Ebogo Titus Ngwa T, Nzinga Joy R, Nchufor Ndouh R, Njuma Tamufor E, Ntih Liekeh M, Sena Guylene R, Pisoh Christopher T
Department of Clinical Sciences, Faculty of Health Sciences, The University of Bamenda, Cameroon.
Department of Surgery, Nkwen Baptist Hospital, Cameroon Baptist Convention Health Services, Bamenda, Cameroon.
J West Afr Coll Surg. 2021 Apr-Jun;11(2):1-6. doi: 10.4103/jwas.jwas_51_22. Epub 2022 Jul 12.
Though abdominal surgery is a risk factor for surgical site infection (SSI), limited data exist in this environment on the burden and risk factors of SSI following abdominal surgeries in our setting.
The aim of this article is to study the prevalence, risk factors, and outcome of SSI following abdominal surgeries at the Mbingo Baptist Hospital, Bamenda, North-West Region, Cameroon.
This was a hospital-based retrospective cross-sectional study. We reviewed records of all patients who underwent an abdominal surgery at the Mbingo Baptist Hospital from January 2020 to December 2020. We excluded patients under the age of 18 and patients who died in the early post-op without developing an SSI. For each participant, we collected socio-demographic data, clinical features, and factors related to the surgery and its outcome.
A total of 304 (25.7% males) participants with a mean age of 40.8 years (SD ±15 years) were enrolled. In all, 37/304 participants developed SSI giving an overall prevalence of 12.2%. The incidence was higher in males and in emergency procedures. The spectrum of infection ranged from superficial (19%) to organ space (64%) through deep SSI (14%). Human immunodeficiency virus, operatory time >4 h, contaminated/dirty procedures, and gastrointestinal perforation repair were independently associated with SSI. Length of hospital stay (days) was significantly higher in patients who developed SSI (18.0 vs. 4.0). An overall mortality of 2% with case fatality of 19% was recorded.
SSI remains a common complication of abdominal surgeries. Prompt recognition and control of potentially modifiable risk factors may improve the burden and outcomes in this high-risk population.
尽管腹部手术是手术部位感染（SSI）的一个危险因素，但在我们所处的环境中，关于腹部手术后SSI的负担和危险因素的数据有限。
本文旨在研究喀麦隆西北地区巴门达市姆宾戈浸信会医院腹部手术后SSI的患病率、危险因素及结局。
这是一项基于医院的回顾性横断面研究。我们回顾了2020年1月至2020年12月在姆宾戈浸信会医院接受腹部手术的所有患者的记录。我们排除了18岁以下的患者以及术后早期未发生SSI而死亡的患者。对于每位参与者，我们收集了社会人口统计学数据、临床特征以及与手术及其结局相关的因素。
共纳入304名参与者（男性占25.7%），平均年龄40.8岁（标准差±15岁）。总共有37/304名参与者发生了SSI，总体患病率为12.2%。男性和急诊手术中的发病率更高。感染范围从浅表感染（19%）到深部SSI（14%），再到器官间隙感染（64%）。人类免疫缺陷病毒、手术时间>4小时、污染/脏污手术以及胃肠道穿孔修复与SSI独立相关。发生SSI的患者住院天数（天）显著更长（18.0对4.0）。记录的总体死亡率为2%，病死率为19%。
SSI仍然是腹部手术的常见并发症。及时识别和控制潜在可改变的危险因素可能会改善这一高危人群的负担和结局。
