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A Cohort study of surgical site infection in infection present at time of surgery at three tertiary hospitals in the copperbelt province, Zambia


MOJ Surgery
Seke ME Kazuma,<sup>1</sup> Chitalu Chanda,<sup>2</sup> Bright Chirengendure,<sup>3</sup> Mulenga Chansa,<sup>3</sup> Kaela Boniface,<sup>3</sup> Webster Mulenga,<sup>3</sup> Chalwe Mumba,<sup>4</sup> Simba Kaja,<sup>5</sup> Nachor Bunda,<sup>5</sup> Laulindah Shiku,<sup>6</sup> Emmanuel Makasa,<sup>7</sup>&nbsp;Gershom Chongwe,<sup>8</sup>&nbsp;Muleya N Inambao<sup>9</sup>

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Abstract

Introduction: Infection present at the time of surgery is defined as an infection that is noted at the time of initial surgery and documented at the same depth of surgical site infection. Infection present at the time of surgery is found in emergency operations and dirty and contaminated wounds. This study aimed to determine the SSI prevalence and antimicrobial resistance of patients with Infection present at the time of surgery presenting to the 3 tertiary hospitals in Zambia.

Methodology: This was a cohort study conducted at 3 tertiary hospitals in the Copperbelt Province of Zambia.

Results: A total of 516 participants with Infection present at the time of surgery were included. The gender of participants with Infection present at the time of surgery included 322 males and 194 females. In this study, 117 (24.6%) developed surgical site infection. Therefore, the prevalence of SSI in patients who are treated for Infection present at the time of surgery after 30-day follow-up was 24.6%.

Conclusion: The prevalence of surgical site infection in Infection present at the time of surgery during 30-day follow-up was found to be 24.6%, and the top 4 organisms responsible for SSI after Infection present at the time of surgery was treated included S aureus, E coli, P aeruginosa, and E agglomerans, for the 3 tertiary institutions.

Keywords

SSI, surgical site infection, infection present at time of surgery, PATOS

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