RISK FACTORS OF SURGICAL SITE INFECTION AT THE REGIONAL AND TEACHING HOSPITAL CENTER OF BORGOU (BENIN)

Journal: International Journal of Clinical and Biomedical Research

Article type: Original Research Articles

Published: 2017-01-14

Volume: 3; Issue: 1; Pages: 1-4

ISSN: 2395-0471

Article URL: https://journals.sumathipublications.com/article/article-1784652407584-716323651

PDF: https://journals.sumathipublications.com/article/article-1784652407584-716323651.pdf

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Authors

  1. Hodonou M. Adrien
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  2. Allode S Alexandre
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  3. Tobome S Romaric
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  4. Hounkponou-ahouingnan Fanny
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  5. Fatigba O Holden
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  6. Tamou Sambo Bio
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  7. Mensah AD Emile
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  8. Bankole Christelle HE
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  9. Atakpa Felix
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  10. Mehinto K. Delphin
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Abstract

Introduction: The reduction of the SSI rate requires knowledge of its risk factors. Objective: To analyze the risk factors of SSI occurrence at CHD-B Methods: Prospective, descriptive and analytical study involving 603 patients undergoing general surgery (218) and obstetrics and gynecology (385) from 1 st  January to 31 st  July 2013. Results: 44 patients have developed SSI (7.3%). The SSI frequency was 12.8% in general surgery and 4.2% in gynecology-obstetrics (p significant). The mean age of patients developing SSI was 30.7 ± 15.8 years with a minimum and maximum 5 months and 70 years, respectively; and for general surgery patients, there were 23 men and 5 women (p not significant). The presence of preoperative infectious spot at admission (P = 0.003), the preoperative shaving of the site to be incised (p = 0.000), the ASA score (p = 0.000), the surgery contamination class (p = 0.000), and the NNIS score (p = 0.000) were all significantly related to SSI occurrence. Considering all these factors, the NNIS score ≥2 remained the predictive tool by multiplying by 3.4 the risk of SSI occurrence. Conclusion: NNIS score is the best SSI prediction tool at CHD-B. 
 KEYWORDS: Surgical site infection; Risk factor; NNIS score.

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