-M. Osei K. Nkyekyer |
| author_facet | C.N. Onuzo P.E. Sefogah M.A. Nuamah M. Ntumy M.-M. Osei K. Nkyekyer |
| author_sort | C.N. Onuzo |
| collection | DOAJ |
| description | Summary: Background: Surgical site infections complicate up to 15% of all surgical procedures depending on surgery type and underlying patient status. They constitute 14–31% of all hospital-acquired infections, placing huge financial burdens on patients, healthcare institutions and the nation. Objective: To determine the incidence, risk factors, microbiological aetiology and antibiotic susceptibility patterns of surgical-site infections following caesarean sections (CSs) at Korle Bu Teaching Hospital (KBTH), Accra, Ghana. Methods: This prospective study involved 500 women who underwent CS from April to July 2017 at KBTH. Overall, 474 women completed the study with 26 women lost to follow-up or opting out of the study. Women were recruited on the first postoperative day and followed-up postnatally. Sociodemographic and obstetric data were obtained using a structured questionnaire. Swabs of infected surgical wounds were taken for culture and sensitivity testing using the Kirby–Bauer disk diffusion technique. Data was analysed using SPSS version 22. Results: Sixty-one (61/474) women (12.8%) had SSIs after CS. Of these, 41 (67.2%) were superficial, 18 (29.5%) were deep incisional and 2 (3.3%) were organ space SSIs. Significant risk factors for SSI were: emergency CS after 8 h of active labour, midline incisions, use of stored water for surgeon's pre-operative scrubbing, maternal status being single and alcohol consumption during pregnancy. Staphylococcus aureus was the commonest pathogen isolated with 6 (9.8%) being meticillin resistant (MRSA). Antibiotic susceptibility was mostly to quinolones. Conclusion: SSI occurred in 12.8% of CS wounds at the KBTH, commonly caused by S. aureus. |
| first_indexed | 2024-12-12T09:39:03Z |
| format | Article |
| id | doaj.art-c78c1482d5b74dcc8c5cf633439aab47 |
| institution | Directory Open Access Journal |
| issn | 2590-0889 |
| language | English |
| last_indexed | 2024-12-12T09:39:03Z |
| publishDate | 2022-06-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Infection Prevention in Practice |
| spelling | doaj.art-c78c1482d5b74dcc8c5cf633439aab472022-12-22T00:28:38ZengElsevierInfection Prevention in Practice2590-08892022-06-0142100203Surgical site infections following caesarean sections in the largest teaching hospital in GhanaC.N. Onuzo0P.E. Sefogah1M.A. Nuamah2M. Ntumy3M.-M. Osei4K. Nkyekyer5Obstetrics and Gynaecology Department, University of Ghana Medical Centre, Legon, Accra, GhanaObstetrics and Gynaecology Department, LEKMA Hospital, Teshie-Nungua, Accra, Ghana; Corresponding author. Address: Department of Obstetrics and Gynaecology, LEKMA Hospital, PMB, Teshie Nungua, Accra. Ghana.Obstetrics and Gynaecology Department, University of Ghana Medical School, Korle-Bu, Accra, GhanaObstetrics and Gynaecology Department, University of Ghana Medical School, Korle-Bu, Accra, GhanaDepartment of Medical Microbiology, University of Ghana Medical School, Korle-Bu, Accra, GhanaObstetrics and Gynaecology Department, University of Ghana Medical School, Korle-Bu, Accra, GhanaSummary: Background: Surgical site infections complicate up to 15% of all surgical procedures depending on surgery type and underlying patient status. They constitute 14–31% of all hospital-acquired infections, placing huge financial burdens on patients, healthcare institutions and the nation. Objective: To determine the incidence, risk factors, microbiological aetiology and antibiotic susceptibility patterns of surgical-site infections following caesarean sections (CSs) at Korle Bu Teaching Hospital (KBTH), Accra, Ghana. Methods: This prospective study involved 500 women who underwent CS from April to July 2017 at KBTH. Overall, 474 women completed the study with 26 women lost to follow-up or opting out of the study. Women were recruited on the first postoperative day and followed-up postnatally. Sociodemographic and obstetric data were obtained using a structured questionnaire. Swabs of infected surgical wounds were taken for culture and sensitivity testing using the Kirby–Bauer disk diffusion technique. Data was analysed using SPSS version 22. Results: Sixty-one (61/474) women (12.8%) had SSIs after CS. Of these, 41 (67.2%) were superficial, 18 (29.5%) were deep incisional and 2 (3.3%) were organ space SSIs. Significant risk factors for SSI were: emergency CS after 8 h of active labour, midline incisions, use of stored water for surgeon's pre-operative scrubbing, maternal status being single and alcohol consumption during pregnancy. Staphylococcus aureus was the commonest pathogen isolated with 6 (9.8%) being meticillin resistant (MRSA). Antibiotic susceptibility was mostly to quinolones. Conclusion: SSI occurred in 12.8% of CS wounds at the KBTH, commonly caused by S. aureus.http://www.sciencedirect.com/science/article/pii/S259008892200004XSurgical site infectionsCaesarean sectionGhanaMicrobiologyAntibiotics |
| spellingShingle | C.N. Onuzo P.E. Sefogah M.A. Nuamah M. Ntumy M.-M. Osei K. Nkyekyer Surgical site infections following caesarean sections in the largest teaching hospital in Ghana Infection Prevention in Practice Surgical site infections Caesarean section Ghana Microbiology Antibiotics |
| title | Surgical site infections following caesarean sections in the largest teaching hospital in Ghana |
| title_full | Surgical site infections following caesarean sections in the largest teaching hospital in Ghana |
| title_fullStr | Surgical site infections following caesarean sections in the largest teaching hospital in Ghana |
| title_full_unstemmed | Surgical site infections following caesarean sections in the largest teaching hospital in Ghana |
| title_short | Surgical site infections following caesarean sections in the largest teaching hospital in Ghana |
| title_sort | surgical site infections following caesarean sections in the largest teaching hospital in ghana |
| topic | Surgical site infections Caesarean section Ghana Microbiology Antibiotics |
| url | http://www.sciencedirect.com/science/article/pii/S259008892200004X |
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