Title:
Evaluation of Interventions to Prevent Surgical Site Infections: A Case Study on Caesarean Sections in Sub-Saharan Africa Guided by the International Classification of Patient Safety framework
Authors:
Waalewijn, Bart
Place:
Amsterdam
Publisher:
KIT - Royal Tropical Institute [etc.]
Year:
2017
PAGE:
ix, 57
Language:
En
Subject:
Maternal Health – Lessons Learned
Keywords:
healthcare, infection, prevention, surgery, caesarean section, sub-Saharan Africa
Abstract:
Background: Surgical site infections are a universal public health problem with serious impact on patient and organisational outcomes. Actions taken to reduce the risk of surgical site infections and to strengthen the system resilience are highly needed. Thesis research objective: The aim of this thesis is to describe the burden and analyse determining factors of surgical site infections at first referral level in sub-Saharan Africa after caesarean sections. Preventive intervention strategies are critically appraised. Methodology: A systemized literature review was conducted in three online databases (PubMed, Cochrane library and Google Scholar). Key-words, inclusion and exclusion criteria were defined. The international classification of patient safety (ICPS) conceptual framework was used as conceptual model for this thesis. Results: Notwithstanding underreporting and publication bias towards higher level hospitals, the burden of surgical site infections in sub-Saharan Africa is probably considerably high. Incident characteristics and patient characteristics were clearly defined, and contributing factors were grouped in human, system and external factors. Twelve studies on preventive interventions were identified, topics covered antibiotic prophylaxis (N=8), surgical safety checklists (N=2), locally produced hand rub (N=1) and surgical techniques (N=1). The ICPS framework scope was broader then medical/technical interventions only, however publication bias might have resulted in limited system-related interventions. Conclusion and recommendations: Innovative strategies are needed to mitigate the risks of surgical site infections. At intervention level, gaps were identified which suggested to shift attention from antibiotic-related strategies only to system interventions. More research of better quality is needed, to ensure successful implementation of such interventions.
Organization:
KIT - Royal Tropical Institute
,
VU - Vrije Universiteit Amsterdam
Institute:
KIT (Royal Tropical Institute)
Country:
The Netherlands
Region:
Northwest Europe
Training:
Master of International Health
Category:
Research
Right:
@ 2017 Waalewijn
Document type:
Thesis/dissertation
File:
SrYePMwvAD_20180415111803308.pdf