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Journal Article
|Research

Trends of and factors associated with cesarean section related surgical site infections in Guinea

Delamou A, Camara BS, Sidibe S, Camara AY, Dioubate N, Ayadi AME, Tayler-Smith K, Béavogui AH, Balde MD, Zachariah R
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Abstract
Since the adoption of free obstetric care policy in Guinea in 2011, no study has examined the surgical site infections in maternity facilities. The objective of this study was to assess the trends of and factors associated with surgical site infection following cesarean section in Guinean maternity facilities from 2013 to 2015. This was a retrospective cohort study using routine medical data from ten facilities. Overall, the incidence of surgical site infections following cesarean section showed a declining trend across the three periods (10% in 2013, 7% in 2014 and 5% in 2015, P<0.001). Women who underwent cesarean section in 2014 (AOR: 0.70; 95%CI: 0.57-0.84) and 2015 (AOR: 0.43; 95%CI: 0.34-0.55) were less likely to develop surgical site infections during hospital stay than women operated in 2013. In the contrary, women with comorbidities were more likely to experience surgical site infection (AOR: 1.54; 95% CI: 1.25-1.90) than those who did not have comorbidities. The reductions achieved in 2014 and 2015 (during the Ebola outbreak) should be sustained in the post-Ebola context.

Countries

Guinea

Subject Area

women's health

Languages

English
DOI
10.4081/jphia.2019.818
Published Date
03 May 2019
PubMed ID
31214304
Journal
Journal of Public Health In Africa
Volume | Issue | Pages
Volume 10
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Trends of and factors associated with cesarean section related surgical site infections in Guinea | Journal Article / Research | MSF Science Portal