dc.contributor.author | Bhatt, Jaimin R | |
dc.date.accessioned | 2013-05-23T13:19:00Z | |
dc.date.available | 2013-05-23T13:19:00Z | |
dc.date.issued | 2003 | |
dc.identifier.citation | Master of Medicine in Surgery, University of Nairobi, 2003 | en |
dc.identifier.uri | http://erepository.uonbi.ac.ke:8080/xmlui/handle/11295/24939 | |
dc.description.abstract | A prospective study of 292 patients undergoing surgical operations in the General
Surgical firms at the Kenyatta National Hospital was carried out to assess early clinical
post-operative wound infection. This outcome was studied in relation to 3 broad
variables: Endogenous contamination, exogenous contamination and patient factors.
Methodology: Patients were recruited over a two and a half months period, between 1ih
February 2003 and 23rd April 2003, according to set criteria. Each patient was followed
up until discharge, and where necessary in the out-patient clinics. Data was entered into a
questionnaire and analysed for statistical differences in the variables mentioned.
Results: Fifty-one out of292 patients got post-operative wound infection. Endogenous
contamination of the wound at the time of surgery was found to be of great significance
in predicting wound infection (p<0.001). The clean wound infection rate of Kr-H was
found to be 3.1 per cent, whereas the overall wound infection rate was 17.4 per cent.
There was no significant difference in the clean wound or overall wound infection rates
between the individual surgical firms (p value 0.6) Variables in the exogenous
contamination and patern host categories that were found to be of significance included
prolonged pre-op stay, pre-op shaving, presence of cornorbidities, low levels of
haemoglobin and blood transfusion, among others. Patients who got infection had a
significant increase in their post-op stay and hospitalization costs (p<0.001).
Conclusion: Despite marked improvement in rates over the years, post-op wound
infection at KNH remains an important cause of morbidity and financial burden.
Recommendations have been made on further attempts at reduction of the rates, based on
findings of this study | en |
dc.language.iso | en | en |
dc.publisher | University of Nairobi. | en |
dc.title | Early post-operative wound infections at the Kenyatta National Hospital: a prospective study | en |
dc.type | Thesis | en |
dc.description.department | a
Department of Psychiatry, University of Nairobi, ; bDepartment of Mental Health, School of Medicine,
Moi University, Eldoret, Kenya | |
local.publisher | Department of surgery | en |