Original Research

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

Alexandre Delamou, Bienvenu S. Camara, Sidikiba Sidibé, Alioune Camara, Nafissatou Dioubaté, Alison M. El Ayadi, Katy Tayler-Smith, Abdoul H. Beavogui, Mamadou D. Baldé, Rony Zachariah
Journal of Public Health in Africa | Vol 10, No 1 | a890 | DOI: https://doi.org/10.4081/jphia.2019.818 | © 2024 Alexandre Delamou, Bienvenu S. Camara, Sidikiba Sidibé, Alioune Camara, Nafissatou Dioubaté, Alison M. El Ayadi, Katy Tayler-Smith, Abdoul H. Beavogui, Mamadou D. Baldé, Rony Zachariah | This work is licensed under CC Attribution 4.0
Submitted: 11 November 2024 | Published: 03 May 2019

About the author(s)

Alexandre Delamou, Woman and Child Health Research Centre, Institute of Tropical Medicine, Belgium; and, Department of Public Health, Gamal University of Conakry, Guinea; and, Centre National de Formation et de Recherche en Santé Rurale de Maferinyah, Guinea
Bienvenu S. Camara, Centre National de Formation et de Recherche en Santé Rurale de Maferinyah, Guinea
Sidikiba Sidibé, Woman and Child Health Research Centre, Institute of Tropical Medicine, Belgium; and, Department of Public Health, Gamal University of Conakry, Guinea; and, Centre National de Formation et de Recherche en Santé Rurale de Maferinyah, Guinea
Alioune Camara, Department of Public Health, Gamal University of Conakry, Guinea
Nafissatou Dioubaté, Centre National de Formation et de Recherche en Santé Rurale de Maferinyah, Guinea
Alison M. El Ayadi, University of California, Bixby Center for Global Reproductive Health, United States
Katy Tayler-Smith, Médecins sans Frontières, Medical Department, Operational Centre Brussels, Belgium
Abdoul H. Beavogui, Centre National de Formation et de Recherche en Santé Rurale de Maferinyah, Guinea
Mamadou D. Baldé, Department of Gynecology and Obstetrics, Gamal University of Conakry, Guinea
Rony Zachariah, Médecins sans Frontières, Medical Department, Operational Centre Brussels, Belgium

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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.

Keywords

surgical site infection; cesarean section; Ebola virus disease; Guinea

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