ArticleInfection prevention in practice2020
Attributable cost and extra length of stay of surgical site infection at a Ghanaian teaching hospital.
Article in Infection prevention in practice, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.
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Who cites it
12 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Effectiveness of an evidence-based intervention bundle in reducing post-caesarean delivery surgical site infections: systematic review and meta-analysis.BMC pregnancy and childbirth · 2025Pooled it
- A Cost-Utility Analysis of Surgical Site Infection Prevention: Broadening the Scope.Applied health economics and health policy · 2026Article
- Observational
- Effect of malnutrition at admission on length of hospital stay among adult surgical patients in Wolaita Sodo University Comprehensive Specialized Hospital, South Ethiopia: prospective cohort study.Frontiers in nutrition · 2024Article
- A qualitative study of infection prevention and control practices in the maternal units of two Ghanaian hospitals.Antimicrobial resistance and infection control · 2023Article
- Review
- The Burden of Surgical Site Infection at Hospital Universiti Sains Malaysia and Related Postoperative Outcomes: A Prospective Surveillance Study.Antibiotics (Basel, Switzerland) · 2023Article
- Knowledge, attitudes, and practices of registered dietitians and nutritionists regarding enteral and parenteral nutrition support in Ghana: a needs assessment study.Frontiers in nutrition · 2023Article
- Article
- The financial impact of puerperal infections on patients, carers and public hospitals in two regions in Ghana.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2021Article
- High rates of multi-drug resistant gram-negative organisms associated with surgical site infections in a teaching hospital in Ghana.BMC infectious diseases · 2020Article
- Perspectives and practices of healthcare providers and caregivers on healthcare-associated infections in the neonatal intensive care units of two hospitals in Ghana.Health policy and planning · 2020Article
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5 authors.
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Abstract
backgroundLimited information is available on the financial impact of healthcare associated infections in Sub-Saharan Africa. A prospective case-control study was undertaken at Korle-Bu Teaching Hospital, Ghana, to calculate the cost of surgical site infections (SSI).
methodsWe studied 446 adults undergoing surgery from the surgical department. In all, 40 patients with SSI and 40 control patients without SSI were matched by type of surgery, wound class, ASA, sex and age. The direct and indirect costs to patients were obtained from patients and their carers, daily. The cost of drugs was confirmed with the pharmacy at the department.
resultsThe prevalence rate for SSI was 11% of the total 446 cases sampled between June and August 2017. On average patients with SSI who undertook hernia surgery paid approximately US$ 392 more than the matched controls without SSI. The least difference was recorded amongst patients who had thyroid surgery, a difference of US$ 42. The results show that for all surgical procedures, SSI patients report excess length of stay. The additional days range from 1 day for limb amputation, to 16 days for rectal surgery.
conclusionsIn this study, patients with SSI experienced significant prolongation of hospitalisation and increased use of health care costs. In many cases, the indirect costs were much higher than direct costs. These findings support the need to implement preventative interventions for patients hospitalised for various surgical procedures at the Korle Bu Teaching Hospital.
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