Dr Atika Swar1,2
1Ministry Of Health, Directorate of Quality and Accreditation, Khartoum, Sudan,
2Ahfad University for Women, Omdurman, Sudan
Surveillance for SSI is an important element of a successful IPC program. This research aimed at studying surveillance findings of surgical site infections among pediatric surgeries by active direct surveillance method using NNIS as a predictive tool for SSI.
Materials and methods:
A nested case control study conducted following establishing active, direct surveillance system was established at the department of pediatric surgery. Case definition and tools were modified from the CDC – SSI surveillance guidelines. Patients were followed throughout admission period and post discharge for one month using phone calls and follow up visits. The incidence rates of SSI were measured and the associated factors were investigated.
During the 3 month period of the study, 191 surgical patients were admitted and (83%) of them have undergone surgeries. The cumulative incidence rate was (16.4%). Contaminated wounds and the ASA patient classification were significantly associated with the highest rate of infection with (P value of 0.01- 0.006). The NNIS risk index was useful for prediction of SSI (P value: 0.02). Patients who stayed for 3-5 days post operatively were at higher risk of developing SSI. Using logistic regression for multivariate analysis, the test was highly significant and only sex and duration of post operative stay were affecting SSI.
SSI rate was high and active direct surveillance with post discharge follow up was a feasible tool for estimating the burden and investigating the risk factors. The NNIS risk index was useful for prediction of SSI.
A MEDICAL DOCTOR WITH MBBS FROM AHFAD UNIVERSITY 2005, MASTER IN PUBLIC HEALTH FROM THE OPEN UNIVERSITY MALAYSIA 2012, PROFESSIONAL DIPLOMA IN INFECTION PREVENTION AND CONTROL FROM THE ARAB INSTITUTE OF PROFESSIONAL DEVELOPMENT 2015 AND MEDICAL DOCTORATE IN COMMUNITY MEDICINE FROM THE SUDAN MEDICAL SPECIALIZATION BOARD 2017.