Post-caesarean surgical site infection: an incidence and associated determinants study at Kiryandongo General Hospital
| dc.contributor.author | Naibei, Fred Abdon | |
| dc.date.accessioned | 2019-11-21T11:34:52Z | |
| dc.date.available | 2019-11-21T11:34:52Z | |
| dc.date.issued | 2019-04 | |
| dc.description | A research report submitted to the Faculty of Clinical Medicine and Dentistry in partial fulfillment of the requirements for the award of a degree of Bachelor of Medicine and Surgery of Kampala International University | en_US |
| dc.description.abstract | Prevalence of surgical site infections has risen with increased Caesarean section rates. Global estimates for post-CS SSIs range between 3 – 15% (highest rates in resource-poor countries) (Zuarez-Easton, Zafran, Garmi, & Salim, 2017). Surgical Site Infections (SSIs) cause significant morbidity among post-CS mothers. Many factors have been associated with post-CS SSIs although little data exist on the matter in Kiryandongo. Therefore, the study was about the prevalence, factors and outcomes of Post-Caesarean Section Surgical Site Infections at Kiryandongo General Hospital. A descriptive cross sectional study was used which involved record and surgical notes review of 320 women delivered through caesarean section. 40 (12.5%) of the women developed surgical site infections. Strong significance was seen in rural residence, Chorioamnionitis, emergency CS and DM/prediabetes and post-CS SSIs. Other factors were obesity, smoking, HIV/AIDS coinfection, nulliparity and unsatisfactory prenatal care. Singleton pregnancy was also significant while corticosteroid use and hypertension had no significance. Bacteraemia/sepsis and wound dehiscence were the main complications seen. The prevalence of post-caesarean section surgical site infection in Kiryandongo General Hospital was 12.5%, a value high enough to warrant urgent intervention. Risk factors for post-caesarean surgical site infections were rural residence, Chorioamnionitis, DM/pre-diabetes, extremes of maternal age, obesity, tobacco use, HIV/AIDS coinfection, nulliparity, unsatisfactory prenatal care and emergency caesarean sections. Corticosteroid use and hypertension were not significant whereas singleton (rather than twin) gestation was found to be significant. Prolonged post-op hospital stay with rise in cost of care were the outcomes necessitated by complications that mainly included bacteraemia/sepsis and wound dehiscence | en_US |
| dc.identifier.uri | http://hdl.handle.net/20.500.12306/3935 | |
| dc.language.iso | en | en_US |
| dc.publisher | Kampala International University, School of Health Sciences | en_US |
| dc.subject | Surgical Site Infection | en_US |
| dc.subject | Caesarean Section | en_US |
| dc.subject | Post-caesarean surgical site infection | en_US |
| dc.subject | Kiryandongo General Hospital | en_US |
| dc.title | Post-caesarean surgical site infection: an incidence and associated determinants study at Kiryandongo General Hospital | en_US |
| dc.type | Other | en_US |