Wood James H, Nthumba Peter M, Stepita-Poenaru Edita, Poenaru Dan
Department of Surgery, University of Colorado Denver School of Medicine, Aurora, CO 80045, USA.
Pediatr Surg Int. 2012 May;28(5):523-7. doi: 10.1007/s00383-012-3058-x.
The purpose of the current study was to determine the incidence of pediatric surgical site infections(SSIs) at an academic children’s hospital in rural sub-Saharan Africa and to identify potentially modifiable risk factors.
Prospectively collected data from 1,008 surgical admissions to Bethany Kids Kijabe Hospital (Kijabe, Kenya) were analyzed retrospectively. Follow-up data were available in 940 subjects.
SSIs occurred in 6.8% of included subjects(N = 64). Superficial (69%) and deep (29%) infections of the back (38%) and head (25%) were most common. When comparing children who developed SSI to those who did not, we found that wound contamination classification and duration of operation were the only variables with significant differences between groups.
Our rate of SSI among pediatric patients insub-Saharan Africa is the lowest reported in the literature to date. More work is needed to identify modifiable risk factors for pediatric SSI in low- and middle-income countries.
本研究的目的是确定撒哈拉以南非洲农村地区一家学术儿童医院小儿手术部位感染（SSIs）的发生率，并识别潜在的可改变风险因素。
对前瞻性收集的来自贝瑟尼儿童基贾贝医院（肯尼亚基贾贝）1008例手术入院患者的数据进行回顾性分析。940名受试者有随访数据。
纳入的受试者中有6.8%（N = 64）发生了手术部位感染。背部（38%）和头部（25%）的浅表感染（69%）和深部感染（29%）最为常见。将发生手术部位感染的儿童与未发生感染的儿童进行比较时，我们发现伤口污染分类和手术时间是两组之间仅有的有显著差异的变量。
我们报道的撒哈拉以南非洲小儿患者手术部位感染率是迄今为止文献中最低的。需要开展更多工作来识别低收入和中等收入国家小儿手术部位感染的可改变风险因素。
