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

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

doi:10.4081/jphia.2019.818

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

https://doi.org/10.4081/jphia.2019.818

PDF HTML

Vol. 10 No. 1 (2019)

Submitted: 15 November 2017
Accepted: 19 July 2018

Published: 3 May 2019

Surgical site Infection, Cesarean section, Ebola virus disease, Guinea

Abstract Views: 1509

PDF: 690
HTML: 50

Publisher's note
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.

Authors

Alexandre Delamou
adelamou@gmail.com
Woman and Child Health Research Centre, Institute of Tropical Medicine, Antwerp, Belgium; Department of Public Health, Gamal University of Conakry, Guinea; Centre National de Formation et de Recherche en Santé Rurale de Maferinyah, Maferinyah, Guinea.
Bienvenu Salim Camara Centre National de Formation et de Recherche en Santé Rurale de Maferinyah, Maferinyah, Guinea.
Sidikiba Sidibé Woman and Child Health Research Centre, Institute of Tropical Medicine, Antwerp, Belgium; Department of Public Health, Gamal University of Conakry, Guinea; Centre National de Formation et de Recherche en Santé Rurale de Maferinyah, Maferinyah, Guinea.
Alioune Camara Department of Public Health, Gamal University of Conakry, Conakry, Guinea.
Nafissatou Dioubaté Centre National de Formation et de Recherche en Santé Rurale de Maferinyah, Maferinyah, Guinea.
Alison Marie El Ayadi University of California, Bixby Center for Global Reproductive Health, San Francisco, CA, United States.
Katy Tayler-Smith Médecins sans Frontières, Medical Department, Operational Centre Brussels, MSF Luxembourg, Luxembourg.
Abdoul Habib Beavogui Centre National de Formation et de Recherche en Santé Rurale de Maferinyah, Maferinyah, Guinea.
Mamadou Dioulde Baldé Department of Gynecology and Obstetrics, Gamal University of Conakry, Conakry, Guinea.
Rony Zachariah Médecins sans Frontières, Medical Department, Operational Centre Brussels, MSF Luxembourg, Luxembourg.

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.

Supporting Agencies

Chair of Public Health of the Gamal Abdel Nasser University of Conakry, Hospitals of the study districts, Structured Operational Research and Training Initiative (SORT IT).

Delamou, A., Camara, B. S., Sidibé, S., Camara, A., Dioubaté, N., El Ayadi, A. M., Tayler-Smith, K., Beavogui, A. H., Baldé, M. D., & Zachariah, R. (2019). Trends of and factors associated with cesarean section related surgical site infections in Guinea. Journal of Public Health in Africa, 10(1). https://doi.org/10.4081/jphia.2019.818