Incidence of Surgical site Infection and Factors Associated among Cesarean Deliveries in Selected Government Hospitals in Addis Ababa, Ethiopia, 2019 G.C.
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Date
2019-06
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Addis Abeba University
Abstract
Background: One to two third of operated patients in low-income countries acquire surgical siteinfections, which is nine times higher when it is compared to high – resource countries.Identifying the incidence and risk factors that contribute for surgical site infection followingcesarean delivery is a step ahead for preventing and reducing the problem. Nonetheless, the distribution of the problem in Addis Ababa, where the rate of cesarean delivery is relatively high compared to other parts of the country, is under investigated.
Objective: The aim of this study is to assess the incidence of surgical site infection among CDs and factors associated with it in selected government hospitals in Addis Ababa, Ethiopia, in 2019.
Method: A hospital-based prospective cohort study design was employed to follow 175 women, who gave birth by CD inselected government hospitals in Addis Ababa, from March 11 – April 19, 2019. Convenience sampling method was used to select study units from the randomly selected hospitals.Descriptive statistics were run for determining rate of CD SSI. Presence and degree of association between outcome and independent variables was computed through bivariate logistic regression analysis. Factors that had ≤ 0.2 significance level in the bivariate logistic regressionanalysis was considered in the multivariable logistic regression analysis.
AResult: From 166participants who completed 30 day follow-up, 25 (15%) of the participants developed SSI. Age,gestational age, and duration of operation showed a significant association with the outcomevariable with AOR (95%CI) of [(AOR = 1.504, 95% CI: (1.170 – 1.933))], [(AOR = 0.019, 95%CI: (0.001 – 0.291))], and [(AOR = 1.108, 95% CI: (1.025 – 1.197))] respectively.
Conclusionand recommendation: SSI rate is higher in this study. Certain associations may be lost due tosmall sample size. Further interventional studies with vast sample size are recommended.Enhanced regulation of infection control policy, implementation of improved surgicaltechniques, and persistent hand hygiene among respective stakeholders can avert the condition.
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Keywords
Incidence, Cesarean delivery, Surgical Site Infection