A clinical audit of surgical site infection surveillance in a maxillo-facial and oral surgery unit in an academic hospital complex in South Africa

dc.contributor.authorNokaneng, Emmy Ngoakoana
dc.contributor.authorHolloway, Samantha L.
dc.contributor.emailnokaneng.en@up.ac.za
dc.date.accessioned2025-05-22T08:09:00Z
dc.date.available2025-05-22T08:09:00Z
dc.date.issued2025-05
dc.descriptionDATA AVAILABILITY STATEMENT : The data that support the findings of this study are available from the corresponding author upon reasonable request.
dc.descriptionSUPPLEMENTARY MATERIAL : DATA S1. Clinical audit : process indicators. DATA S2. Surgical site infection surveillance post-operative data collection form. DATA S3. Surgical site infection surveillance peri-operative data collection form.
dc.description.abstractThe clinical outcomes and financial impact of surgical site infection within South Africa is not well known due to the lack of an established national surveillance programme. The aim of this project was to undertake a baseline clinical audit of surgical site infection prevention in a Maxillo-facial and Oral Surgery unit using the National Institute for Health and Care Excellence clinical guideline (NG125) as the benchmark standard. The primary objective was to establish a baseline incidence of surgical site infection. This was a prospective and observational clinical audit undertaken at the MFOS unit in a University Hospital in South Africa. Thirty-seven participants who had surgical procedures were recruited and monitored telephonically post-discharge for a period of 30 days. The composite compliance rate to the process indicators was 39.86% (95% Confidence Interval 37.25–42.46). The incidence rate of surgical site infection was 14.81% (n = 8). The resection of head and neck malignancy contributed majority of the SSI cases (50%, n = 4). Five organ/space SSI cases were detected with a mortality rate of 25% (n = 2). The higher surgical site infection rates may be associated with the lapses in the infection control practices. For example, the lack of an aseptic technique lack or structured approach to wound management. The main recommendation was the development of evidence-based surgical site infection preventative strategies that are applicable to the Maxillo-facial and Oral Surgery procedures to reduce surgical site infection.
dc.description.departmentMaxillo-Facial and Oral Surgery
dc.description.librarianhj2025
dc.description.sdgSDG-03: Good health and well-being
dc.description.urihttps://onlinelibrary.wiley.com/journal/1742481x
dc.identifier.citationNokaneng, E.N. & Holloway, S.L. 2025, 'A clinical audit of surgical site infection surveillance in a maxillo-facial and oral surgery unit in an academic hospital complex in South Africa', International Wound Journal, vol. 22, no. 5, art. e70196, pp. 1-14, doi : 10.1111/iwj.70196.
dc.identifier.issn1742-4801 (print)
dc.identifier.issn1742-481X (online)
dc.identifier.other10.1111/iwj.70196
dc.identifier.urihttp://hdl.handle.net/2263/102468
dc.language.isoen
dc.publisherWiley
dc.rights© 2025 The Author(s). International Wound Journal published by Medicalhelplines.com Inc and John Wiley & Sons Ltd. This is an open access article under the terms of the Creative Commons Attribution License.
dc.subjectInfection control processes
dc.subjectOral and maxillofacial surgery
dc.subjectPrevalence
dc.subjectIncidence
dc.subjectSurgical site infection
dc.subjectSurveillance programme
dc.titleA clinical audit of surgical site infection surveillance in a maxillo-facial and oral surgery unit in an academic hospital complex in South Africa
dc.typeArticle

Files

Original bundle

Now showing 1 - 4 of 4
Loading...
Thumbnail Image
Name:
Nokaneng_Clinical_2025.pdf
Size:
774.58 KB
Format:
Adobe Portable Document Format
Description:
Article
Loading...
Thumbnail Image
Name:
Nokaneng_ClinicalDataS1_2025.pdf
Size:
129.07 KB
Format:
Adobe Portable Document Format
Description:
Data S1
Loading...
Thumbnail Image
Name:
Nokaneng_ClinicalDataS2_2025.pdf
Size:
165.07 KB
Format:
Adobe Portable Document Format
Description:
Data S2
Loading...
Thumbnail Image
Name:
Nokaneng_ClinicalDataS3_2025.pdf
Size:
169.64 KB
Format:
Adobe Portable Document Format
Description:
Data S3

License bundle

Now showing 1 - 1 of 1
Loading...
Thumbnail Image
Name:
license.txt
Size:
1.71 KB
Format:
Item-specific license agreed upon to submission
Description: