Prevalence of wound sepsis and associated factors among post-operative patients in Kampala International University Teaching Hospital, Ishaka, Bushenyi-Western Uganda

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Kampala International University, School of Allied Health Sciences
Background of the study; Post-operative wound sepsis is among the commonest complications of surgery, especially in developing countries. This complication often increases the burden on patients; increases hospitalization duration, painful wound dressings and other procedures like debridement and secondary closure, drugs burden, and the associated increased hospital bills. Objective; To obtain the prevalence, and factors associated with wound sepsis among post-operative patients in KIUTH. Methods: A cross-sectional study design that is both descriptive and analytical was used. The study was carried out between August and December 2017 in Kampala international university teaching hospital, where participants were chosen according to our inclusion and exclusion criteria. Results; The prevalence of post-operative wound sepsis in KIUTH was found at 25.3%, with a higher prevalence in Emergency compared to Elective surgeries (cOR 2.552, P=0.016, 95% CI, 1.194-5.456) Post-operative wound sepsis was found to be significantly associated with ineffective use of antimicrobial prophylaxis pre-operatively (aOR 0.176, P=0.010 95% CI 0.120-0.751). There was also noted a high association between post-operative wound sepsis and long Midline incisions, (cOR 2.308, P=0.116 95% CI 0.812-6.555), although this factor wasn’t statistically significant. The condition was however not found to be associated with Age and Patients underlying illness in this study, as it had been reported in many previous studies. Conclusion: The study found a high prevalence of wound sepsis among post-operative patients, which was dependent ineffective use of Antimicrobial prophylaxis pre-operatively, and the use long midline incisions during surgery.
A research report submitted to the School Of Allied Health Sciences in partial fulfillment of the requirements for the award of Diploma In Clinical Medicine and Community Health at Kampala International University Western Campus
Wound sepsis, Post-operative patients, Kampala International University Teaching Hospital, Ishaka, Bushenyi, Western Uganda