A case-control study of risk factors for surgical site infection after cesarean delivery in eastern Burkina Faso

Int J Gynaecol Obstet. 2016 Nov:135 Suppl 1:S107-S110. doi: 10.1016/j.ijgo.2016.08.018.

Abstract

Objective: To identify the risk factors for surgical site infection after cesarean delivery in a rural area in eastern Burkina Faso.

Methods: A matched case-control study was conducted in Fada N'Gourma Regional Hospital Center and the Diapaga Medical Center with Surgical Antenna using data from 2011-2014. A total of 99 cases of surgical site infection after cesarean delivery were included in the study. Each case was matched with a control patient similar for age, admission date, and facility where the cesarean took place. Risk factors were identified using conditional logistic regression.

Results: Multivariate analysis identified hyperthermia at admission (OR 2.37; P=0.035), the presence of caput succedaneum in newborns (OR 7.07; P=0.001), and difficult delivery (OR 3.69; P=0. 019) as risk factors for surgical site infection.

Conclusion: Provision of quality prenatal care, use of the partograph during labor, and the responsiveness of health workers during labor can reduce surgical site infection after cesarean delivery.

Keywords: Burkina Faso; Cesarean delivery; Risk factors; Surgical site infection.

MeSH terms

  • Burkina Faso / epidemiology
  • Case-Control Studies
  • Cesarean Section / adverse effects*
  • Cesarean Section / statistics & numerical data
  • Female
  • Humans
  • Infant
  • Infant, Newborn
  • Male
  • Poverty
  • Pregnancy
  • Pregnancy Outcome / epidemiology
  • Prenatal Care / methods*
  • Surgical Wound Infection / epidemiology
  • Surgical Wound Infection / etiology*