Few data are available on the determinants and characteristics of post-caesarean section (CS) surgical site infections (SSIs) in resource-limited settings. We conducted a prospective observational cohort study to evaluate the rates, determinants, and microbiological characteristics of post-CS SSI at the Dodoma Regional Referral Hospital (DRRH) Gynaecology and Obstetrics Department in Tanzania. Spanning a three-month period, all pregnant women who underwent CS were enrolled and followed up for 30 days. SSI following CS occurred in 224 (48%) women. Only 10 (2.1%) women received pre-incision antibiotic prophylaxis. Urgent intervention is needed to prevent and control infections and contain the rising rate of post-CS SSI at the DRRH. (C) 2016 The Healthcare Infection Society. Published by Elsevier Ltd. All rights reserved.

Post-caesarean section surgical site infections at a Tanzanian tertiary hospital: a prospective observational study

De Nardo, P.;Gentilotti, E.;Savoldi, A.;
2016-01-01

Abstract

Few data are available on the determinants and characteristics of post-caesarean section (CS) surgical site infections (SSIs) in resource-limited settings. We conducted a prospective observational cohort study to evaluate the rates, determinants, and microbiological characteristics of post-CS SSI at the Dodoma Regional Referral Hospital (DRRH) Gynaecology and Obstetrics Department in Tanzania. Spanning a three-month period, all pregnant women who underwent CS were enrolled and followed up for 30 days. SSI following CS occurred in 224 (48%) women. Only 10 (2.1%) women received pre-incision antibiotic prophylaxis. Urgent intervention is needed to prevent and control infections and contain the rising rate of post-CS SSI at the DRRH. (C) 2016 The Healthcare Infection Society. Published by Elsevier Ltd. All rights reserved.
2016
Antibiotic prophylaxis
Antimicrobial resistance
Pregnant women
Resource-limited settings
Surgical site infection
Antibiotic Prophylaxis
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11562/1075289
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