Burden of surgical site infection following cesarean section in sub-Saharan Africa: a narrative review.
cesarean section
maternal mortality
sepsis
sub-Saharan Africa
surgical site infection
wound infection
Journal
International journal of women's health
ISSN: 1179-1411
Titre abrégé: Int J Womens Health
Pays: New Zealand
ID NLM: 101531698
Informations de publication
Date de publication:
2019
2019
Historique:
entrez:
14
6
2019
pubmed:
14
6
2019
medline:
14
6
2019
Statut:
epublish
Résumé
Cesarean section (CS) is the most common operative procedure performed in sub-Saharan Africa (SSA), accounting for as much as 80% of the surgical workload. In contrast to CSs performed in high-income countries, CSs performed in SSA are accompanied by high morbidity and mortality rates. This operation is the most important known variable associated with an increased probability of postpartum bacterial infection. The objective of this review was to assess surgical outcomes related to CS in SSA. PubMed (including Medline), CINAHL, Embase, and the World Health Organization's Global Health Library were searched without date or language restrictions. A total of 26 studies reporting surgical site-infection rates after CS were identified, representing 14,063 women from 14 countries. The vast majority (76.7%) of CSs performed were emergency operations. The overall CS rate for women included in this review was 12.4% (range: 1.0%-41.9%). Only 17 of 26 total studies reported a significant proportion of women receiving antimicrobials of any kind. The surgical site-infection rate was 15.6% and the wound-infection rate 10.3%.
Identifiants
pubmed: 31191039
doi: 10.2147/IJWH.S182362
pii: ijwh-11-309
pmc: PMC6512794
doi:
Types de publication
Journal Article
Review
Langues
eng
Pagination
309-318Déclaration de conflit d'intérêts
Disclosure The authors report no conflicts of interest in this work.
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