{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,2]],"date-time":"2026-06-02T08:02:49Z","timestamp":1780387369537,"version":"3.54.1"},"reference-count":27,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2020,3,18]],"date-time":"2020-03-18T00:00:00Z","timestamp":1584489600000},"content-version":"vor","delay-in-days":77,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Wollo University"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["BioMed Research International"],"published-print":{"date-parts":[[2020,1]]},"abstract":"<jats:p><jats:italic>Background<\/jats:italic>. Surgical site infections are the third (14%\u201016%) most frequent cause of nosocomial infections among hospitalized patients. They still form a large health problem and result in increased antibiotic usage, increased associated costs, and prolonged hospitalization and contribute to increased patient morbidity and mortality. Therefore, studies on surgical site infections and surgical antibiotic prophylaxis contribute to identifying surgical site infection rate and risk factor associated with it as well as for identifying the gap in surgical antibiotic prophylaxis practice. <jats:italic>Objective<\/jats:italic>. To assess surgical antibiotic prophylaxis practice and surgical site infection among surgical patients. <jats:italic>Method<\/jats:italic>. A hospital\u2010based prospective observational study was conducted in 68 patients who underwent major surgery in Dessie Referral Hospital adult surgical wards between March 24 and April 25\/2017. Descriptive and logistic regression analyses were performed to determine infection rate and risk factors for surgical site infections. <jats:italic>Result<\/jats:italic>. Assessment of 68 patients who underwent major surgery revealed an overall surgical site infection rate of 23.4%. Prophylactic antibiotics were administered for 59 operations; of these, 33 (48.6%) had inappropriate timing of administration. A combination of ceftriaxone and metronidazole 28 (47.46%) was frequently used. Factors associated with surgical site infection were wound class, patient comorbid condition, duration of the procedure, the timing of administration, and omitting prophylaxis use. <jats:italic>Conclusion<\/jats:italic>. This study indicated a higher rate of surgical site infection and also revealed that wound class, preexisting medical condition, prolonged duration of surgery, omitting of prophylaxis use, and inappropriate timing of administration were highly associated with surgical site infection.<\/jats:p>","DOI":"10.1155\/2020\/1695683","type":"journal-article","created":{"date-parts":[[2020,3,18]],"date-time":"2020-03-18T23:30:30Z","timestamp":1584574230000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":25,"title":["Surgical Antibiotic Prophylaxis Use and Surgical Site Infection Pattern in Dessie Referral Hospital, Dessie, Northeast of Ethiopia"],"prefix":"10.1155","volume":"2020","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3105-2375","authenticated-orcid":false,"given":"Desye","family":"Misganaw","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bedilu","family":"Linger","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Atinkut","family":"Abesha","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2020,3,18]]},"reference":[{"key":"e_1_2_13_1_2","doi-asserted-by":"publisher","DOI":"10.1016\/s0195-6701(03)00078-1"},{"key":"e_1_2_13_2_2","doi-asserted-by":"publisher","DOI":"10.1006\/jsre.2001.6343"},{"key":"e_1_2_13_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9343(91)90361-Z"},{"key":"e_1_2_13_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/0195-6701(88)90039-4"},{"key":"e_1_2_13_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhin.2007.03.007"},{"key":"e_1_2_13_6_2","doi-asserted-by":"publisher","DOI":"10.4314\/ejhd.v18i1.9863"},{"key":"e_1_2_13_7_2","doi-asserted-by":"publisher","DOI":"10.18773\/austprescr.2005.030"},{"key":"e_1_2_13_8_2","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2482-11-21"},{"key":"e_1_2_13_9_2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.294.16.2035"},{"key":"e_1_2_13_10_2","doi-asserted-by":"publisher","DOI":"10.1093\/clinids\/13.Supplement_10.S879"},{"key":"e_1_2_13_11_2","article-title":"Antibiotic prophylaxis for surgical site infection: need of time","volume":"3","author":"Misra A. K.","year":"2015","journal-title":"Health"},{"key":"e_1_2_13_12_2","doi-asserted-by":"publisher","DOI":"10.1016\/0001-706x(94)90041-8"},{"key":"e_1_2_13_13_2","first-page":"89","article-title":"Sutured and open clean-contaminated and contaminated laparotomy wounds at Muhimbili National Hospital: a comparison of complications","volume":"9","author":"Ussiri E.","year":"2004","journal-title":"East and Central African Journal of Surgery"},{"key":"e_1_2_13_14_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM199201303260501"},{"key":"e_1_2_13_15_2","first-page":"207","article-title":"Post-operative surgical site infection in a surgical ward of a tertiary care hospital in Northern Ghana","volume":"2","author":"Apanga S.","year":"2014","journal-title":"International Journal of Research in Health Sciences"},{"key":"e_1_2_13_16_2","article-title":"Surgical site infection among postoperative patients of tertiary care centre in Central India-a prospective study","volume":"3","author":"Singh M. P.","year":"2013","journal-title":"Asian Journal of Biomedical and Pharmaceutical Sciences"},{"key":"e_1_2_13_17_2","unstructured":"TekieK. Surgical wound infection in Tikur Anbessa hospital with special emphasis on Pseudomonas aeruginosa. Unpublished MSc thesis in medical microbiology 2008 Addis Ababa University Medical Faculty Ethiopia January 2014 http:\/\/etd.aau.edu.et\/dspace\/bitstream\/123456789\/2621\/1\/KASSAYE%20TEKIE.pdf."},{"key":"e_1_2_13_18_2","doi-asserted-by":"crossref","first-page":"435","DOI":"10.17533\/udea.iee.7677","article-title":"Surgical site infection incidence after a clean-contaminated surgery in Yasuj Shahid Beheshti Hospital, Iran","volume":"29","author":"Nobandegani Zinat M.","year":"2011","journal-title":"Investigaci\u00f3n y Educaci\u00f3n en Enfermer\u00eda"},{"key":"e_1_2_13_19_2","doi-asserted-by":"publisher","DOI":"10.1086\/502570"},{"key":"e_1_2_13_20_2","first-page":"11","article-title":"An overview of surgical site infections: aetiology, incidence and risk factors","volume":"5","author":"Gottrup F.","year":"2005","journal-title":"EWMA Journal"},{"key":"e_1_2_13_21_2","doi-asserted-by":"publisher","DOI":"10.1016\/0196-6553(88)90004-1"},{"key":"e_1_2_13_22_2","doi-asserted-by":"publisher","DOI":"10.9734\/ijtdh\/2013\/1769"},{"key":"e_1_2_13_23_2","volume-title":"Antibiotic Prophylaxis in Surgery","author":"Network SIG","year":"2000"},{"key":"e_1_2_13_24_2","doi-asserted-by":"publisher","DOI":"10.1086\/646887"},{"key":"e_1_2_13_25_2","first-page":"12","article-title":"Risk factors of surgical site infection at Muhimbili National Hospital, Dar es Salaam, Tanzania","volume":"17","author":"Akoko L.","year":"2012","journal-title":"East and Central African Journal of Surgery"},{"key":"e_1_2_13_26_2","doi-asserted-by":"publisher","DOI":"10.1093\/jac\/dkp367"},{"key":"e_1_2_13_27_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jamcollsurg.2007.12.013"}],"container-title":["BioMed Research International"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/downloads.hindawi.com\/journals\/bmri\/2020\/1695683.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/bmri\/2020\/1695683.xml","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1155\/2020\/1695683","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,12,31]],"date-time":"2024-12-31T11:38:44Z","timestamp":1735645124000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1155\/2020\/1695683"}},"subtitle":[],"editor":[{"given":"Janet","family":"Sultana","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"editor"}]}],"short-title":[],"issued":{"date-parts":[[2020,1]]},"references-count":27,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2020,1]]}},"alternative-id":["10.1155\/2020\/1695683"],"URL":"https:\/\/doi.org\/10.1155\/2020\/1695683","archive":["Portico"],"relation":{},"ISSN":["2314-6133","2314-6141"],"issn-type":[{"value":"2314-6133","type":"print"},{"value":"2314-6141","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,1]]},"assertion":[{"value":"2019-11-21","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2020-02-25","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2020-03-18","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"1695683"}}