Surgical site infections post cesarean section and associated risk factors: a retrospective case-control study at a tertiary hospital in Kenya

Odada, David; Shah, Jasmit; Mbithi, Annastacia; Shah, Reena

doi:10.1016/j.infpip.2023.100333

Cited by 1 publication

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“…Comparing the results of this meta‐analysis with primary studies, the pooled estimate of post‐caesarean surgical site infections in Rwanda, 6.85%, is comparable with 6.7% prevalence in study conducted in Sierra Leone, 29 a little bit lower compared with 7.3% prevalence in Sub‐Saharan multicountry study by Medecins Sans Frontieres, 30 a little higher compared with 5.34% prevalence in the study conducted in Egypt 5 and much higher than the 2.1% prevalence as reported in Kenya. 31 On the other hand, some primary studies reported a higher prevalence of post‐caesarean SSI compared with the current meta‐analysis including 10.9% prevalence in Tanzania, 32 8% in Ethiopia, 33 16.01% in Nigeria 34 and 8.02% in India. 35 The observed differences in post‐caesarean SSI prevalence can be explained by varying study populations, healthcare systems and geographical contexts.…”

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confidence: 63%

Prevalence of post‐caesarean section surgical site infections in Rwanda: A systematic review and meta‐analysis

Sibomana,

Bugenimana,

Oke

et al. 2024

International Wound Journal

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Caesarean section (C‐section) is the most performed major surgery worldwide. About 15% of births are delivered through C‐section in Rwanda. The post‐caesarean surgical section is one of the most frequent complications that follow a C‐section. The purpose of this systematic review and meta‐analysis is to estimate the pooled prevalence of surgical site infections following caesarean section deliveries in Rwanda. A comprehensive search was conducted across PubMed/MEDLINE, Google Scholar, DOAJ, AJOL and the Cochrane Library to identify primary studies on post‐caesarean surgical site infections in Rwanda. Studies meeting predetermined criteria were included, and their quality was assessed using the JBI Critical Appraisal Tools. Heterogeneity was evaluated using I2 statistics, while publication bias was examined via funnel plots and statistical tests. Pooled prevalence was calculated using Jamovi 2.3.28 software, with subgroup analysis conducted to identify sources of heterogeneity. Statistical significance was set at p < 0.05. From 139 articles initially searched from the databases, only 17 studies with 8, 082 individuals were finally included in the systematic review and meta‐analysis. Using the random‐effects model, the pooled estimate of post C‐section SSIs prevalence in Rwanda was 6.85% (95% CI 5.2, 8.5). Subgroup analysis based on publication year, sample size, hospital and study design showed no much difference in SSI prevalence. The current systematic review and meta‐analysis indicates that post‐caesarean surgical site infections are significant in Rwanda. A collaborative effort is required to lower post‐C‐section SSIs and provide the best surgical care in the country.

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