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埃塞俄比亚的手术部位感染与病原体:一项系统评价与荟萃分析

Surgical site infection and pathogens in Ethiopia: a systematic review and meta-analysis.

作者信息

Birhanu Yeneabat, Endalamaw Aklilu

机构信息

1Department of Surgical Nursing, School of Nursing, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.

2Department of Pediatrics and Child Health Nursing, School of Health Sciences, College of Medicine and Health Sciences, Bahir Dar University, Bahir Dar, Ethiopia.

出版信息

Patient Saf Surg. 2020 Feb 21;14:7. doi: 10.1186/s13037-020-00232-y. eCollection 2020.

DOI:10.1186/s13037-020-00232-y
PMID:32110246
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7035652/
Abstract

BACKGROUND

Surgical site infection is a common complication in patients who underwent surgery. The prevalence is higher in low-income countries. In Ethiopia, prevalence and pathogens of surgical site infection (SSI) reported are variable. This systematic review and meta-analysis aimed to find the pooled prevalence of SSI. Besides, it aimed to find pathogens of surgical site infection in Ethiopia.

METHODS

The databases for the search were PubMed, Web of Science, and Google Scholar by the date 21/08/2018. To assess publication bias Egger's test regression analysis was applied. Subgroup analysis was conducted based on the study population and region.

RESULTS

This meta-analysis included a total of 15 studies with 8418 study subjects. The pooled prevalence of surgical site infection was 25.22% (95% CI: 17.30 to 33.14%). (30.06%) was the most common pathogen identified. Followed by (19.73%), (17.27%), and (12.43%) were the commonly isolated pathogens.

CONCLUSIONS

The national prevalence of surgical site infection was high. The most common identified pathogen was . Followed by , and Coagulase-Negative staphylococci. Strict adherence to surgical site infection prevention techniques needs to get more attention.

摘要

背景

手术部位感染是接受手术患者的常见并发症。在低收入国家,其患病率更高。在埃塞俄比亚,报告的手术部位感染(SSI)患病率和病原体各不相同。本系统评价和荟萃分析旨在找出SSI的合并患病率。此外,旨在找出埃塞俄比亚手术部位感染的病原体。

方法

截至2018年8月21日,检索的数据库为PubMed、科学网和谷歌学术。为评估发表偏倚,应用了Egger检验回归分析。基于研究人群和地区进行亚组分析。

结果

该荟萃分析共纳入15项研究,涉及8418名研究对象。手术部位感染的合并患病率为25.22%(95%CI:17.30至33.14%)。 (30.06%)是鉴定出的最常见病原体。其次是 (19.73%)、 (17.27%)和 (12.43%)是常见的分离病原体。

结论

全国手术部位感染患病率较高。鉴定出的最常见病原体是 。其次是 、 和凝固酶阴性葡萄球菌。需要更加重视严格遵守手术部位感染预防技术。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ad2f/7035652/bc13928fdecc/13037_2020_232_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ad2f/7035652/c91a94cbaa77/13037_2020_232_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ad2f/7035652/3854320e4a43/13037_2020_232_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ad2f/7035652/fbfa9c27cce2/13037_2020_232_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ad2f/7035652/7aaa8f9faee6/13037_2020_232_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ad2f/7035652/bc13928fdecc/13037_2020_232_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ad2f/7035652/c91a94cbaa77/13037_2020_232_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ad2f/7035652/3854320e4a43/13037_2020_232_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ad2f/7035652/fbfa9c27cce2/13037_2020_232_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ad2f/7035652/7aaa8f9faee6/13037_2020_232_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ad2f/7035652/bc13928fdecc/13037_2020_232_Fig5_HTML.jpg

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