ArticlePatient safety in surgery2019
Incidence, root causes, and outcomes of surgical site infections in a tertiary care hospital in Rwanda: a prospective observational cohort study.
Article in Patient safety in surgery, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 47 papers, 2 of them syntheses that pooled it.
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Who cites it
47 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Prevalence, risk factors, and antimicrobial resistance of endemic healthcare-associated infections in Africa: a systematic review and meta-analysis.BMC infectious diseases · 2024Pooled it
- Laminar airflow ventilation systems in orthopaedic operating room do not prevent surgical site infections: a systematic review and meta-analysis.Journal of orthopaedic surgery and research · 2023Pooled it
- Antimicrobial stewardship in practice: determinants of prescription behaviour and developing interventions to improve surgical prophylaxis in a Rwandan tertiary hospital-a mixed methods study using the behaviour change wheel.Antimicrobial resistance and infection control · 2026Article
- Association between preoperative hypoalbuminemia and surgical site infection in abdominal surgery: a systematic review and meta-analysis.Patient safety in surgery · 2026Review
- Prevalence and antibiotic susceptibility patterns of bacteria causing surgical site infections in a tertiary care centers in Lebanon.PLOS global public health · 2026Article
- Predictors of surgical site infections following cesarean delivery in public hospitals of West Ethiopia: A cohort study.PloS one · 2026Article
- Environmental Determinants of Surgical Site Infections in Abdominal Surgeries: A Scoping Review of Evidence from East Africa.Journal of multidisciplinary healthcare · 2026Review
- Five-year surveillance of antimicrobial resistance patterns among blood culture isolates at the University Teaching Hospital, Kigali, Rwanda.Annals of clinical microbiology and antimicrobials · 2025Article
- Efforts in surgical site infection surveillance at the Mbouo Protestant Hospital in Cameroon.BMC surgery · 2025Observational
- Surgical Site Infections in a Tertiary Hospital in Egypt: Bacterial Isolates and Antibiotic Sensitivity Profiles.Cureus · 2025Article
- Surgical site infections in sub-Saharan Africa: epidemiology, risk factors, and prevention strategies.Annals of medicine and surgery (2012) · 2025Review
- Article
- High incidence of multidrug-resistant organisms and modifiable risk factors associated with surgical site infections: a cohort study in a tertiary medical center in Kuala Lumpur, Malaysia from 2020 to 2023.Antimicrobial resistance and infection control · 2025Article
- Article
- Development of a portable testing chamber to assess imaging performance of laparoscopes in low- and middle-income countries.Journal of biomedical optics · 2025Article
- The burden of surgical site infection and associated factors among patients admitted to the surgical ward in resource-limited countries: an institutional-based cross-sectional study.Frontiers in surgery · 2025Article
- Multidrug-resistant bacterial infections and their clinical impact at the University Teaching Hospital of Kigali in Rwanda: a retrospective descriptive-analytical study.Frontiers in public health · 2025Article
- The Bacterial Species Behind the Wound and Their Antibacterial Resistant Pattern: A Three-Year Retrospective Study at St. Dominic Hospital, Akwatia, Ghana.Journal of clinical laboratory analysis · 2024Article
- Organisms Causing Postoperative Implant Infection in Orthopedic Patients Presenting at a Tertiary Care Hospital.Cureus · 2024Article
- Prevalence and Risk Factors for Surgical Site Infections among Patients in Referral Hospitals in Rwanda.Rwanda journal of medicine and health sciences · 2024Article
Corrections and comments
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Authors and funding
12 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundSurgical Site Infections (SSI) are the most reported health acquired infection and common surgical complication in both developed and developing countries. In developing countries such as Rwanda, there is a paucity of published reports on the pattern of SSI, therefore this study aimed at assessing the incidence, risk factors and the antibiotic profile of pathogens responsible of SSI.
methodsThis prospective study included 294 patients admitted between October 10, 2017 and February 12, 2018 to the surgical department of the University Teaching Hospital of Kigali. Patients data were collected using a structured and pretested questionnaire in English version. Regular follow-up was maintained until at least 30 days postoperatively. Samples were collected from suspected wounds and identified using different bacteria culture media. Data were analyzed using Statistical Package for the Social Sciences (SPSS) software word version 20.0.
resultsThe overall incidence of SSI was 10.9%. The associated risk factors were found to be an increased age, ASA class, wound classification, skills and experience of the surgeon, longer duration of surgery (> 2 h), prolonged duration of hospital stay, blood transfusion and emergency surgery. The most common pathogens isolated were
conclusionSSI incidence rate was revealed to be within acceptable international ranges. However, multi drug resistance was seen in half of the isolates leaving clinicians with few choices of drugs for the treatment of patients with SSI. Periodic surveillance of bacteria and antibiotic susceptibility coupled with the implementation of strict protocol for antibiotic administration and operative room regulations are important to minimize the burden of SSI with resistant bacteria pathogens.
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