Abstract
Background: Surgical site infections are one of the infectious complications after a surgical procedure. They are Mostly it’s responsible for significant morbidity and mortality in health individuals. Objective: improve the management of post-caesarean parietal suppurations. Method: This was a cross-sectional, prospective analytical study covering a period of 8 months from December,1st 2022 to July,31st 2023. This study was Performed in N’Djamena Mother and child about epidemiological, clinical and therapeutic aspect of past ceasarean section suppuration Results: he frequency of parietal suppuration was 7.9%, the median age was 23.28±5.51 years with extremes from 16 to 45 years. Mains epidemiological characteristics were: housewives (47.6%), married (56%) and living in the commune of N'Djamena (45.2%). The time to rupture of the membranes was not specified (36.9%). More than around 75 %of caesarean sections were performed urgently (90.5%). Half of the parietal suppurations occurred between the 4th and 7th postoperative days with an average of 8.87±4.6 days. Proteus vulgaris was the germ most frequently found (50%). Most germs were sensitive to the combination of Amoxicillin and Clavulanic acid (32.1%). The mean length of hospital stay observed in this study was 17.40±14.3 days, with extremes ranging from 4 to 72 days. Conclusion: Post caesarean section parietal suppuration remains frequent. Better identification of the factors favouring this condition could significantly reduce its incidence and consequently improve maternal prognosis.
Published Version
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