Skip to content
Home
About Us
Resources
Profiles Metrics
Authors Directory
Institutions Directory
Top Authors
Top Institutions
Top Sponsors
AI Digest
Contact Us
Menu
Home
About Us
Resources
Profiles Metrics
Authors Directory
Institutions Directory
Top Authors
Top Institutions
Top Sponsors
AI Digest
Contact Us
Home
About Us
Resources
Profiles Metrics
Authors Directory
Institutions Directory
Top Authors
Top Institutions
Top Sponsors
AI Digest
Contact Us
Menu
Home
About Us
Resources
Profiles Metrics
Authors Directory
Institutions Directory
Top Authors
Top Institutions
Top Sponsors
AI Digest
Contact Us
Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
The costs of surgical site infection after abdominal surgery in middle-income countries: Key resource use In Wound Infection (KIWI) study
Journal of Hospital Infection, Volume 136, Year 2023
Notification
URL copied to clipboard!
Description
Background: Surgical site infection (SSI) is the most common complication of abdominal surgery, with substantial costs to patients and health systems. Heterogeneity in costing methods in existing SSI studies makes multi-country comparison challenging. The objective of the study was to assess the costs of SSI across middle-income countries. Methods: Centres from a randomized controlled trial assessing interventions to reduce SSI (FALCON, ClinicalTrials.gov, NCT03700749NCT) were sampled from two upper-middle- (India, Mexico) and two lower-middle- (Ghana, Nigeria) income countries. The Key resource use In Wound Infection (KIWI) study collected data on postoperative resource use and costs from consecutive patients undergoing abdominal surgery with an incision >5 cm (including caesarean section) that were recruited to FALCON between April and October 2020. The overall costs faced by patients with and without SSI were compared by operative field contamination (clean-contaminated vs contaminated-dirty), country and timing (inpatient vs outpatient). Findings: A total of 335 patients were included in KIWI; SSI occurred in 7% of clean-contaminated cases and 27% of contaminated-dirty cases. Overall, SSI was associated with an increase in postoperative healthcare costs by 75.3% (€412 international Euros) after clean-contaminated surgery and 66.6% (€331) after contaminated-dirty surgery. The highest and lowest cost increases were in India for clean-contaminated cases (€517) and contaminated-dirty cases (€223), respectively. Overall, inpatient costs accounted for 96.4% of the total healthcare costs after clean-contaminated surgery and 92.5% after contaminated-dirty surgery. Conclusion: SSI was associated with substantial additional postoperative costs across a range of settings. Investment in health technologies to reduce SSI may mitigate the financial burden to patients and low-resource health systems. © 2023 The Author(s)
Authors & Co-Authors
Monahan, Mark
United Kingdom, Birmingham
University of Birmingham
Glasbey, James C.
United Kingdom, Birmingham
University of Birmingham
Roberts, Tracy Elizabeth
United Kingdom, Birmingham
University of Birmingham
Jowett, Sue M.
United Kingdom, Birmingham
University of Birmingham
Pinkney, Thomas D.
United Kingdom, Birmingham
University of Birmingham
Bhangu, Aneel Amir
United Kingdom, Birmingham
University of Birmingham
Morton, Dion G.
United Kingdom, Birmingham
University of Birmingham
de la Medina, Antonio Ramos
Unknown Affiliation
Ghosh, Dhruva Nath
India, Ludhiana
Christian Medical College & Hospital, Ludhiana
Ademuyiwa, Adesoji O.
Nigeria, Lagos
Lagos University Teaching Hospital
Ntirenganya, Faustin
Rwanda, Butare
University of Rwanda
Tabiri, Stephen
Ghana, Tamale
University for Development Studies Ghana
Adagrah, Luke Aniakwo
Unknown Affiliation
Alhaji Alhassan, B. B.
Unknown Affiliation
Amoako-Boateng, Mabel Pokuah
Unknown Affiliation
Appiah, Anthony Baffour
Unknown Affiliation
Asante-Asamani, Alvin
Unknown Affiliation
Boakye, Benedict
Unknown Affiliation
Debrah Donald Enti, S. A.
Unknown Affiliation
Ganiyu, Rahman Adebisi
Unknown Affiliation
Koggoh, Patience
Unknown Affiliation
Kpankpari, Richard
Unknown Affiliation
Opandoh, Isabella Naa M.
Unknown Affiliation
Manu Maison Patrick Opoku Manu, M. A.
Unknown Affiliation
Mensah, Samuel
Unknown Affiliation
Morna, Martin Tangnaa
Unknown Affiliation
Nkrumah, John
Unknown Affiliation
Nortey, Michael
Unknown Affiliation
Ofori, Emmanuel Owusu
Unknown Affiliation
Quartson, Elizabeth Mercy
Unknown Affiliation
Acquah, Ato Oppong
Unknown Affiliation
Adam-Zakariah, Leslie Issa
Unknown Affiliation
Asabre, Esther
Unknown Affiliation
Boateng, Ruby Acheampong
Unknown Affiliation
Koomson, Barbara
Unknown Affiliation
Kusiwaa, Ataa
Unknown Affiliation
Twerefour James Ankomah, E. Y.
Unknown Affiliation
Assah-Adjei, Frank
Unknown Affiliation
Boakye, Anthony Appiah
Unknown Affiliation
Fosu, Godfred Kusi
Unknown Affiliation
Serbeh, Godwin
Unknown Affiliation
Gyan, Kofi Yeboah
Unknown Affiliation
Nyarko, Isaac Omane
Unknown Affiliation
Robertson, Zelda
Unknown Affiliation
Acheampong, Dorcas Otuo
Unknown Affiliation
Acquaye, Jane
Unknown Affiliation
Adinku, Michael Ofoe
Unknown Affiliation
Agbedinu, Kwabena
Unknown Affiliation
Agbeko, Anita Eseenam
Unknown Affiliation
Amankwa, Emmanuel Gyimah
Unknown Affiliation
Amoah, Michael
Unknown Affiliation
Amoah, George B.
Unknown Affiliation
Appiah, Juliana
Unknown Affiliation
Arthur, Joshua A.
Unknown Affiliation
Ayim, Alex
Unknown Affiliation
Ayodeji, Emmanuel Kafui
Unknown Affiliation
Boakye-Yiadom, Jonathan
Unknown Affiliation
Boateng, Edward Amoah
Unknown Affiliation
Dally, Charles K.
Unknown Affiliation
Davor, Anthony
Unknown Affiliation
Gyasi-Sarpong, Christian Kofi
Unknown Affiliation
Noel Hamidu, N. N.
Unknown Affiliation
Haruna, Iddrisu
Unknown Affiliation
Kwarley, Naa
Unknown Affiliation
Lovi, Agbenya Kobla
Unknown Affiliation
Nimako, Boateng
Unknown Affiliation
Nyadu, Bertina Beauty
Unknown Affiliation
Opoku, Dominic
Unknown Affiliation
Osabutey, Anita
Unknown Affiliation
Sagoe, Robert
Unknown Affiliation
Tuffour, Samuel
Unknown Affiliation
Tufour, Yaa
Unknown Affiliation
Yamoah, Francis Akwaw
Unknown Affiliation
Yefieye, Abiboye Cheduko
Unknown Affiliation
Yorke, Joseph
Unknown Affiliation
Addo, Kwame Gyambibi
Unknown Affiliation
Akosa, Enoch Appiah
Unknown Affiliation
Boakye, Percy
Unknown Affiliation
Coompson, Christian Lari
Unknown Affiliation
Gyamfi, Brian
Unknown Affiliation
Kontor, Bismark Effah
Unknown Affiliation
Kyeremeh, Christian
Unknown Affiliation
Manu, Ruth
Unknown Affiliation
Mensah, Elijah
Unknown Affiliation
Solae, Friko Ibrahim
Unknown Affiliation
Toffah, Gideon Kwasi
Unknown Affiliation
Adu-Brobbey, Raphael
Unknown Affiliation
Labaran, Abdul Hamid
Unknown Affiliation
Owusu, Aisha
Unknown Affiliation
Adobea, Vivian
Unknown Affiliation
Bennin, Amos
Unknown Affiliation
Dankwah, Fred
Unknown Affiliation
Doe, Stanley
Unknown Affiliation
Kantanka, Ruth Sarfo
Unknown Affiliation
Kobby, Ephraim
Unknown Affiliation
Larnyor, H.
Unknown Affiliation
Owusu, Prince Yeboah
Unknown Affiliation
Sie-Broni, Clement Ayum
Unknown Affiliation
Zume, Marshall
Unknown Affiliation
Abantanga, Francis Atindaana
Unknown Affiliation
Acquah, Daniel Kwesi
Unknown Affiliation
Kunfah, Sheba Mary Pognaa
Unknown Affiliation
Owusu, Emmanuel Abem
Unknown Affiliation
Seidu, Anwar Sadat
Unknown Affiliation
Yakubu, Mustapha
Unknown Affiliation
Prasad, Soosan S.
Unknown Affiliation
Ademuyiwa, Adesoji O.
Unknown Affiliation
Akinajo, Opeyemi Rebecca
Unknown Affiliation
Alakaloko, Felix Makinde
Unknown Affiliation
Atoyebi, Oluwole Ayoola
Unknown Affiliation
Balogun, Olanrewaju Samuel
Unknown Affiliation
Belie, Orimisan
Unknown Affiliation
Bode, Christopher Olusanjo
Unknown Affiliation
Ekwesianya, Andrew C.
Unknown Affiliation
Elebute, Olumide Abiodun
Unknown Affiliation
Ezenwankwo, Francis Chinonso
Unknown Affiliation
Fatuga, Adedeji Lukman
Unknown Affiliation
Ihediwa, George C.
Unknown Affiliation
Ladipo-Ajayi, Oluwaseun Abiola
Unknown Affiliation
Makanjuola, Ayomide
Unknown Affiliation
Ogein, Olubunmi
Unknown Affiliation
Ojewola, Rufus Wale
Unknown Affiliation
Olajide, Thomas Olagboyega
Unknown Affiliation
Seyi-Olajide, Justina Onyioza
Unknown Affiliation
Soibi-Harry, Adaiah Priscillia
Unknown Affiliation
Ugwu, Aloy Okechukwu
Unknown Affiliation
Abdur-Rahman, Lukman Olajide
Unknown Affiliation
Adeleke, Nurudeen Abiola
Unknown Affiliation
Agodirin, Sulaiman Olayide
Unknown Affiliation
Aremu, Isiaka Ishola
Unknown Affiliation
Bello, Jibril O.
Unknown Affiliation
Lawal, Adedayo Olaitan
Unknown Affiliation
Raji, Hadijat Olaide
Unknown Affiliation
Statistics
Citations: 2
Authors: 133
Affiliations: 5
Identifiers
Doi:
10.1016/j.jhin.2023.03.023
ISSN:
01956701
Research Areas
Genetics And Genomics
Health System And Policy
Study Approach
Quantitative
Study Locations
Ghana
Nigeria