TITLE:
Surveillance of Surgical Site Infections: A Public Health Emergency in a Regional Hospital of Northern Benin. A Prospective Observational Pilot Study
AUTHORS:
Montcho Adrien Hodonou, Bio Tamou, Sêmêvo Romaric Tobome, Thierry Hessou, Robert Akpata, Allassan Boukari, Ulrich Parfait Otchoun, Roméo Haoudou, Gambattista Priuli, Salako Alexandre Allodé, Gildas Kedalo, Mohamed Abbas, Delphin Kuassi Mehinto, Roberto Caronna
KEYWORDS:
Surgical Site Infection, Class of Surgery, Emergency, Benin
JOURNAL NAME:
Surgical Science,
Vol.14 No.1,
January
20,
2023
ABSTRACT: Background: Surgical site infections (SSIs) are
considered as result of the healthcare quality in hospitals. Objective: to
study SSI at Saint Jean de Dieu Hospital Tanguieta (SJDHT), prior to the
implementation of a permanent monitoring system. Method: transversal, and
descriptive study with prospective data collection was performed from 1 July to
31 janvier 2017 in the department of general surgery of SJDHT. The hospital
lacks in a microbiology unit. All patients who underwent surgery during this
period were included and the monitoring lasted one month. SSIs diagnostic was
carried out according to WHO criteria as described in the Practical Guide for
the Prevention of Nosocomial Infections published in 2002. Statistical tests (χ-square and Student’s t-test) were
applied and p 0.05 were statistically significant. Results: Of 343 patients recorded,
105 (30.6%) had SSI. Their age averaged 40.3 years and the sex-ratio
(men/women) was 2.8. The emergency surgery resulted in a 50.0% rate of SSI (p =
0.00). The SSI rate for clean and clean-contaminated surgery was 6.3% against
94.6% for infected surgery (p = 0.00). The SSI rates were 100% and 66.7% for
NNISS = 2 and NNISS = 1 (p = 0.00), respectively. Superficial SSI rate was
13.3%, while deep SSI and organ/space SSI were 46.7% and 40%, respectively. The
hospital stay of patients with SSI was three times longer than the length of
patients without SSI (p = 0.00). Conclusion: SSIs are real burden at SJDHT. Appropriate
measures must be adopted to reduce its prevalence.