A case–control study of risk factors for surgical site infection after cesarean delivery in eastern Burkina Faso

A case–control study of risk factors for surgical site infection after cesarean delivery in eastern Burkina Faso

Abstract Objective To identify the risk factors for surgical site infection after cesarean delivery in a rural area in eastern Burkina Faso. Methods A matched case–control study was conducted in Fada N'Gourma Regional Hospital Center and the Diapaga Medical Center with Surgical Antenna using da...

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Bibliographic Details
Published in:International journal of gynecology and obstetrics Vol. 135; no. S1; pp. S107 - S110
Main Authors: Kaboré, Boezemwendé, Soudouem, Georges, Seck, Ibrahima, Millogo, Tieba, Evariste Yaméogo, Wambi Maurice, Kouanda, Seni
Format: Journal Article
Language:English
Published: United States Elsevier Ireland Ltd 01-11-2016
Subjects:
Burkina Faso
Burkina Faso - epidemiology
Case-Control Studies
Cesarean delivery
Cesarean Section - adverse effects
Cesarean Section - statistics & numerical data
Female
Humans
Infant
Infant, Newborn
Male
Obstetrics and Gynecology
Poverty
Pregnancy
Pregnancy Outcome - epidemiology
Prenatal Care - methods
Risk factors
Surgical site infection
Surgical Wound Infection - epidemiology
Surgical Wound Infection - etiology
Cesarean delivery
Surgical site infection
Burkina Faso
Risk factors
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Summary:Abstract Objective To identify the risk factors for surgical site infection after cesarean delivery in a rural area in eastern Burkina Faso. Methods A matched case–control study was conducted in Fada N'Gourma Regional Hospital Center and the Diapaga Medical Center with Surgical Antenna using data from 2011–2014. A total of 99 cases of surgical site infection after cesarean delivery were included in the study. Each case was matched with a control patient similar for age, admission date, and facility where the cesarean took place. Risk factors were identified using conditional logistic regression. Results Multivariate analysis identified hyperthermia at admission (OR 2.37; P = 0.035), the presence of caput succedaneum in newborns (OR 7.07; P = 0.001), and difficult delivery (OR 3.69; P = 0. 019) as risk factors for surgical site infection. Conclusion Provision of quality prenatal care, use of the partograph during labor, and the responsiveness of health workers during labor can reduce surgical site infection after cesarean delivery.
Bibliography:ObjectType-Article-1
SourceType-Scholarly Journals-1
ObjectType-Feature-2
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ISSN:0020-7292
1879-3479
DOI:10.1016/j.ijgo.2016.08.018