• Login
    View Item 
    •   Home
    • 1 Published Research and Commentary
    • Surgery
    • View Item
    •   Home
    • 1 Published Research and Commentary
    • Surgery
    • View Item
    Jan 23, 2021
    JavaScript is disabled for your browser. Some features of this site may not work without it.

    Browse

    All of MSFTitleAuthorsSubjectsPublisherJournalThis CollectionTitleAuthorsSubjectsPublisherJournal

    Multidrug-Resistant Surgical Site Infections in a Humanitarian Surgery Project

    • CSV
    • RefMan
    • EndNote
    • BibTex
    • RefWorks
    Authors
    Murphy, RA
    Okoli, O
    Essien, I
    Teicher, C
    Elder, G
    Pena, J
    Ronat, JB
    Bernabé, KJ
    Issue Date
    2016-08-11
    
    Metadata
    Show full item record
    Journal
    Epidemiology and Infection
    Abstract
    The epidemiology of surgical site infections (SSIs) in surgical programmes in sub-Saharan Africa is inadequately described. We reviewed deep and organ-space SSIs occurring within a trauma project that had a high-quality microbiology partnership and active follow-up. Included patients underwent orthopaedic surgery in Teme Hospital (Port Harcourt, Nigeria) for trauma and subsequently developed a SSI requiring debridement and microbiological sampling. Data were collected from structured chart reviews and programmatic databases for 103 patients with suspected SSI [79% male, median age 30 years, interquartile range (IQR) 24-37]. SSIs were commonly detected post-discharge with 58% presenting >28 days after surgery. The most common pathogens were: Staphylococcus aureus (34%), Pseudomonas aeruginosa (16%) and Enterobacter cloacae (11%). Thirty-three (32%) of infections were caused by a multidrug-resistant (MDR) pathogen, including 15 patients with methicillin-resistant S. aureus. Antibiotics were initiated empirically for 43% of patients and after culture and sensitivity report in 32%. The median number of additional surgeries performed in patients with SSI was 5 (IQR 2-6), one patient died (1%), and amputation was performed or recommended in three patients. Our findings suggest the need for active long-term monitoring of SSIs, particularly those associated with MDR organisms, resulting in increased costs for readmission surgery and treatment with late-generation antibiotics.
    Publisher
    Cambridge University Press
    URI
    http://hdl.handle.net/10144/618803
    DOI
    10.1017/S0950268816001758
    PubMed ID
    27509824
    Language
    en
    Description
    We regret that this article is behind a paywall.
    ISSN
    1469-4409
    ae974a485f413a2113503eed53cd6c53
    10.1017/S0950268816001758
    Scopus Count
    Collections
    Surgery

    entitlement

    Related articles

    • Burden of Surgical Site Infections Associated with Arthroplasty and the Contribution of Staphylococcus aureus.
    • Authors: Patel H, Khoury H, Girgenti D, Welner S, Yu H
    • Issue date: 2016 Feb
    • Surgical site infection after surgery to repair femoral neck fracture: a French multicenter retrospective study.
    • Authors: Merrer J, Girou E, Lortat-Jacob A, Montravers P, Lucet JC, Groupe de Recherche sur l'Antibioprophylaxie en Chirurgie.
    • Issue date: 2007 Oct
    • Current outcomes and predictors of treatment failure in patients with surgical site infection after elective colorectal surgery. A multicentre prospective cohort study.
    • Authors: Gomila A, Badia JM, Carratalà J, Serra-Aracil X, Shaw E, Diaz-Brito V, Castro A, Espejo E, Nicolás C, Piriz M, Brugués M, Obradors J, Lérida A, Cuquet J, Limón E, Gudiol F, Pujol M, VINCat Colon Surgery Group.
    • Issue date: 2017 Jun
    • Thirty-day readmission and reoperation after surgery for spinal tumors: a National Surgical Quality Improvement Program analysis.
    • Authors: Karhade AV, Vasudeva VS, Dasenbrock HH, Lu Y, Gormley WB, Groff MW, Chi JH, Smith TR
    • Issue date: 2016 Aug
    • Prospective, non-comparative study of daptomycin for the treatment of superficial and deep incisional surgical site infections.
    • Authors: Knapp AG, Kamepalli RK, Martone WJ, Yankelev S
    • Issue date: 2011 Apr
    DSpace software (copyright © 2002 - 2021)  DuraSpace
    Quick Guide | Contact Us
    Open Repository is a service operated by 
    Atmire NV
     

    Export search results

    The export option will allow you to export the current search results of the entered query to a file. Different formats are available for download. To export the items, click on the button corresponding with the preferred download format.

    By default, clicking on the export buttons will result in a download of the allowed maximum amount of items.

    To select a subset of the search results, click "Selective Export" button and make a selection of the items you want to export. The amount of items that can be exported at once is similarly restricted as the full export.

    After making a selection, click one of the export format buttons. The amount of items that will be exported is indicated in the bubble next to export format.