Magnitude Of Surgical Site Infection And Its Associated Factors Among Patients Who Undergone The Surgical Procedure At Debre Tabor General Hospital, Northwest Ethiopia

Back Ground: Surgical site infections are the most common nosocomial infections and are responsible for considerable morbidity and mortality as well as increased hospitalizations and treatment costs related to surgical operations. Objective: This study aimed to determine the magnitude and factors associated with surgical site infections at the surgical ward of Debre Tabor General Hospital, Northwest Ethiopia. Method: Institution-based cross-sectional study was conducted on patients who underwent a surgical procedure at Debre Tabor General Hospital in 2020. The sample size was determined using a single population proportion formula. Data were entered and analyzed using SPSS version 21 software. Bivariable and multivariable logistic regression analyses were employed. The odds ratio and its 95% confidence interval were taken to test the association between the dependent and independent variables. The P-value of less than 0.05 will be considered as statistically significant. Result: In this study, a total of 191 patients have participated in the study yielding a response rate of 100%. The mean age of the respondents was 2.5 (SD ±0.68) years. The most age group 115(60.2%) resides at the age group greater than 40 years. More than one-half (62.3) of the surgical clients were females. Most of the clients were farmers(32.5%) and unable to read and write(41.9) based on their occupation. The magnitude of surgical site infection in this study was found to be 11.5% (95% CI: 7.8%, 15.9%). The factors existence of comorbidity and antibiotic prophylaxis given were found to be significantly associated with the magnitude of surgical site infection. Conclusion: The magnitude of surgical site infection in this study was high. Proper management of patients with co-morbidity especially those with diabetes mellitus, proper administration of anesthesia, and delivering intravenous antimicrobial prophylaxis before surgery as ordered would significantly reduce the incidence of surgical site infection. Keywords: Surgical, Infection, Debre Tabor.