Health and Economic Impact of Surgical Site Infections for Obstetric Surgical in Patients at General Hospital Funtua, Katsina State North-Western Nigeria
Dalhatu, A.a, Muhammad S. Mijinyawab, Hayatu, S.c Yunusa, U.d
a&dDepartment of Nursing Sciences, Bayero University Kano
bDepartment of Medicine, Bayero University Kano and Aminu Kano Teaching Hospital
cDepartment of Medical Laboratory Science, Bayero University Kano
E-mails: adamudalhatu206@gmail.com, profandnafs@yahoo.com
ABSTRACT
Infection has been the feature of man across the globe.Surgical site infections (SSIs) are the most common complications after surgery that has significant impact in patient Morbidity, mortality and health care cost. A descriptive cross sectional study was used involving all subjects who attended maternity unit for delivery. A non probability purposive sampling technique was employed to recruit the total sample size of one hundred. After obtaining informed written consent for the study, all subjects who met the inclusion criteria were successfully enrolled in to the study. Pre-operative, intra-operative and postoperative data were collected using standardized data collection form based on CDC/WHO criteria. The data were analyzed using SPSS software. The results showed that the minimum age of the subjects ranged between 21 years to 30 years with the median age of 25 year. Most of the subjects had no formal education and were not engaged in any occupational services yet with slight increased in body mass index and reflected high number of primigravida. The major findings revealed that the average extra medical costs for subjects with surgical site infection during the period of index hospitalization was NGN5100 (US$30.0 per subject, (p<0.001). In conclusion, surgical site infection recognized during period of index hospitalization has a significant extra resource utilization on subjects. Therefore, it is recommended that government, hospitals management and obstetrician have a vital role to play in putting measures that will reduce the problems and more investigations are needed in the field for post discharge subjects and to quantify the indirect medical costs.
Keywords: Surgical Site Infection, Economic, Hospitalization, Health, Patient