Browsing by Author "Lulit Fekadu"

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    Factors associated with surgical site infection after cesarean deliveries.
    (Addis Ababa Uinverstiy, 2025) Lulit Fekadu; Yirgu Gebrehiwot
    Surgical site infection is a common major complication after cesarean sections worldwide. Post-CS SSI incidence varies the income level of the country. The magnitude of morbidity and mortality related to post-CS SSI still remains major despite improvements in surgical techniques and preventive strategies. Objective: -To determine factors associated with surgical site infection after cesarean deliveries in TASH, ZMH and GMH, Addis Ababa, 2025 G.C. Method: -Hospital based case control study was conducted at three hospitals of Addis Ababa University (TASH, GMH and ZMH). A total of 366 participants were included with 1:2 ration of SSI and non-SSI participants from January1/2024 to May 30/2025.Study participants were selected using random sampling method. Descriptive statistics were used for determining the associated factors of SSI. Presence and degree of association between outcome and independent variables were computed through bivariate logistic regression analysis. For factors having P value of ≤ 0.05, the multivariate logistic regression analysis were used. Result: -The study identified several significant predictors of SSI. Women who underwent emergency cesarean sections were 3.6 times more likely to develop SSI compared to those who had elective procedures (AOR = 3.6; 95% CI: 1.97–13.74). Similarly, participants residing outside Addis Ababa had a 2.2-fold increased risk (AOR = 2.2; 95% CI: 1.88–5.62). The presence of maternal comorbidity increased the risk by 3.2 times (AOR = 3.2; 95% CI: 1.50– 6.67), while clinical chorioamnionitis was associated with a 6.3-fold rise in SSI risk (AOR = 6.3; 95% CI: 1.06–37.92). Cesarean sections performed during the second stage of labor were 2.6 times more likely to result in SSI (AOR = 2.6; 95% CI: 1.13–6.09). Additionally, women with grade III meconium-stained amniotic fluid had a 10.9 times higher risk of developing SSI compared to those with grade I meconium (AOR = 10.9; 95% CI: 1.97–13.74). Conclusion:Conclusion: Multiple maternal, clinical, and procedural factors were independently associated with increased risk of SSIs following cesarean sections. Targeted interventions focusing on improved intrapartum care, infection control measures, and surgical training are essential to reduce the incidence of SSIs.