ArticlePatient safety in surgery2019
The prevalence and root causes of surgical site infections in public versus private hospitals in Ethiopia: a retrospective 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 16 papers, 2 of them syntheses that pooled it.
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Who cites it
16 citing papers in PubMed, 2 syntheses or guidelines pooled it, 36 citations in OpenAlex.
- Prevalence, risk factors, and antimicrobial resistance of endemic healthcare-associated infections in Africa: a systematic review and meta-analysis.BMC infectious diseases · 2024Pooled it
- Surgical site infection and its associated factors in Ethiopia: a systematic review and meta-analysis.BMC surgery · 2020Pooled it
- Magnitude and Associated Factors of Surgical Site Infection Following Cesarean Section: A Cross-Sectional Study in Southern Ethiopia.Health science reports · 2026Article
- Factors Associated With Surgical Site Infection Among Patients Undergone Abdominal Surgery in Northwestern Ethiopia: A Retrospective Cross-Sectional Study.Health science reports · 2025Article
- Surgical site infections in sub-Saharan Africa: epidemiology, risk factors, and prevention strategies.Annals of medicine and surgery (2012) · 2025Review
- Article
- Length of hospital stay and its associated factors among women who gave birth by cesarean section in general hospitals of Sidama region, Ethiopia.PLOS global public health · 2025Article
- Incidence, Bacterial Profile and Predictors of Surgical Site Infection After Cesarean Section in Ethiopia, A Prospective Cohort Study.International journal of women's health · 2023Article
- Assessment of Bacterial Profiles and Antimicrobial Susceptibility Pattern of Isolates Among Patients Diagnosed with Surgical Site Infections at Mizan-Tepi University Teaching Hospital, Southwest Ethiopia: A Prospective Observational Cohort Study.Infection and drug resistance · 2022Article
- Antimicrobial Resistance Profile of Bacterial Isolates Identified from Surgical Site Infections at a Referral Hospital, Northwest Ethiopia.Ethiopian journal of health sciences · 2021Article
- Current practices and evaluation of barriers and facilitators to surgical site infection prevention measures in Jimma, Ethiopia.Antimicrobial stewardship & healthcare epidemiology : ASHE · 2021Article
- Antibiogram Profiles of Bacteria Isolated from Different Body Site Infections Among Patients Admitted to GAMBY Teaching General Hospital, Northwest Ethiopia.Infection and drug resistance · 2021Article
- Incidence and root causes of surgical site infections after gastrointestinal surgery at a public teaching hospital in Sudan.Patient safety in surgery · 2020Article
- Prevalence and root causes of surgical site infections at an academic trauma and burn center in Ethiopia: a cross-sectional study.Patient safety in surgery · 2020Article
- Surgical Site Infections and Prophylaxis Antibiotic Use in the Surgical Ward of Public Hospital in Western Ethiopia: A Hospital-Based Retrospective Cross-Sectional Study.Infection and drug resistance · 2020Article
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4 authors at 2 institutions in 1 country.
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No grant is acknowledged in the PubMed record.
Abstract
backgroundHealthcare-associated illnesses, of which surgical site infection is the most common are significant causes of morbidity and mortality. Therefore, this study aimed to determine the prevalence and root causes of surgical site infections in public versus private hospitals in Ethiopia.
methodsAn institution based retrospective observational cohort study was conducted among patients who underwent surgical procedures at public and private health facilities from March 15 to April 15, 2018. Samples were selected by the simple random sampling technique, and data extracted from the patient's medical chart, operation, and anesthesia notes. Data were entered using Epi info version 7 and analyzed using STATA 14. Binary logistic regression was fitted to identify factors associated with surgical site infections in private and public hospitals. Crude and adjusted odds ratios (OR) with a 95% confidence interval (CI) were computed to assess the strength of associations. Variables with a
resultThe overall prevalence of surgical site infections was 9.9% (95%CI: 7.8, 12.5). The prevalence of the infections was higher in procedures performed in public hospitals (13.4%) compared to private hospitals (6.5%). Rural residence (AOR = 0.13, 95%CI: 0.034 0.55), clean-contaminated and dirty wound (AOR = 12.81, 95%CI: 4.42 37.08) were significant predictors of the infections in private hospitals. Similarly, clean-contaminated and dirty wounds (AOR = 4.37, 95%CI: 1.88 10.14), length of hospital stay≥6 days (AOR = 2.86, 95%CI: 1.11 7.33), and surgical operation time of over 1 h (AOR = 15.24, 95%CI: 4.48 51.83) were such factors in public hospitals.
conclusionThe prevalence of surgical site infections was high, and significant differences were also observed between public and private hospitals. Clean-contaminated and dirty wounds, prolonged operation, and length of hospital stay were predictors of surgical site infections among patients in public hospitals, whereas clean-contaminated wound and rural dwellings were predicted the infections among patients operated in the private hospital.
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