Risk Factors for Postcesarean Wound Infection in a Tertiary Hospital in Lagos, Nigeria.

Tytuł:: Risk Factors for Postcesarean Wound Infection in a Tertiary Hospital in Lagos, Nigeria.
Autorzy:: Rabiu KA; Department of Obstetrics and Gynaecology, Lagos State University College of Medicine, Ikeja, Lagos State, Nigeria.
Akinlusi FM; Department of Obstetrics and Gynaecology, Lagos State University College of Medicine, Ikeja, Lagos State, Nigeria.
Adewunmi AA; Department of Obstetrics and Gynaecology, Lagos State University College of Medicine, Ikeja, Lagos State, Nigeria.
Alausa TG; Department of Obstetrics and Gynaecology, Lagos State University Teaching Hospital, Ikeja, Lagos State, Nigeria.
Durojaiye IA; Department of Obstetrics and Gynaecology, Lagos State University Teaching Hospital, Ikeja, Lagos State, Nigeria.
Źródło:: Nigerian medical journal : journal of the Nigeria Medical Association [Niger Med J] 2020 Sep-Oct; Vol. 61 (5), pp. 262-268. Date of Electronic Publication: 2020 Oct 13.
Typ publikacji:: Journal Article
Język:: English
Imprint Name(s):: Publication: Jan./Mar. 2009- : Mumbai, India : Medknow Publications
Original Publication: Lagos : Literamed Publications (Nig.) Ltd.
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Contributed Indexing:: Keywords: Cesarean section; Lagos; Nigeria; wound infection
Entry Date(s):: Date Created: 20210125 Latest Revision: 20220420
Update Code:: 20240105
PubMed Central ID:: PMC7808289
DOI:: 10.4103/nmj.NMJ_1_20
PMID:: 33487850
: Czasopismo naukowe

Pełny tekst

Background: There has been a global increase in cesarean section rates. While this has improved perinatal outcome, it is associated with complications such as wound infection. We determined risk factors for cesarean section wound infection in a tertiary hospital in Lagos, Nigeria.
Materials and Methods: We prospectively studied a cohort of 906 women who had cesarean section at the Obstetrics Unit of the Lagos State University Teaching Hospital between January 1, 2011, and December 31, 2011. A comparison was made between 176 women who had wound infection and 730 women who did not using logistic regression.
Results: Of the 2134 deliveries during the study, 906 (42.5%) had cesarean section and of which 176 (19.4%) had wound infection. Independent risk factors for wound infection were: preoperative anemia (adjusted odds ratio [aOR] = 1.88; 95% confidence intervals [CI] = 1.03-3.41; P = 0.0396), presence of diabetes mellitus (aOR = 7.94; 95% CI = 1.60-39.27; P = 0.0111), HIV infection (aOR = 6.34; 95% CI = 1.74-23.06; P = 0.0051), prolonged operation time (aOR = 2.30; 95% CI = 1.19-4.42; P = 0.0127), excessive blood loss at surgery (aOR = 5.05; 95% CI = 2.18-11.66; P = 0.0002), and chorioamnionitis (aOR = 9.00; 95% CI = 1.37-59.32; P = 0.0224).
Conclusions: Patients with HIV infection, diabetes mellitus, preoperative anemia and chorioamnionitis have an increased risk of postcesarean wound infection as is when surgical time exceeds 1 h or when associated with blood loss >11.
Competing Interests: There are no conflicts of interest.
(Copyright: © 2020 Nigerian Medical Journal.)

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