Nokaneng Emmy Ngoakoana, Holloway Samantha L
Maxillo-Facial and Oral Surgeon, University of Pretoria, Steve Biko Academic Hospital Complex, Pretoria, South Africa.
School of Medicine, Cardiff University, Cardiff, UK.
Int Wound J. 2025 Jun;22(6):e70690. doi: 10.1111/iwj.70690.
Surgical site infection is a post-operative complication, which has a significant clinical impact on the affected individual as well as the healthcare system. They are associated with poor outcomes such as increased length of hospital stay, morbidity, mortality and readmissions. As a result, surgical site infections are used as an indicator of the quality of surgical care and for benchmarking. The aim of the review is to gain insight on the current prevalence/incidence and surveillance of surgical site infection in South Africa. The objective was to determine the surgical site infection rate associated with Maxillo-facial and Oral Surgery procedures. A literature review was conducted with the search strategy limited to articles published in English with no limitation to the period. Fifteen articles were deemed eligible for the review according to the inclusion criteria. Eleven articles focused on the epidemiology of surgical site infection in South Africa. The surgical site infection rate varies from 0.65-48% with heterogeneity in the characteristics of the surveillance programmes. The review showed variability in the SSI rates with similar variability in the incidence of surgical site infection as reported on sub-Saharan and African countries (7.93, 9.3, 19.1, 14.5% respectively). The above information was gleaned from institutional point/period prevalence or incidences due to a lack of an integrated national surveillance programme. Thus, there is an urgent necessity to establish an integrated national surveillance programme to facilitate monitoring as well as prevention of surgical site infection in South Africa.
手术部位感染是一种术后并发症，对受影响的个体以及医疗保健系统都有重大的临床影响。它们与不良后果相关，如住院时间延长、发病率、死亡率和再入院率增加。因此，手术部位感染被用作手术护理质量的指标和基准。本综述的目的是深入了解南非手术部位感染的当前患病率/发病率及监测情况。其目标是确定与颌面及口腔外科手术相关的手术部位感染率。进行了一项文献综述，搜索策略限于以英文发表的文章，对发表时间无限制。根据纳入标准，有15篇文章被认为符合综述要求。其中11篇文章关注南非手术部位感染的流行病学。手术部位感染率在0.65%-48%之间，监测项目的特征存在异质性。该综述显示手术部位感染率存在差异，撒哈拉以南非洲国家报告的手术部位感染发病率也有类似差异（分别为7.93%、9.3%、19.1%、14.5%）。由于缺乏综合的国家监测项目，上述信息是从机构层面的点患病率/发病率中收集的。因此，迫切需要在南非建立一个综合的国家监测项目，以促进手术部位感染的监测和预防。
