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

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.