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

被引：45

作者：

De Nardo, P. ^{[1
,2
]}

Gentilotti, E. ^{[1
,3
]}

Nguhuni, B. ^{[1
,2
]}

Vairo, F. ^{[2
]}

Chaula, Z. ^{[1
]}

Nicastri, E. ^{[2
]}

Nassoro, M. M. ^{[1
]}

Bevilacqua, N. ^{[2
]}

Ismail, A. ^{[4
]}

Savoldi, A. ^{[1
,5
]}

Zumla, A. ^{[6
,7
]}

Ippolito, G. ^{[2
]}

机构：

[1] Dodoma Reg Referral Hosp, Resource Ctr Infect Dis, Dodoma, Tanzania

[2] IRCCS, Lazzaro Spallanzani Natl Inst Infect Dis, Rome, Italy

[3] Tor Vergata Univ Hosp, Dept Infect Dis, Rome, Italy

[4] Univ Dodoma UDOM, Dept Stat, Dodoma, Tanzania

[5] Univ Milan, San Paolo Hosp, Clin Infect Dis, Dept Hlth Sci, Milan, Italy

[6] UCL, Div Infect & Immun, London, England

[7] UCL Hosp NHS Fdn Trust, NIHR Biomed Res Ctr, London, England

来源：

JOURNAL OF HOSPITAL INFECTION | 2016年 / 93卷 / 04期

关键词：

Caesarean section; Surgical site infection; Antimicrobial resistance; Resource-limited settings; Antibiotic prophylaxis; Pregnant women; BUGANDO MEDICAL-CENTER; CESAREAN DELIVERY; MWANZA;

D O I：

10.1016/j.jhin.2016.02.021

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

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.

引用

页码：355 / 359

页数：5

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