Evaluation of the Rate of Surgical Site Infection in Gynecological Surgery at the Regional Hospital of Ngaoundere


Gynecological surgery


How to Cite

Ngaroua M, Kevin EB, Dieudonne D, Yaouba D, Joseph EN. Evaluation of the Rate of Surgical Site Infection in Gynecological Surgery at the Regional Hospital of Ngaoundere. Integr J Med Sci [Internet]. 2018 Feb. 3 [cited 2022 Jan. 22];5. Available from: https://www.mbmj.org/index.php/ijms/article/view/89


In Cameroon, where the prevalence of infectious complications remains high, several factors that may or may not lead to these infectious complications are still to be known in our region. The aim of this work was to contribute to improved care delivery. This was a prospective study coupled with an exploratory study from May 10th to August 31st, 2016. All patients who had a gynecological and obstetric surgery at the HRN and without any infection before surgery were included in this study, and were followed each for 30 days. In total, we had 65 surgical procedures in gynecology and obstetrics. The average age of the patients was 29.23 years. Clean surgeries accounted for 98.5% of interventions, with contaminated clean surgeries accounting for 1.5% of interventions. A total of 6 cases of infections of the surgical site was observed (9.2%). Significant variables associated with postoperative infections were the use of antibiotics, the date of first dressing, the duration of surgery. The infection rate of the surgical site which is 9.2% is clearly greater than the data of the literature, despite the antibiotics in prophylactic in clean surgeries. However, better pre and post-operative care, as well as strict adherence to the principles of perioperative asepsis, should be the rule in our context.



Enquête national de prévalence (ENP) des infections nosocomiales et traitements anti-infectieux en établissement de santé, mai-juin 2017 ; Cclin Raisin invs ; 15p. [Accessed 30 Jun 2021]. Available From : https://www.santepubliquefrance.fr/maladies-et-traumatismes/infections-associees-aux-soins-et-resistance-aux-antibiotiques/infections-associees-aux-soins/documents/enquetes-etudes/enquete-nationale-de-prevalence-des-infections-nosocomiales-et-des-traitements-anti-infectieux-en-etablissements-de-sante-mai-juin-2017

Sidibé R, 2014, les infections postopératoires dans les services de traumatologie et d’orthopédie du CHU Gabriel Touré, université de l’enseignement supérieur et de la recherche scientifique, 86p. [Accessed 30 Jun 2021]. Available From: https://www.bibliosante.ml/bitstream/handle/123456789/1042/14P38.pdf?sequence=1&isAllowed=y

Mitima Kashosi T.facteurs associés aux infections postopératoires dans les services de chirurgie et de gynécologie obstétrique cas de l’HGR panzi en RDC université catholique de Bukavu ; 2011.

Weiser TG, Regenbogen SE, Thompson KD, Haynes AB, Lipsitz SR, Berry WR, et al. An estimation of the global volume of surgery: a modeling strategy based on available data. Lancet. 2008 Jul; 12; 372(9633):139-144. https://doi.org/10.1016/s0140-6736(08)60878-8

] Dipiro J T, Marindale RG, Bakst K, VAcani PF, Watson P, Miller MT. infection in surgical patients ; effects on mortality hospitalization and postdischarge care.Am J Health Syst Pharm. 1998 Apr 15;55(8): 777-81 https://doi.org/10.1093/ajhp/55.8.777

Hentchoya R, Simo Moyo J, Afane Ela A, Simeu C, Takouefou B. la morbidité infectieuse postopératoire en chirurgie gynécologique et obstétrique au CHU de Yaoundé ; Afri J Onl. 2007 ; 4(2) :723-731. [Accessed 30 June 2021]. Available From: https://www.ajol.info/index.php/cmch/article/view/35868

Cisse CT, Coly S, Akpaki F, Ewagnignon E, Faye EO, Diallo D, et al. Antibioprophylaxie à la carte en chirurgie gynécologique et obstétricale propre contaminée ; intérêt du cefotaxime. Dakar Med. 1997 ; 42 (2) : 127-131.

Kemfang Ngowa J D, Ngassom A, Motzebo Mbouopda R, Kassia J M. Antibioprophylaxie dans les chirurgies gynecologiques et obstétricales propres et propres contaminées à l’hôpital générale de Yaoundé ; Cameroun. Pan Afr Med J. 2014 Sep; 19. [Accessed 30 Jun 2021]. Available From: https://panafrican-med journal.com/content/article/19/23/pdf/23.pdf

Societe française d’anesthésie réanimation (SFAR); recommandation pour la pratique d’antibioprophylaxie en chirurgie: actualisation 2010 des recommandations issues de la conférence de consensus. [Accessed 30 Jun 2021]. Available From: https://www.sfmu.org/upload/consensus/AntibioprophylaxieSFAR20100.pdf

Diakaria D. Antibioprophylaxie dans les services de chirurgies générales et pédiatriques de l’hôpital Gabriel Toure. Faculté de médecine, de pharmacie, et d’odontostomatologie : université de Bamako ; 2005. 139p, 32. [Accessed 30 Jun 2021]. Available From: http://www.keneya.net/fmpos/theses/2005/med/pdf/05M205.pdf

Charvet R. les infections du site opératoires en orthopédie et traumatologie, actualité et conséquence medico-légale ; réflexion à propos d’une étude prospective de 7163 interventions chirurgicales sur cinq ans ; université Henri point carre ; 2010. 85p.

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.

Copyright (c) 2018 MD Ngaroua et al.


Metrics Loading ...