Family Practice Reports

Family Practice Reports

ISSN 2056-5690
Original Research

Role of premorbid status and wound related factors in surgical site infection in a tertiary hospital in sub-saharan Africa

Joy Oluchi Osakwe1, Godswill Amechi Nnaji1*, Richmond Chukwudi Osakwe2, Uloma Agu1 and Henry Nnaemeka Chineke3

*Correspondence: Godswill Amechi Nnaji

1. Department of Family Medicine, Nnamdi Azikiwe University Teaching Hospital, Nnewi, Nigeria.

Author Affiliations

2. Department of Obstetrics and Gynaecology, Nnamdi Azikiwe University Teaching Hospital, Nnewi, Nigeria.

3. Department of Family Medicine, Imo State University Teaching Hospital, Orlu, Imo State, Nigeria.


Background: Surgical site infection (SSI) is the commonest hospital acquired infection in surgical patients globally. It has remained a major cause of morbidity and mortality and a major source of worry to both the patients, doctors, hospitals and the community as a whole.

Aim: To determine the role of premorbid status, wound class and cadre of surgeons on the prevalence rate of surgical site infections.

Materials and methods: This was a cross-sectional study involving 200 randomly recruited surgical patients between April and June 2012 at Nnamdi Azikiwe University Teaching Hospital, Nnewi. Pre-tested, interviewer administered questionnaires and laboratory test results were used to collect data, which were analyzed using Statistical Package for Social Sciences, version 16.

Results: The prevalence of surgical site infection was 15.5% (or 31 of 200) among the participants. Premorbid status, as well as, wound class, of the patients affected the rate of SSI (p=0.007) and (p=0.009), respectively. However, the wound location did not show any significant effect on the prevalence of SSI.

Conclusion: The study found a high prevalence of SSI which was dependent on the class of wound, and premorbid status of the patient.

Keywords: Surgical site infection, wound class, nosocomial infection, premorbid status

ISSN 2056-5690
Volume 1
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