Surgical Site Infection in the General Surgery Department of the Commune I Reference Health Center of Bamako

Abstract

Objective: To study surgical site infections in the general surgery department of the CSRéf in Commune I of the Bamako district. Method: This was a 12-month prospective descriptive and analytical study from 1er June 2021 to 1er May 2022, including all patients operated on and hospitalised in the department. Results: During the study period, we recorded 80 cases of surgical site infection out of 442 patients included in the study, i.e. an overall total of 18.1%. The mean age of the patients was 32.24 years, with extremes ranging from 1 to 82 years. The rate of SSI was influenced by the surgical indication, the type of anaesthesia, the type of surgery according to the Altemeier classification, whether or not antibiotic prophylaxis and drainage were practised, and the length of postoperative hospitalisation. The majority of surgical site infections were diagnosed within the first 5-10 days postoperatively. Superficial infection was the most common (81%). E coli was the most common germ isolated from the site of infection at 49.15%. Most germs were sensitive to the combination of amoxicillin and clavulanic acid, imipenem and gentamicin.