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

Autor: De Nardo P; Resource Centre for Infectious Diseases, Dodoma Regional Referral Hospital, Dodoma, Tanzania; 'Lazzaro Spallanzani' National Institute for Infectious Diseases-IRCCS, Rome, Italy. Electronic address: pasquale.denardo@inmi.it., Gentilotti E; Resource Centre for Infectious Diseases, Dodoma Regional Referral Hospital, Dodoma, Tanzania; Department of Infectious Diseases, Tor Vergata University Hospital, Rome, Italy., Nguhuni B; Resource Centre for Infectious Diseases, Dodoma Regional Referral Hospital, Dodoma, Tanzania; 'Lazzaro Spallanzani' National Institute for Infectious Diseases-IRCCS, Rome, Italy., Vairo F; 'Lazzaro Spallanzani' National Institute for Infectious Diseases-IRCCS, Rome, Italy., Chaula Z; Resource Centre for Infectious Diseases, Dodoma Regional Referral Hospital, Dodoma, Tanzania., Nicastri E; 'Lazzaro Spallanzani' National Institute for Infectious Diseases-IRCCS, Rome, Italy., Nassoro MM; Resource Centre for Infectious Diseases, Dodoma Regional Referral Hospital, Dodoma, Tanzania., Bevilacqua N; 'Lazzaro Spallanzani' National Institute for Infectious Diseases-IRCCS, Rome, Italy., Ismail A; University of Dodoma - UDOM, Department of Statistics, Dodoma, Tanzania., Savoldi A; Resource Centre for Infectious Diseases, Dodoma Regional Referral Hospital, Dodoma, Tanzania; Department of Health Sciences, Clinic of Infectious Diseases, 'San Paolo' Hospital, University of Milan, Milan, Italy., Zumla A; Division of Infection and Immunity, University College London, London, UK; NIHR Biomedical Research Centre at UCL Hospitals NHS Foundation Trust, London, UK., Ippolito G; 'Lazzaro Spallanzani' National Institute for Infectious Diseases-IRCCS, Rome, Italy.
Jazyk: angličtina
Zdroj: The Journal of hospital infection [J Hosp Infect] 2016 Aug; Vol. 93 (4), pp. 355-9. Date of Electronic Publication: 2016 Mar 11.
DOI: 10.1016/j.jhin.2016.02.021
Abstrakt: 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.
(Copyright © 2016 The Healthcare Infection Society. Published by Elsevier Ltd. All rights reserved.)
Databáze: MEDLINE
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