Risk Factors for Surgical Site Infection in a Tanzanian District Hospital: A Challenge for the Traditional National Nosocomial Infections Surveillance System Index

Infection Control and Hospital Epidemiology - Tập 27 Số 12 - Trang 1401-1404 - 2006
Jan Fehr1, Christoph Hatz, Isaac Soka, Patience Kibatala, Honorathy Urassa, Thomas Smith, Hassan Mshinda, Reno Frei, Andreas F. Widmer
1Department of Medicine and Diagnostics, Swiss Tropical Institute, Basel, Switzerland.

Tóm tắt

The incidence of surgical site infections (SSIs) was 24% in a district hospital in Tanzania. Wound classification was not an independent risk factor for SSI, indicating that risk scores developed in industrialized countries may require adjustments for nonindustrialized countries. The National Nosocomial Infections Surveillance system score required adjustments to reliably predict SSI, probably to account for improper hygiene and the lack of adjustment for the duration of surgery (defined as the 75th percentile of the duration for each type of operative procedure) to reflect local circumstances. Multidrug-resistant pathogens, such as methicillin-resistant Staphylococcus aureus and gram-negative pathogens expressing broad-spectrum β-lactamases, have already emerged.

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Thông tin xuất bản

Infection Control and Hospital Epidemiology

Tập 27 Số 12

1401-1404

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