Factors contributing to postoperative sepsis among postoperative patients at Kayunga Regional Referral Hospital, Kayunga district. A cross-sectional study.
DOI:
https://doi.org/10.71020/jwhr.v3i5.88Keywords:
Factors, Postoperative sepsis, Patients, Kayunga Regional Referral HospitalAbstract
Background:
Post-operative infection is any infection that occurs within 30 days after a surgical procedure or within one year if an implant was placed. The purpose of the study was to determine the factors contributing to postoperative sepsis among postoperative patients at Kayunga Regional Referral Hospital, Kayunga district.
Methodology:
The study used cross section study design, 60 respondents were selected by a simple random method. The study employed structural questionnaires, which were administered by the researcher and assistants to collect data using a simple random technique.
Results:
35(58%) were aged above 40 years, and 10 (17%) were aged below 20 years. 40 (67%) were formally educated, and 20 (33%) had no formal education. According to patient-related factors, it was revealed that postoperative sepsis was highest among males aged 40years 58% and also it was reported to be high among patients with comorbidities 70% and those who smoke, 58%. According to health facility-related factors, it was also shown that postoperative sepsis was high among people who did not receive prophylactic antibiotics before surgery 53% and high among patients who were not reviewed after surgery, 53%. In regard to socioeconomic factors in the same study, it was revealed that the majority of the respondents 63% were unemployed, and 55% lacked caretakers.
Conclusion:
The highest pronounced factors contributing to postoperative sepsis among clients were male over 40years of age, underlying comorbidities such as diabetes mellitus, and smoking. Higher body weight, preoperative antibiotics, unemployment, and lack of caretaker.
Recommendations:
The government should formulate policies concerning POS, provision and lobbying of funds, training health workers, supporting supervision of surgical wards and theatres, and providing modern machines used during surgeries.
References
Abdelhack, M., Tripathi, S., Chen, Y., Avidan, M. S., & King, C. R. (2024). Social vulnerability and surgery outcomes: a cross-sectional analysis. BMC Public Health, 24(1), 1907.https://doi.org/10.1186/s12889-024-19418-5
Al-Qurayshi, Z., Baker, S. M., Garstka, M., Ducoin, C., Killackey, M., Nichols, R. L., & Kandil,
E. (2018). Post-operative infections: trends in distribution, risk factors, and clinical and economic burdens. Surgical infections, 19(7), 717-722. https://doi.org/10.1089/sur.2018.127
Chen, P. Y., Luo, C. W., Chen, M. H., Yang, M. L., & Kuan, Y. H. (2019). Epidemiological characteristics of postoperative sepsis. Open Medicine, 14(1), 928-938. https://doi.org/10.1515/med-2019-0110
Flanagan, J. M., Read, C., & Shindul-Rothschild, J. (2020). Factors associated with the rate of sepsis after surgery. Critical Care Nurse, 40(5), e1-e9. https://doi.org/10.4037/ccn2020171
Gabriel, V., Grigorian, A., Nahmias, J., Pejcinovska, M., Smith, M., Sun, B., ... & Schubl, S. D. (2019). Risk factors for post-operative sepsis and septic shock in patients undergoing emergency surgery. Surgical Infections, 20(5), 367-372. https://doi.org/10.1089/sur.2018.186
Hidalgo, D. C., Tapaskar, N., Rao, S., Masic, D., Su, A., Portillo, J., & Rech, M. (2021). Lower socioeconomic factors are associated with higher mortality in patients with septic shock. Heart & Lung, 50(4), 477-480.
https://doi.org/10.1016/j.hrtlng.2021.02.014
Madrigal, J., Sanaiha, Y., Karunungan, K., Sareh, S., & Benharash, P. (2020). National trends in postoperative infections across surgical specialties. Surgery, 168(4), 753-759. https://doi.org/10.1016/j.surg.2020.04.055
Muhumuza, I., Lavingia, A. Z., Tayebwa, B., Ahmed, A. A., Koriow, F. M., Tetty, V. O., ... & Ssebuwufu, R. (2020). Post Caesarean Wound sepsis and associated factors among patients attending a rural regional referral hospital in Western Uganda: A cross-sectional study. https://doi.org/10.21203/rs.2.24374/v1
Plaeke, P., De Man, J. G., Coenen, S., Jorens, P. G., De Winter, B. Y., & Hubens, G. (2020). Clinical and surgery-specific risk factors for post-operative sepsis: a systematic review and meta-analysis of over 30 million patients. Surgery Today, 50(5), 427-439. https://doi.org/10.1007/s00595-019-01827-4
Tang, Y., Valovska, M. T., Nolazco, J. I., Yim, K., Chung, B. I., & Chang, S. L. (2023). The association of marital status with kidney cancer surgery morbidity: a retrospective cohort study. Frontiers in Oncology, 13, 1254181.
https://doi.org/10.3389/fonc.2023.1254181
Williams, D. G., Ohnuma, T., Haines, K. L., Krishnamoorthy, V., Raghunathan, K., Sulo, S., ... & Wischmeyer, P. E. (2021). Association between early postoperative nutritional supplement utilisation and length of stay in malnourished hip fracture patients. British journal of anaesthesia, 126(3), 730-737.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2026 Kolebu Wamume, Alexander Ssekibaamu, George Masete
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors who publish in any of our journals retain the copyright to their work but agree to grant Burundi Publishing the right of first publication. All articles are published under a Creative Commons Attribution License (CC BY), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. This promotes transparency and fosters wide dissemination of the research.
