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

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Alexandre Delamou *
Bienvenu Salim Camara
Sidikiba Sidibé
Alioune Camara
Nafissatou Dioubaté
Alison Marie El Ayadi
Katy Tayler-Smith
Abdoul Habib Beavogui
Mamadou Dioulde Baldé
Rony Zachariah
(*) Corresponding Author:
Alexandre Delamou | adelamou@gmail.com

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.


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