TY - JOUR
T1 - Risk factors for surgical site infections in abdominal surgeries in Ghana
T2 - Emphasis on the impact of operating rooms door openings
AU - Bediako-Bowan, A. A.A.
AU - Mølbak, K.
AU - Kurtzhals, J. A.L.
AU - Owusu, E.
AU - Debrah, S.
AU - Newman, M. J.
N1 - Publisher Copyright:
© 2020 BMJ Publishing Group. All rights reserved.
PY - 2020
Y1 - 2020
N2 - Major surgery carried out in low- A nd middle-income countries is associated with a high risk of surgical site infections (SSI), but knowledge is limited regarding contributory factors to such infections. This study explores factors related to patients developing an SSI in a teaching hospital in Ghana. A prospective cohort study of patients undergoing abdominal surgical procedures was conducted at Korle Bu Teaching Hospital. Patient characteristics, procedures, and environmental characteristics were recorded. A 30-day daily surveillance was used to diagnose SSI, and Poisson regression analysis was used to test for association of SSI and risk factors; survival was determined by proportional hazard regression methods. We included 358 patients of which 58 (16.2%; 95% CI 12.7%-20.4%) developed an SSI. The median number of door openings during an operation was 79, with 81% being unnecessary. Door openings greater than 100 during an operation (p=0.028) significantly increased a patient's risk of developing an SSI. Such patients tended to have an elevated mortality risk (hazard ratio 2.67; 95% CI 0.75-9.45, P=0.128). We conclude that changing behaviour and practices in operating rooms is a key strategy to reduce SSI risk.
AB - Major surgery carried out in low- A nd middle-income countries is associated with a high risk of surgical site infections (SSI), but knowledge is limited regarding contributory factors to such infections. This study explores factors related to patients developing an SSI in a teaching hospital in Ghana. A prospective cohort study of patients undergoing abdominal surgical procedures was conducted at Korle Bu Teaching Hospital. Patient characteristics, procedures, and environmental characteristics were recorded. A 30-day daily surveillance was used to diagnose SSI, and Poisson regression analysis was used to test for association of SSI and risk factors; survival was determined by proportional hazard regression methods. We included 358 patients of which 58 (16.2%; 95% CI 12.7%-20.4%) developed an SSI. The median number of door openings during an operation was 79, with 81% being unnecessary. Door openings greater than 100 during an operation (p=0.028) significantly increased a patient's risk of developing an SSI. Such patients tended to have an elevated mortality risk (hazard ratio 2.67; 95% CI 0.75-9.45, P=0.128). We conclude that changing behaviour and practices in operating rooms is a key strategy to reduce SSI risk.
UR - http://www.scopus.com/inward/record.url?scp=85088265702&partnerID=8YFLogxK
U2 - 10.1017/S0950268820001454
DO - 10.1017/S0950268820001454
M3 - Article
C2 - 32605670
AN - SCOPUS:85088265702
SN - 0950-2688
JO - Epidemiology and Infection
JF - Epidemiology and Infection
ER -