Surgical site infection and its associated factors following cesarean section in Ethiopia: a cross-sectional study

Getnet Gedefaw Azeze,Asmamaw Demis Bizuneh

doi:10.1186/s13104-019-4325-x

Abstract

ObjectiveThis study aimed to determine the magnitude and associated factors of surgical site infection following cesarean section at Felegehiwot referral hospital, Amhara, Bahir Dar, Ethiopia, 2018. An institution-based retrospective cross-sectional study was conducted from April 1 to May 30, 2018, at Felegehiwot referral hospital. Retrospective chart review was implemented on 383 women who gave birth via cesarean section at Felegehiwot hospital from October 1, 2016 to September 30, 2017. Systematic random sampling technique was implemented to select patient medical charts.ResultsThis study revealed that the prevalence of surgical site infection following cesarean section was 7.8% with the [95% CI 5.2–10.5%]. Rupture of membrane before cesarean section (AOR = 13.9, 95% CI 2.99–64.8), vertical skin incision/longitudinal abdominal incision (AOR = 4.77, 95% CI 1.74–13.06), duration of operation lasting longer than 30 min (AOR = 4.9, 95% CI 1.8–13.1), interrupted skin closure technique (AOR = 6.29, 95% CI 2.07–19.11) were statistically associated with surgical site infection following cesarean section.

Highlights

According to World Health Organization (WHO) cesarean section is the birth of a fetus, placenta & membranes through incisions in the abdominal wall and the uterine wall after 20 weeks of pregnancy [1].Surgical site infection (SSI) is defined as infections that occur at or near surgical incision within 30 days of operation or after 1 year if an implant is placed
This study revealed that the prevalence of surgical site infection following cesarean section was 7.8% with the [95% CI 5.2–10.5%]
Rupture of membrane before cesarean section (AOR = 13.9, 95% CI 2.99–64.8), vertical skin incision/longitudinal abdominal incision (AOR = 4.77, 95% CI 1.74–13.06), duration of operation lasting longer than 30 min (AOR = 4.9, 95% CI 1.8–13.1), interrupted skin closure technique (AOR = 6.29, 95% CI 2.07–19.11) were statistically associated with surgical site infection following cesarean section

Summary

Introduction

Surgical site infection (SSI) is defined as infections that occur at or near surgical incision within 30 days of operation or after 1 year if an implant is placed. Post cesarean wound infection classified as superficial, deep and organ surgical site infection based on the involved tissues or organs [1, 2]. Surgical site infections (SSI) are the Surgical wound irrigation has an important role to prevent surgical site infection by applying antiseptic solution of chlorhexidine gluconate. Surgical wound irrigation is a recommended strategy to make a better research evidenced based guidelines and improving surveillance system which help the formation of a parameter for health personnel to prevent of infections associated with health care, especially post operative wound infection [5]

Methods

Results

Conclusion