Babcock University Research Portal

Direct Cost Implications of Managing Surgical Site Infections in Low-Income Rural Settings-Irrua, Nigeria

Authors: MORGAN Eghosa

Publication Type: Journal article

Journal: Pan Arab Journal of Neurosurgery

ISSN Number:

Downloads

Views

Abstract

BACKGROUND: Surgical site infections (SSIs) represent one of the most common nosocomial infections. They cause
increased morbidity and devastating economic impact due to the cost of care on patients, and it involves the loss of billions of
dollars globally. The exact direct cost of managing SSIs in our resource-constrained settings has been elusive, and there is a
lack of data on this subject.
OBJECTIVE: Our objective was to determine the direct cost of managing SSIs in a rural neurosurgical setting in Nigeria.
PATIENTS AND METHODS: We conducted a 12-month prospective hospital-based randomized case-control study of patients
who had clean cranial and spine surgeries excluding implant surgeries. The experimental group had intrawound vancomycin
powder before wound closure, and the control group received no intrawound vancomycin. Patients with evidence of SSIs were
determined using clinical, and laboratory evidence of SSIs. SSIs’ direct cost implication was calculated. This was quantified in
local currency (Naira and Kobo) and standardised to the United States dollars to allow for international comparison.
RESULTS: Forty–two patients were enrolled in this study. 76 % of these patients were males, and the prevalence of SSIs in the
control group was 33.3% with a p-value less than 0.05, while none were seen in the experimental group. Staphylococcus aureus
was the most common isolated organism, and the average cost of managing SSIs was N496, 812.50±234, 317.85(US$1,104.03
± US$520. 71).
CONCLUSION: This study showed that the financial implications of managing SSIs are huge, and far exceeded the yearly
income of average Nigerians.

Access to Documents

Download
Digital Object Identifier

Keywords

MORGAN,E. . (2024). Direct Cost Implications of Managing Surgical Site Infections in Low-Income Rural Settings-Irrua, Nigeria, 19 (), 123-123.

MORGAN,E. . "Direct Cost Implications of Managing Surgical Site Infections in Low-Income Rural Settings-Irrua, Nigeria" 19, no (), (2024): 123-123.

MORGAN,E. and . (2024). Direct Cost Implications of Managing Surgical Site Infections in Low-Income Rural Settings-Irrua, Nigeria, 19 (), pp123-123.

MORGANE, . Direct Cost Implications of Managing Surgical Site Infections in Low-Income Rural Settings-Irrua, Nigeria. 2024, 19 ():123-123.

MORGAN,Eghosa , . "Direct Cost Implications of Managing Surgical Site Infections in Low-Income Rural Settings-Irrua, Nigeria", 19 . (2024) : 123-123.

M.Eghosa , "Direct Cost Implications of Managing Surgical Site Infections in Low-Income Rural Settings-Irrua, Nigeria" vol.19, no., pp. 123-123, 2024.

Access to Documents

Keywords

About Us

Admissions

Contact Us

Policies

ALUMNI

STUDENT POPULATION