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East and Central African Journal of Surgery
Association of Surgeons of East Africa and College of Surgeons of East Central and Southern Africa
ISSN: 1024-297X EISSN: 1024-297X
Vol. 22, No. 1, 2017, pp. 49-58
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Bioline Code: js17007
Full paper language: English
Document type: Research Article
Document available free of charge
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East and Central African Journal of Surgery, Vol. 22, No. 1, 2017, pp. 49-58
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Surgical Site Infection among Patients Undergone Orthopaedic Surgery at Muhimbili Orthopaedic Institute, Dar es Salaam, Tanzania.
Kisibo, A; Ndume, V A; Semiono, A; Mika, E; Sariah, A; Protas, J & Landolin, H
Abstract
Background: The aim of this study was to determine prevalence and factors associated
with surgical site infection at Muhimbili Orthopedic Institute.
Method: This was a cross-sectional study conducted at Muhimbili Orthopaedic Institute
(MOI) in Dar es Salaam, from August, 2015 to October 2015. Convenience sampling
technique was used to recruit postoperative patients for this study. Standardized
questionnaires were used to obtain demographic, social, and clinical information from
respondents. Determination of the relationship between outcome and exposure variables
was done using chi square test. Multivariate logistic regression was used to measure the
association after controlling for confounders. Odds ratio corresponding to 95% confidence
interval with a p value of ≤ 0.05 was considered significant.
Results: Out of 300 study participants 75(25.0%) had surgical site infection. This was highly
determined by more than 2 hours length of surgical procedure (AOR= 1.4; 95%CI 1.14-6.69;
P value=0.05), none prophylactic use of antibiotics (AOR= 3.4; 95%CI 1.6-7.78; P
value=0.03), more than one week stay before surgery (AOR=3.3; 95%CI 2.24-3.34; P value
=0.00).
Conclusion: The overall prevalence of surgical site infection at Muhimbili Orthopedic
Institute was high. This was associated with more than 2 hours length of surgery, lack of
prophylaxis use, and pre-operative hospital stay.
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