Clinical study on prevalence and social determinants of postoperative infection at Kiziguro District Hospital, Rwanda

• 作者: Habtu Micheal Kagimbangabo Jean Marie Vianey Mbayire Vedaste Ngomi Nicholas Njau
• 来源期刊: TMR生命研究
• 学科: 政治法律
• 关键词: CAESAREAN BIRTH SURGICAL site infection Kiziguro DISTRICT HOSPITAL Social determinants
• 年，卷（期）: 2020,（3）
• 页码范围: 116-124
• 页数: 9页
• 分类号: D44

摘要

Background:Cesarean delivery is the commonest surgical procedure carried out worldwide in maternity.Cesarean delivery is accompanied by many complications among which surgical site infection is the most frequent.Surgical site infection is the second cause of maternal morbidity and mortality in the postpartum period after postpartum haemorrhage.Social factors,such as health insurance,may have an impact on different maternal morbidities and quality of care for pregnant women attending health facilities.The objectives of this study were to determine the prevalence and factors associated with surgical site infection following caesarean delivery at Kiziguro District Hospital.Methods:It was the facility-based retrospective cross-sectional study.The sample size of 414 women was simply and randomly selected from 1001 women who underwent caesarean section from January 2018 to December 2018.Results:The prevalence of surgical site infection was 7.7%and its associated factors were the absence of health insurance and meconium-stained amniotic fluid.Women with health insurance were 99%(adjusted odds ratio:0.01,95%confidence interval:0.001–0.201)less likely to develop surgical site infections compared to women without health insurance,while women with clear amniotic fluid were 98.6%less likely to acquire surgical site infections(adjusted odds ratio:0.014,95%confidence interval:0.002–0.128)compared to women with meconiumstained amniotic fluid.Conclusion:surgical site infections prevalence among women delivered by cesarean section at Kiziguro District Hospital was found to be significant and women without health insurance and those with meconium-stained amniotic fluid are most vulnerable thus,infection and prevention control policymaker at the facility and national level are advised to assess at large all social barriers to health service accessibility and include them in their infection and prevention control policy.Kiziguro District Hospital is advised to take infection and prevention control precaution for women without he