Post cesarean section surgical site infection and associated factors among women who delivered in public hospitals in Harar city, Eastern Ethiopia: A hospital-based analytic cross-sectional study.

<h4>Background</h4>Cesarean section (CS) is often complicated by surgical site infection (SSI) that may happen to a woman within 30 days after the operation. This study was conducted to estimate the prevalence of SSI and identify the factors associated with SSI.<h4>Methods</h4&g...

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Autores principales:	Tsegaw Alemye, Lemessa Oljira, Gelana Fekadu, Melkamu Merid Mengesha
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/f087b18fc7e44c05a412b868ab09dc03
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spelling	oai:doaj.org-article:f087b18fc7e44c05a412b868ab09dc032021-12-02T20:10:13ZPost cesarean section surgical site infection and associated factors among women who delivered in public hospitals in Harar city, Eastern Ethiopia: A hospital-based analytic cross-sectional study.1932-620310.1371/journal.pone.0253194https://doaj.org/article/f087b18fc7e44c05a412b868ab09dc032021-01-01T00:00:00Zhttps://doi.org/10.1371/journal.pone.0253194https://doaj.org/toc/1932-6203<h4>Background</h4>Cesarean section (CS) is often complicated by surgical site infection (SSI) that may happen to a woman within 30 days after the operation. This study was conducted to estimate the prevalence of SSI and identify the factors associated with SSI.<h4>Methods</h4>A hospital-based analytic cross-sectional study was conducted based on the review of medical records of 1069 women who underwent CS in two public hospitals in Harar city. The post-CS SSI is defined when it occurred within 30 days after the CS procedure. Factors associated with SSI were identified using a multivariable binary logistic regression analysis. The analysis outputs are presented using an adjusted odds ratio (aOR) with a corresponding 95% confidence interval (CI). All statistical tests are defined as statistically significant at P-values<0.05.<h4>Results</h4>The prevalence of SSI was 12.3% (95% confidence interval (CI): 10.4, 14.4). Emergency-CS was conducted for 75.9% (95% CI: 73.2, 78.3) of the women and 13.2% (95% CI: 11.3, 15.4) had at least one co-morbid condition. On presentation, 21.7% (95% CI: 19.3, 24.3) of women had rupture of membrane (ROM). Factors significantly and positively associated with post-CS SSI include general anesthesia (aOR = 2.0, 95%CI: 1.10, 2.90), ROM (aOR = 2.27, 95%CI: 1.02, 3.52), hospital stay for over 7 days after operation (aOR = 3.57, 95%CI: 1.91, 5.21), and blood transfusion (aOR = 4.2, 95%CI: 2.35, 6.08).<h4>Conclusion</h4>The prevalence of post-CS SSI was relatively high in the study settings. Screening for preoperative anemia and appropriate correction before surgery, selection of the type of anesthesia, close follow-up to avoid unnecessary prolonged hospitalization, and careful assessment of membrane status should be considered to avoid preventable SSI and maternal morbidity.Tsegaw AlemyeLemessa OljiraGelana FekaduMelkamu Merid MengeshaPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 16, Iss 6, p e0253194 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Tsegaw Alemye Lemessa Oljira Gelana Fekadu Melkamu Merid Mengesha Post cesarean section surgical site infection and associated factors among women who delivered in public hospitals in Harar city, Eastern Ethiopia: A hospital-based analytic cross-sectional study.
description	<h4>Background</h4>Cesarean section (CS) is often complicated by surgical site infection (SSI) that may happen to a woman within 30 days after the operation. This study was conducted to estimate the prevalence of SSI and identify the factors associated with SSI.<h4>Methods</h4>A hospital-based analytic cross-sectional study was conducted based on the review of medical records of 1069 women who underwent CS in two public hospitals in Harar city. The post-CS SSI is defined when it occurred within 30 days after the CS procedure. Factors associated with SSI were identified using a multivariable binary logistic regression analysis. The analysis outputs are presented using an adjusted odds ratio (aOR) with a corresponding 95% confidence interval (CI). All statistical tests are defined as statistically significant at P-values<0.05.<h4>Results</h4>The prevalence of SSI was 12.3% (95% confidence interval (CI): 10.4, 14.4). Emergency-CS was conducted for 75.9% (95% CI: 73.2, 78.3) of the women and 13.2% (95% CI: 11.3, 15.4) had at least one co-morbid condition. On presentation, 21.7% (95% CI: 19.3, 24.3) of women had rupture of membrane (ROM). Factors significantly and positively associated with post-CS SSI include general anesthesia (aOR = 2.0, 95%CI: 1.10, 2.90), ROM (aOR = 2.27, 95%CI: 1.02, 3.52), hospital stay for over 7 days after operation (aOR = 3.57, 95%CI: 1.91, 5.21), and blood transfusion (aOR = 4.2, 95%CI: 2.35, 6.08).<h4>Conclusion</h4>The prevalence of post-CS SSI was relatively high in the study settings. Screening for preoperative anemia and appropriate correction before surgery, selection of the type of anesthesia, close follow-up to avoid unnecessary prolonged hospitalization, and careful assessment of membrane status should be considered to avoid preventable SSI and maternal morbidity.
format	article
author	Tsegaw Alemye Lemessa Oljira Gelana Fekadu Melkamu Merid Mengesha
author_facet	Tsegaw Alemye Lemessa Oljira Gelana Fekadu Melkamu Merid Mengesha
author_sort	Tsegaw Alemye
title	Post cesarean section surgical site infection and associated factors among women who delivered in public hospitals in Harar city, Eastern Ethiopia: A hospital-based analytic cross-sectional study.
title_short	Post cesarean section surgical site infection and associated factors among women who delivered in public hospitals in Harar city, Eastern Ethiopia: A hospital-based analytic cross-sectional study.
title_full	Post cesarean section surgical site infection and associated factors among women who delivered in public hospitals in Harar city, Eastern Ethiopia: A hospital-based analytic cross-sectional study.
title_fullStr	Post cesarean section surgical site infection and associated factors among women who delivered in public hospitals in Harar city, Eastern Ethiopia: A hospital-based analytic cross-sectional study.
title_full_unstemmed	Post cesarean section surgical site infection and associated factors among women who delivered in public hospitals in Harar city, Eastern Ethiopia: A hospital-based analytic cross-sectional study.
title_sort	post cesarean section surgical site infection and associated factors among women who delivered in public hospitals in harar city, eastern ethiopia: a hospital-based analytic cross-sectional study.
publisher	Public Library of Science (PLoS)
publishDate	2021
url	https://doaj.org/article/f087b18fc7e44c05a412b868ab09dc03
work_keys_str_mv	AT tsegawalemye postcesareansectionsurgicalsiteinfectionandassociatedfactorsamongwomenwhodeliveredinpublichospitalsinhararcityeasternethiopiaahospitalbasedanalyticcrosssectionalstudy AT lemessaoljira postcesareansectionsurgicalsiteinfectionandassociatedfactorsamongwomenwhodeliveredinpublichospitalsinhararcityeasternethiopiaahospitalbasedanalyticcrosssectionalstudy AT gelanafekadu postcesareansectionsurgicalsiteinfectionandassociatedfactorsamongwomenwhodeliveredinpublichospitalsinhararcityeasternethiopiaahospitalbasedanalyticcrosssectionalstudy AT melkamumeridmengesha postcesareansectionsurgicalsiteinfectionandassociatedfactorsamongwomenwhodeliveredinpublichospitalsinhararcityeasternethiopiaahospitalbasedanalyticcrosssectionalstudy
_version_	1718375036670181376

Post cesarean section surgical site infection and associated factors among women who delivered in public hospitals in Harar city, Eastern Ethiopia: A hospital-based analytic cross-sectional study.

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