Prevalence of surgical site infections post-cesarean section in Saudi Arabia: A systematic review and meta-analysis

IF 4.7 3区医学 Q1 INFECTIOUS DISEASES

Journal of Infection and Public Health Pub Date : 2025-05-31 DOI:10.1016/j.jiph.2025.102855

Najim Z. Alshahrani , Abdulrahman M. Albeshry , Mohammed A. Aljunaid , Mohammed A. Kilani

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Abstract

This systematic review and meta-analysis evaluated the prevalence, risk factors, and outcomes of surgical site infections (SSIs) following cesarean sections (C/S) in Saudi Arabia, a significant public health concern impacting maternal morbidity and hospital stays. Seven studies, including 7632 women, were analyzed. The pooled prevalence of SSIs post-cesarean section was 3 % (95 % CI: 2 %–4 %), with substantial heterogeneity across studies (I² = 81.8 %). Consistently identified risk factors included Pre-existing diabetes mellitus, Obesity (BMI ≥ 30), and prolonged surgery duration, while hypertension, premature rupture of membranes, and gestational age showed no significant association with SSIs. Most infections were managed effectively with systemic antibiotics, and maternal outcomes were generally favorable, although some cases required prolonged recovery or neonatal intensive care admission. Staphylococcus aureus and Escherichia coli were among the most common causative pathogens. These findings underscore the need for enhanced preventive strategies and standardized protocols to reduce SSI rates and improve maternal and neonatal health outcomes in Saudi Arabia.

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沙特阿拉伯剖宫产术后手术部位感染的患病率：一项系统回顾和荟萃分析

本系统综述和荟萃分析评估了沙特阿拉伯剖宫产（C/S）术后手术部位感染（ssi）的患病率、危险因素和结局，这是一个影响孕产妇发病率和住院时间的重大公共卫生问题。研究人员分析了包括7632名女性在内的7项研究。剖宫产术后ssi的总患病率为3 %(95 % CI: 2 % -4 %)，各研究之间存在很大的异质性（I²= 81.8 %）。一致确定的危险因素包括既往糖尿病、肥胖（BMI≥30）和手术时间延长，而高血压、胎膜早破和胎龄与ssi无显著关联。大多数感染通过全身性抗生素得到有效控制，产妇预后总体良好，尽管有些病例需要长时间恢复或新生儿重症监护入院。金黄色葡萄球菌和大肠杆菌是最常见的致病菌。这些发现强调需要加强预防战略和标准化方案，以减少SSI发生率，改善沙特阿拉伯的孕产妇和新生儿健康结果。

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来源期刊

Journal of Infection and Public Health PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH -INFECTIOUS DISEASES

CiteScore

13.10

自引率

1.50%

发文量

203

审稿时长

96 days

期刊介绍： The Journal of Infection and Public Health, first official journal of the Saudi Arabian Ministry of National Guard Health Affairs, King Saud Bin Abdulaziz University for Health Sciences and the Saudi Association for Public Health, aims to be the foremost scientific, peer-reviewed journal encompassing infection prevention and control, microbiology, infectious diseases, public health and the application of healthcare epidemiology to the evaluation of health outcomes. The point of view of the journal is that infection and public health are closely intertwined and that advances in one area will have positive consequences on the other. The journal will be useful to all health professionals who are partners in the management of patients with communicable diseases, keeping them up to date. The journal is proud to have an international and diverse editorial board that will assist and facilitate the publication of articles that reflect a global view on infection control and public health, as well as emphasizing our focus on supporting the needs of public health practitioners. It is our aim to improve healthcare by reducing risk of infection and related adverse outcomes by critical review, selection, and dissemination of new and relevant information in the field of infection control, public health and infectious diseases in all healthcare settings and the community.