Surveillance of post-caesarean surgical site infections in a hospital with limited resources, Cambodia
Introduction: In Cambodia, we implemented a pilot surveillance of superficial surgical site infections (SSSI) following caesarean deliveries (CD) in a provincial hospital, to estimate their incidence, describe their clinical management, and determine their causative pathogens. Methodology: Betwe...
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The Journal of Infection in Developing Countries
2013-08-01
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| Series: | Journal of Infection in Developing Countries |
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| Online Access: | https://jidc.org/index.php/journal/article/view/2981 |
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| author | Sok Srun Yin Sinath An Thoun Seng Meas Chea Mony Borin Somary Nhem Amanda Daniel Nora Chea Nima Asgari Anne Rachline Za Reed Rodney Hoff Philippe Cavailler Sophie Goyet |
| author_facet | Sok Srun Yin Sinath An Thoun Seng Meas Chea Mony Borin Somary Nhem Amanda Daniel Nora Chea Nima Asgari Anne Rachline Za Reed Rodney Hoff Philippe Cavailler Sophie Goyet |
| author_sort | Sok Srun |
| collection | DOAJ |
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Introduction: In Cambodia, we implemented a pilot surveillance of superficial surgical site infections (SSSI) following caesarean deliveries (CD) in a provincial hospital, to estimate their incidence, describe their clinical management, and determine their causative pathogens.
Methodology: Between October 2010 and February 2011, all women admitted for CD were included in the surveillance. Their clinical condition was monitored for a post-operative period of 30 days, including two assessments performed by surgeons. Cases were clinically diagnosed by surgeons, with bacterial cultures performed.
Results: Of the 222 patients admitted for CD, 176 (79.3%) were monitored for 30 days. Of these, 11 were diagnosed with a SSSI, giving an incidence rate of 6.25% (95% CI 3.2-10.9). Four of the cases (36.4%) were detected after hospital discharge. Length of hospitalization was significantly longer for the SSSI cases. All 222 patients were prescribed antibiotics. Ampicillin was administered intravenously to 98.6% of them, with subsequent oral amoxicillin given to 82.9%. Three of six pus samples collected were positive on culture: two with Staphylococcus aureus and one with Staphylococcus lugdunensis. One S.aureus was methicillin resistant (MRSA). The other was clindamycin and erythromycin resistant.
Conclusion: Surveillance of health-care associated infections in a setting with limited resources is challenging but feasible. Effective post-discharge surveillance was essential for the estimation of the incidence rate of SSSI following caesarean deliveries. This surveillance led to a peer-review of medical practices.
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| format | Article |
| id | doaj-art-9aa9e2461e74460fbca44159f48dc7db |
| institution | DOAJ |
| issn | 1972-2680 |
| language | English |
| publishDate | 2013-08-01 |
| publisher | The Journal of Infection in Developing Countries |
| record_format | Article |
| series | Journal of Infection in Developing Countries |
| spelling | doaj-art-9aa9e2461e74460fbca44159f48dc7db2025-08-20T02:57:18ZengThe Journal of Infection in Developing CountriesJournal of Infection in Developing Countries1972-26802013-08-0170810.3855/jidc.2981Surveillance of post-caesarean surgical site infections in a hospital with limited resources, CambodiaSok Srun0Yin Sinath1An Thoun Seng2Meas Chea3Mony Borin4Somary Nhem5Amanda Daniel6Nora Chea7Nima Asgari8Anne Rachline9Za Reed10Rodney Hoff11Philippe Cavailler12Sophie Goyet13Department of Hospital Services, Ministry of Health, Phnom Penh, CambodiaProvincial Referral Hospital, Kampong Cham, CambodiaDepartment of Hospital Services, Ministry of Health, Phnom Penh, CambodiaProvincial Referral Hospital, Kampong Cham, CambodiaProvincial Referral Hospital, Kampong Cham, CambodiaMicrobiology laboratory, Provincial Referral Hospital, Kampong Cham, CambodiaDepartment of Hospital Services, Ministry of Health, Phnom Penh, CambodiaCambodian office of World Health Organization (WHO), Phnom Penh, , CambodiaCambodian office of World Health Organization (WHO), Phnom Penh, , CambodiaRegional Emerging Diseases Intervention (REDI) Center, SingaporeRegional Emerging Diseases Intervention (REDI) Center, Singapore-city, SingaporeRegional Emerging Diseases Intervention (REDI) Center, Singapore-city, SingaporeRegional Emerging Diseases Intervention (REDI) Center, Singapore-city, SingaporeRegional Emerging Diseases Intervention (REDI) Center, Singapore Introduction: In Cambodia, we implemented a pilot surveillance of superficial surgical site infections (SSSI) following caesarean deliveries (CD) in a provincial hospital, to estimate their incidence, describe their clinical management, and determine their causative pathogens. Methodology: Between October 2010 and February 2011, all women admitted for CD were included in the surveillance. Their clinical condition was monitored for a post-operative period of 30 days, including two assessments performed by surgeons. Cases were clinically diagnosed by surgeons, with bacterial cultures performed. Results: Of the 222 patients admitted for CD, 176 (79.3%) were monitored for 30 days. Of these, 11 were diagnosed with a SSSI, giving an incidence rate of 6.25% (95% CI 3.2-10.9). Four of the cases (36.4%) were detected after hospital discharge. Length of hospitalization was significantly longer for the SSSI cases. All 222 patients were prescribed antibiotics. Ampicillin was administered intravenously to 98.6% of them, with subsequent oral amoxicillin given to 82.9%. Three of six pus samples collected were positive on culture: two with Staphylococcus aureus and one with Staphylococcus lugdunensis. One S.aureus was methicillin resistant (MRSA). The other was clindamycin and erythromycin resistant. Conclusion: Surveillance of health-care associated infections in a setting with limited resources is challenging but feasible. Effective post-discharge surveillance was essential for the estimation of the incidence rate of SSSI following caesarean deliveries. This surveillance led to a peer-review of medical practices. https://jidc.org/index.php/journal/article/view/2981hospital-acquired infectioninfection controlsurgical site infectionCambodiahealth systemcaesarean delivery |
| spellingShingle | Sok Srun Yin Sinath An Thoun Seng Meas Chea Mony Borin Somary Nhem Amanda Daniel Nora Chea Nima Asgari Anne Rachline Za Reed Rodney Hoff Philippe Cavailler Sophie Goyet Surveillance of post-caesarean surgical site infections in a hospital with limited resources, Cambodia Journal of Infection in Developing Countries hospital-acquired infection infection control surgical site infection Cambodia health system caesarean delivery |
| title | Surveillance of post-caesarean surgical site infections in a hospital with limited resources, Cambodia |
| title_full | Surveillance of post-caesarean surgical site infections in a hospital with limited resources, Cambodia |
| title_fullStr | Surveillance of post-caesarean surgical site infections in a hospital with limited resources, Cambodia |
| title_full_unstemmed | Surveillance of post-caesarean surgical site infections in a hospital with limited resources, Cambodia |
| title_short | Surveillance of post-caesarean surgical site infections in a hospital with limited resources, Cambodia |
| title_sort | surveillance of post caesarean surgical site infections in a hospital with limited resources cambodia |
| topic | hospital-acquired infection infection control surgical site infection Cambodia health system caesarean delivery |
| url | https://jidc.org/index.php/journal/article/view/2981 |
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