Prevalence and predictors of surgical-site infection after caesarean section at a rural district hospital in Rwanda

摘要: Background There are few prospective studies of outcomes following surgery in rural district hospitals sub-Saharan Africa. This study aimed to estimate the prevalence and predictors surgical-site infection (SSI) caesarean section at Kirehe District Hospital Rwanda. Methods Adult women who underwent between March October 2017 were given a voucher return hospital on postoperative day (POD) 10 (±3 days). At visit, physician evaluated patient for an SSI. A multivariable logistic regression model was used identify risk factors SSI, built using backward stepwise selection. Results Of 729 had section, 620 eligible follow-up, whom 550 (88·7 per cent) returned assessment. The SSI POD 10·9 cent (60 women). In analysis, significantly associated with SSI: bodyweight more than 75 kg (odds ratio (OR) 5·98, 1·56 22·96; P = 0·009); spending €1·1 travel health centre (OR 2·42, 1·31 4·49; 0·005); being housewife compared farmer 2·93, 1·08 7·97; 0·035); skin preparation single antiseptic combination two antiseptics 4·42, 1·05 18·57; 0·043). Receiving either preoperative or antibiotics not Conclusion after is consistent rates reported tertiary facilities Combining solutions could reduce