Published Paper Details:

Background: Surgical site infections are a major complication of surgery and a potential indicator of causative organisms and the percentage of multi-resistant bacteria. Materials and methods: This is a six-month prospective study in the general surgery department of Mohammed VI University Hospital. All subjects who underwent general surgery between 01 March 2018 and 31 August 2018 were included and monitored 30 days after the intervention. Risk factors such as age, ASA sore, type of intervention and duration of operation were collected. All infected patients benefited from samples for bacteriological study. Results: During the 6-month period, 736 patients were included in the study. their ages ranged from 15 to 94 years, with an average of 48.5 years. A total of 39 SSIs was confirmed (incidence rate of 5.29%). The distribution according to the site of infection showed 27 superficial infections, 10 deep infections, and 2 space infections. Urgency, age, Altemeyer contamination class, type of intervention and duration of surgery were the main risk factors. The SSIs stratified rate on the NNIS index ranged from 2.7%(NNIS=0) to 12% (NNIS= 3) The causative organisms in order of frequency were: Escherichia coli, Staphylococcus aureus, Enterococcus faecalis, and Pseudomonas aeruginosa. Conclusion: The high frequency of SSIs makes it necessary to reinforce the hygiene measures during the operative procedure, and to reinforce regular monitoring according to standardized procedures in the surgical departments.