Post-Caesarean Bacterial Infections at the Reference Health Center of Commune I of Bamako, Mali Sylla Yacouba, Keita Mahamadou, Diarra Issaka, Diarra Salif, Dicko Modibo, Koné Diakaridia, Keita

Abstract

Caesarean section is not a harmless procedure, as it can be complicated by infections. Postoperative caesarean section infections remain a public health problem because of their high frequency, the cost of treating them and their seriousness. Aim: The aim of this study was to determine the frequency, risk factors and germs responsible for post-caesarean section surgical site infections in the obstetrics and gynaecology department of the commune I referral health centre in Bamako. Materials and methods: We conducted a cross-sectional, descriptive and analytical study over a 12-month period from 1er January to 31 December 2019. All women who underwent caesarean delivery in the department during the study period were included. Results: Out of 9158 deliveries we recorded́1793 caesarean sections, i.e. 19.58%. Among the 1793 cases of caesarean section we recorded 50 cases of surgical site infection or 2.78%. Long labour was the most common infectious risk factor (46%). The germs found were Escherichia coli, staphylococcus aureus, streptococcus agalactiaes, proteus mirabilis and proteus vulgaris. Conclusion: Bacterial infections of the post-caesarean surgical site are frequent in our department. Better antenatal care and adequate monitoring of labour, combined with compliance with infection prevention rules, can help to significantly reduce these post-caesarean complications.