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. 2018 Dec 12;18(1):489.
doi: 10.1186/s12884-018-2075-8.

Magnitude and determinants of surgical site infecion among women underwent cesarean section in Ayder comprehensive specialized hospital Mekelle City, Tigray region, Northern Ethiopia, 2016

Tsehaynesh Aslake Wendmagegn  1 , Gerezgiher Buruh Abera  2 , Weyzer Tilahun Tsehaye  2 , Kibrom Brhanu Gebresslasie  2 , Berhe Girmay Tella  2
Affiliations

Magnitude and determinants of surgical site infecion among women underwent cesarean section in Ayder comprehensive specialized hospital Mekelle City, Tigray region, Northern Ethiopia, 2016

Tsehaynesh Aslake Wendmagegn et al. BMC Pregnancy Childbirth. .

Abstract

Background: Surgical site infection (SSI) is an infection that occurs after surgery within 30 days in the part of the body where the surgery took place. Some of the common symptoms are: drainage of cloudy fluid from the surgical wound, pain or tenderness, localized swelling, redness, and raised body temperature. Lack of data on surgical site infection among women who underwent cesarean section (C/S) initiated us to undertake this paper which is targeted to assess the magnitude and determinants of SSI among women who underwent cesarean section.

Methods: Retrospective document review study design was conducted among mothers who underwent cesarean section in Ayder Comprehensive, Specialized Hospital (ACSH) from September 2014 -January 2016. Mother's charts were selected using systematic random sampling technique. Data were cleaned using EPI info version 3.5.1 and analyzed using SPSS version 20. Descriptive statistics, Bivariate, and multivariable logistic regression were conducted to summarize the data.

Result: A total of 206 medical records of women who underwent C/S in ACSH comprehensive specialized hospital were reviewed. The mean age was 27 years (+ 5 year). The magnitude of surgical site infection was 11.7%. Premature rupture of membrane (PROM), prolonged labor, rural setting, human immune deficiency Virus, chorioaminities and blood loss showed significant association [(AOR = 8.818 95%CI (21.71-35.816)], [AOR = 16.17, 95%CI (2.850-91.819), [AOR = 5.666,95%CI (1.568-20.483)], [AOR = 6.982,95%CI (1.382-35.269), [AOR = 16.17,95%CI (2.850-91.819)] and [AOR = 0.097,9%CI (0.017-0.569)] respectively.

Conclusion: The magnitude of post C/S infection in this study 11.7%. PROM, prolonged labor, residence, HIV, Chorioaminities and blood loss are considered to be an independent risk factor.

Keywords: Ayder; Cesarean section; Hospital; Northern Ethiopia; Surgical site infection; Tigray; Women.

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Conflict of interest statement

Ethics approval and consent to participate

Ethical clearance was obtained from the Mekelle University, College of health sciences, research and community service office, ethical review committee, and written permission was obtained from the Medical Director of ACSH to support the research. To obtain the participants’ chart for review, permission was also obtained from the local administration of the study site. Participants chart identifiers was not recorded on the questioner and code was used by the data collector to separate one participants’ data from the other. Participants’ chart was handled in such a way that only data collectors were accessed and was not exposed to third person and report was made collectively. All the information obtained from the medical record was held with confidentiality and used only for the intended purpose. Authorizations were obtained from the institutional medical director and different authorities of the study sites like medical record room head and the staff members. The notification code number given to the Tittle was ERC 06187/2016.

Consent for publication

Not applicable

Competing interests

The authors declare that they have no competing interests.

Publisher’s Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Figures

Fig. 1
Fig. 1
Distribution of indication for cesarean section among women who underwent surgery in Ayder comprehensive specialized hospital, Mekelle, Tigray, Northern Ethiopia, 2016 (N = 206)
Fig. 2
Fig. 2
Qualification distribution of person who perform the procedure on women who underwent c/s in Ayder comprehensive specialized hospital, Mekelle, Tigray, Northern Ethiopia, 2016(N = 206)
Fig. 3
Fig. 3
Magnitude of post c/s infection among women who underwent c/s infection in Ayder comprehensive specialized hospital, Mekelle, Tigray, Northern Ethiopia, 2016, (N = 206). Legend: With SSI formula image and formula image with no SSI
See this image and copyright information in PMC

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