Incidence, Bacteriological Patterns and Factors Associated With Surgical Site Infections among Patients Undergoing Split Thickness Skin Grafting at Bugando Medical Centre, Mwanza, Tanzania (Record no. 18771)
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| 000 -LEADER | |
|---|---|
| fixed length control field | 03488nam a22002897a 4500 |
| 001 - CONTROL NUMBER | |
| control field | CUHAS/MMED/6000294/T/19 |
| 003 - CONTROL NUMBER IDENTIFIER | |
| control field | CUHAS/MMED/6000294/T/19 |
| 005 - DATE AND TIME OF LATEST TRANSACTION | |
| control field | 20240424214647.0 |
| 008 - FIXED-LENGTH DATA ELEMENTS--GENERAL INFORMATION | |
| fixed length control field | 231117b |||||||| |||| 00| 0 eng d |
| 028 ## - PUBLISHER OR DISTRIBUTOR NUMBER | |
| Source | Wurzburg Road 35, BMC Premises, Post Code: 33102: |
| Source | P. O. Box 1464, Mwanza – Tanzania: |
| Source | Phone: +255 28 298 3384: |
| Source | Fax: +255 28 298 3386: |
| Source | Email: vc@bugando.ac.tz : |
| Source | www.bugando.ac.tz |
| 035 ## - SYSTEM CONTROL NUMBER | |
| System control number | CUHAS/MMED/6000294/T/19 |
| 040 ## - CATALOGING SOURCE | |
| Language of cataloging | English |
| Transcribing agency | DDC |
| 041 ## - LANGUAGE CODE | |
| Language code of text/sound track or separate title | English |
| 100 ## - MAIN ENTRY--PERSONAL NAME | |
| Personal name | Gilbert Mchihiyo L. |
| Dates associated with a name | [Male] |
| Relator term | CUHAS/MMED/6000294/T/19 |
| 245 ## - TITLE STATEMENT | |
| Title | Incidence, Bacteriological Patterns and Factors Associated With Surgical Site Infections among Patients Undergoing Split Thickness Skin Grafting at Bugando Medical Centre, Mwanza, Tanzania |
| 260 ## - PUBLICATION, DISTRIBUTION, ETC. | |
| Place of publication, distribution, etc. | Mwanza, Tanzania: |
| Name of publisher, distributor, etc. | Catholic University of Health and Allied Sciences [CUHAS – Bugando] : |
| Date of publication, distribution, etc. | 2023 |
| 300 ## - PHYSICAL DESCRIPTION | |
| Extent | 102 Pages |
| Extent | Includes References and Appendicies |
| 520 ## - SUMMARY, ETC. | |
| Summary, etc. | Abstract:<br/><br/>Background: One of the most terrifying consequences of Split thickness skin grafting (STSG) is surgical site infection (SSI), which can result in the loss of the entire graft and put the patient at greater danger of systemic infections and the need for further surgery to replace the graft. Little information is available on the magnitude of SSI, bacteriological profile, antibiotic susceptibility patterns and factors associated with SSI following STSG surgeries at our setting which necessitated us to conduct this study.<br/><br/>Methods: This prospective longitudinal study was conducted in general surgical, orthopedic and plastic/reconstructive wards at BMC involving patients who underwent STSG surgeries between January and June 2023. Data were recorded using standard structured questionnaires. Wound/pus swabs were collected from patients with clinical evidence of SSI for bacteriological processing. Statistical data analysis was performed using STATA version 15.0.<br/><br/>Results: A total of 96 patients with median age [IQR] of 38.4[21.5 - 54.5] years were enrolled. Male sex accounted for 49 (51.0%). Traumatic skin loss, 33(34.4%) was the most common indication for skin graft surgery. About 30.2% (n=29) and 27.1% (n=26) developed clinical and laboratory confirmed SSI respectively. Gram-negative bacteria were predominantly isolated (92.3%; n=24). Male gender (p-value = 0.021), diabetes mellitus (p-value = 0.009), diabetes mellitus and hypertension (p-value =0.012), HIV infection (p-value = 0.028), wound size (pvalue < 0.001), pre-operative low hemoglobin (p-value < 0.001), pre-operative wound colonization (p-value = 0.008), rank of the surgeon (p-value = 0.04) and the duration of surgery (p-value < 0.001) were statistically associated with SSIs.<br/><br/>Conclusion: About one third of patients develop SSI after STSG surgeries at BMC. Evidencebased treatment approach using laboratory culture and sensitivity results is recommended in the management of SSI following STSG surgeries. Further studies are recommended to establish if colonization can be among the contraindication of skin grafting, junior doctor’s surgeries should be supervised by senior doctors especially for high risk patient, Also to individualize the antibiotic treatment based on C&S in the management of SSI following STSG surgeries.<br/><br/> |
| 600 ## - SUBJECT ADDED ENTRY--PERSONAL NAME | |
| General subdivision | Surgery |
| 942 ## - ADDED ENTRY ELEMENTS (KOHA) | |
| Source of classification or shelving scheme | ddc |
| Koha item type | POSTGRADUATE DISSERTATIONS |
| Suppress in OPAC | |
| Withdrawn status | Lost status | Source of classification or shelving scheme | Damaged status | Not for loan | Collection | Home library | Current library | Shelving location | Date acquired | Total checkouts | Barcode | Date last seen | Price effective from | Koha item type |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MWALIMU NYERERE LEARNING RESOURCES CENTRE-CUHAS BUGANDO | MWALIMU NYERERE LEARNING RESOURCES CENTRE-CUHAS BUGANDO | 11/17/2023 | CUHAS/MMED/6000294/T | 11/17/2023 | 11/17/2023 | POSTGRADUATE DISSERTATIONS |