Surgical Site Infection (SSI) Predominance and Causative Factors Association after Caesarean Section at Asella Teaching and Referral Hospital, Ethiopia

IF 0.3 Q4 OBSTETRICS & GYNECOLOGY

Current Women s Health Reviews Pub Date : 2023-08-16 DOI:10.2174/1573404820666230816141136

Usha Rani Kandula, Anwar Abdulwahed, Ketema Diriba, Techane Sisay Tuji, Abebu Tilahun, Tadese T Aregay, Tsegaye Tesfaye, Yetnayet Zeleke

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Abstract

Caesarean Section (CS) is the most commonly performed major obstetrical procedure, accounting for 15% of all deliveries globally. Surgical Site Infection (SSI) is one of the most prevalent infectious complications following CS. This state of health increases maternal morbidity and mortality, as well as hospitalization length and hospital expenses. The goal of this study was to ascertain the prevalence of SSI and the factors that contribute in mothers who had CS at Asella Teaching and Referral Hospital (ATRH). From December 2020 to January 2021, an institution-based retrospective cross-sectional study (CSS) was carried out at ATRH. The data were collected from the case records of the mothers who underwent CS by systematic random sampling technique. The collected data was exported to Epi-info version 7 for cleaning and exported to SPSS for further data analysis process. Descriptive and inferential statistics were applied. To identify factors associated with SSI, logistic regression was used to fit data with a P-value of < 0.05 was considered statistically significant in all cases. The prevalence of SSI was 9.9%. About 28(12%) of SSI were developed during emergency procedures, and 3(3.8%) of them were developed during elective procedures done in the hospital. In this study, SSI was significantly associated with; (pain/tenderness at operation site [AOR=310.04 95%CI (9.58 -10037.68)], arrest of labor [AOR=0.03 95%CI (0-0.49)], skin closure [AOR=46.548 95%CI (1.74-1240.25)], parity [AOR=0.08 95%CI (0.01-0.73)], duration of operation [AOR=0.31 95%CI (0.10 -0.86)] and gestational age [AOR=0.08 95%CI (0.01-0.55)]. Post-cesarean SSI was found to be high; and pain/tenderness at the operation site, arrest of labor, skin closure, parity, duration of operation and gestational age were significantly associated with SSI and this can be averted by appropriate preoperative, intraoperative and post-operative management. Surgical site infection, caesarean section, associated factors, Ethiopia

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埃塞俄比亚Asella教学和转诊医院剖宫产术后手术部位感染(SSI)优势及其相关因素

剖腹产是最常见的主要产科手术，占全球分娩总数的15%。手术部位感染(SSI)是CS术后最常见的感染并发症之一。这种健康状况增加了产妇发病率和死亡率，也增加了住院时间和住院费用。本研究的目的是确定在Asella教学和转诊医院(ATRH)患有CS的母亲中SSI的患病率及其影响因素。从2020年12月至2021年1月，在ATRH进行了一项基于机构的回顾性横断面研究(CSS)。采用系统随机抽样的方法，从接受CS的母亲的病例记录中收集数据。收集到的数据导出到Epi-info version 7进行清洗，导出到SPSS进行进一步的数据分析处理。采用描述性统计和推理统计。为了确定与SSI相关的因素，我们使用逻辑回归来拟合数据，p值< 0.05被认为在所有情况下具有统计学意义。SSI患病率为9.9%。约28例(12%)SSI是在急诊过程中发生的，其中3例(3.8%)是在医院的选择性手术中发生的。在本研究中，SSI与;(手术部位疼痛/压痛[AOR=310.04 95%CI(9.58 ~ 10037.68)]、分娩骤停[AOR=0.03 95%CI(0 ~ 0.49)]、皮肤闭合[AOR=46.548 95%CI(1.74 ~ 1240.25)]、胎次[AOR=0.08 95%CI(0.01 ~ 0.73)]、手术时间[AOR=0.31 95%CI(0.10 ~ 0.86)]、胎龄[AOR=0.08 95%CI(0.01 ~ 0.55)])。剖宫产后SSI较高;手术部位的疼痛/压痛、分娩停止、皮肤闭合、胎次、手术持续时间和胎龄与SSI显著相关，通过适当的术前、术中和术后管理可以避免SSI。手术部位感染，剖腹产，相关因素，埃塞俄比亚

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来源期刊

Current Women s Health Reviews OBSTETRICS & GYNECOLOGY-

CiteScore

0.70

自引率

25.00%

发文量

期刊介绍： Current Women"s Health Reviews publishes frontier reviews on all the latest advances on obstetrics and gynecology. The journal"s aim is to publish the highest quality review articles dedicated to research in the field. The journal is essential reading for all clinicians and researchers in the fields of obstetrics and gynecology.