Post-caesarean section surgical site infections at a Tanzanian tertiary hospital: a prospective observational study. Issue 4 (August 2016)

• Record Type: Journal Article
• Authors: De Nardo, P.; Gentilotti, E.; Nguhuni, B.; Vairo, F.; Chaula, Z.; Nicastri, E.; Nassoro, M.M.; Bevilacqua, N.; Ismail, A.; Savoldi, A.; Zumla, A.; Ippolito, G.
• Is Part Of: Journal of hospital infection. Volume 93:Issue 4(2016)
• Page Start: 355
• Page End: 359
• Publication Date: 2016-08
• Subjects: Caesarean section -- Surgical site infection -- Antimicrobial resistance -- Resource-limited settings -- Antibiotic prophylaxis -- Pregnant women; Cross infection -- Periodicals; Cross infection -- Prevention -- Periodicals; Nosocomial infections -- Periodicals; Nosocomial infections -- Prevention -- Periodicals; Cross Infection -- Periodicals; Cross Infection -- prevention & control -- Periodicals; Infection Control -- Periodicals; Electronic journals; 614.44
• DOI: 10.1016/j.jhin.2016.02.021
• Languages: English
• ISSNs: 0195-6701

Abstract

Summary: Few data are available on the determinants and characteristics of post-caesarean section (CS) surgical site infections (SSIs) in resource-limited settings. We conducted a prospective observational cohort study to evaluate the rates, determinants, and microbiological characteristics of post-CS SSI at the Dodoma Regional Referral Hospital (DRRH) Gynaecology and Obstetrics Department in Tanzania. Spanning a three-month period, all pregnant women who underwent CS were enrolled and followed up for 30 days. SSI following CS occurred in 224 (48%) women. Only 10 (2.1%) women received pre-incision antibiotic prophylaxis. Urgent intervention is needed to prevent and control infections and contain the rising rate of post-CS SSI at the DRRH.