Yeasts as a Potential Causes of Surgical Site Infections at the Sourô Sanou University Hospital Center of Bobo-Dioulasso, Burkina Faso

Abstract

Fungal surgical site infections (SSIs) trend to increase in the recent decades. This study aimed at estimating the prevalence of fungal SSIs, and the time of occurrence of fungal SSIs at the Sourô Sanou University Hospital (SSUHC) in Burkina Faso. This study was carried out in two departments of the SSUHC. Samples of postoperative purulent secretions were collected from June to December 2019. Purulent secretions swabs at the surgical site were aseptically collected using sterile cotton swabs. Standard mycology, CHROMagar, agglutination latex test and immunological test were used to identify the different Candida species. A total of 39 postoperative patients were included in the study. The median age was 27 years and the majority of patients were women (74.4%). The probability of isolating fungal agents from the surgical site was 2.6% three days after surgery. This probability was 14.4% and 49.5% at one week and 12 days after the surgical intervention, respectively. A total of 8 (20.51%) fungal species, all belonging to the genus Candida were identified in the study. These species were Candida albicans (3), Nakaseomyces glabrata (2), Candida tropicalis (2) and Pichia kudriavzevii (1). This study showed that Candida spp. could be the cause of the occurrence of SSIs at the SSUHC in Burkina Faso. So, physician must integrate the fungal causes in the management of SSIs.