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Pediatric Surgery International

Published in:

01-05-2012 | Original Article

Pediatric surgical site infection in the developing world: a Kenyan experience

Authors: James H. Wood, Peter M. Nthumba, Edita Stepita-Poenaru, Dan Poenaru

Published in: Pediatric Surgery International | Issue 5/2012

Abstract

Background

The purpose of the current study was to determine the incidence of pediatric surgical site infections (SSIs) at an academic children’s hospital in rural sub-Saharan Africa and to identify potentially modifiable risk factors.

Methods

Prospectively collected data from 1,008 surgical admissions to BethanyKids Kijabe Hospital (Kijabe, Kenya) were analyzed retrospectively. Follow-up data were available in 940 subjects.

Results

SSIs occurred in 6.8% of included subjects (N = 64). Superficial (69%) and deep (29%) infections of the back (38%) and head (25%) were most common. When comparing children who developed SSI to those who did not, we found that wound contamination classification and duration of operation were the only variables with significant differences between groups.

Conclusions

Our rate of SSI among pediatric patients in sub-Saharan Africa is the lowest reported in the literature to date. More work is needed to identify modifiable risk factors for pediatric SSI in low- and middle-income countries.

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Title: Pediatric surgical site infection in the developing world: a Kenyan experience
Authors: James H. Wood
Peter M. Nthumba
Edita Stepita-Poenaru
Dan Poenaru
Publication date: 01-05-2012
Publisher: Springer-Verlag
Published in: Pediatric Surgery International / Issue 5/2012
Print ISSN: 0179-0358
Electronic ISSN: 1437-9813
DOI: https://doi.org/10.1007/s00383-012-3058-x

At a glance: The STEP trials

Springer Medicine

Pediatric surgical site infection in the developing world: a Kenyan experience

Abstract

Background

Methods

Results

Conclusions

At a glance: The STEP trials

Springer Medicine

Abstract

Background

Methods

Results

Conclusions

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