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乌干达西南部姆巴拉拉地区转诊医院急诊术后患者手术部位感染的发生率及病因

Incidence and Etiology of Surgical Site Infections among Emergency Postoperative Patients in Mbarara Regional Referral Hospital, South Western Uganda.

作者信息

Lubega Abubaker, Joel Bazira, Justina Lucy Najjuka

机构信息

Department of Surgery, Mbarara University of Science and Technology, Mbarara, Uganda.

Department of Microbiology, Mbarara University of Science and Technology, Mbarara, Uganda.

出版信息

Surg Res Pract. 2017;2017:6365172. doi: 10.1155/2017/6365172. Epub 2017 Jan 12.

Abstract

This prospective hospital based study was conducted to determine the incidence, risk factors, and causative agents of surgical site infection their susceptibility to among 114 emergency postoperative patients at the Mbarara Regional Referral Hospital between September 2014 and January 2015. . Consented patients were consecutively enrolled and their preoperative, intraoperative, and postoperative data were collected. Follow-ups were done in the surgical outpatient clinics. Wound specimens were collected and processed as per Sops; susceptibility testing was done using the Kirby-Bauer disc diffusion technique. Data was analyzed using STATA 11.0. . Overall SSI incidence was 16.4%: 5.9% superficial and 47.1% deep and organ space SSIs each. was the most predominant organism (50%) followed by (27.8%). and both accounted for 11.1%. Wound class ( = 0.009), anaemia ( = 0.024), low serum albumin ( = 0.046), and property of suture material used ( = 0.006) were significantly associated with SSIs. All organisms had 100% resistance to ampicillin, tetracycline, septrin, and erythromycin. Ciprofloxacin and ceftriaxone are highly sensitive to all organisms. . The incidence of SSI in this hospital is very high. is the predominant cause. Ciprofloxacin are very potent antibiotics against organisms that cause SSI.

摘要

这项基于医院的前瞻性研究旨在确定2014年9月至2015年1月期间姆巴拉拉地区转诊医院114例急诊术后患者手术部位感染的发生率、危险因素、病原体及其药敏情况。连续纳入同意参与的患者,并收集他们术前、术中和术后的数据。在外科门诊进行随访。按照标准操作规程采集伤口标本并进行处理;采用 Kirby-Bauer 纸片扩散法进行药敏试验。使用STATA 11.0软件对数据进行分析。总体手术部位感染发生率为16.4%:浅表感染占5.9%,深部和器官间隙感染各占47.1%。[未提及的某种菌]是最主要的病原体(50%),其次是[未提及的某种菌](27.8%)。[未提及的两种菌]各占11.1%。伤口分级(P = 0.009)、贫血(P = 0.024)、低血清白蛋白(P = 0.046)以及所用缝合材料的性质(P = 0.006)与手术部位感染显著相关。所有病原体对氨苄西林、四环素、复方新诺明和红霉素均有100%的耐药性。环丙沙星和头孢曲松对所有病原体高度敏感。该医院手术部位感染的发生率非常高。[未提及的某种菌]是主要原因。环丙沙星是对抗引起手术部位感染病原体的强效抗生素。

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