Evaluation of the Rate of Surgical Site Infection in Gynecological Surgery at the Regional Hospital of Ngaoundere

Abstract

In Cameroon, where the prevalence of infectious complications remains high, several factors that may or may not lead to these infectious complications are still to be known in our region. The aim of this work was to contribute to improved care delivery. This was a prospective study coupled with an exploratory study from May 10th to August 31st, 2016. All patients who had a gynecological and obstetric surgery at the HRN and without any infection before surgery were included in this study, and were followed each for 30 days. In total, we had 65 surgical procedures in gynecology and obstetrics. The average age of the patients was 29.23 years. Clean surgeries accounted for 98.5% of interventions, with contaminated clean surgeries accounting for 1.5% of interventions. A total of 6 cases of infections of the surgical site was observed (9.2%). Significant variables associated with postoperative infections were the use of antibiotic, the date of first dressing, the duration of surgery. The infection rate of the surgical site which is 9.2% is clearly greater to the data of the literature, despite the antibiotics in prophylactic in clean surgeries. However, better pre and post-operative care as well as strict adherence to the principles of perioperative asepsis should be the rule in our context.