Keywords
infection
surgical site
morbidity
Niger
How to Cite
Abstract
Introduction :
Surgical site infection (SSI) is one of the most frequent complications after cesarean section. It contributes to increased maternal morbidity related to cesarean delivery. The objective of this study was to describe the epidemiological, clinical, therapeutic, and prognostic aspects of post-cesarean SSIs in the obstetrics and gynecology department of the Issaka Gazoby Maternity Hospital in order to reduce their occurrence. Patients and Method: This was a descriptive cross-sectional study conducted over a 3-year period (January 1, 2022 to December 31, 2024). The records of all cases of post-cesarean SSI were collected and analyzed.
Results :
Out of a total of 15,802 cesarean sections performed, 82 cases of surgical site infection were noted, representing a frequency of 0.52%. The mean age of the patients was 27.15 years (range 14–41 years). The patients were unemployed (70 cases, 85.36%) and lived in rural areas (50 cases, 61%). Cesarean sections were performed as emergencies in more than 8 out of 10 patients (68 cases, 83%). SSI was diagnosed in the first week post-surgery in the majority of patients (44 cases, 53.65%). The main pathogens identified were Escherichia coli (40%), Acinetobacter baumani (32%), Klebsiella (12%), and Staphylococcus aureus (12%). Reoperation was required in 13 patients (15.86%). A hysterectomy was required in 10.97% (9 cases). The prognosis was favorable in all patients.
Conclusion :
The incidence of post-cesarean surgical site infection is low in this study but presents with high maternal morbidity and cost. Better identification of risk factors in our setting through more in-depth prospective studies would help guide priority prevention strategies and consequently improve maternal outcomes.
References
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Copyright (c) 2025 M Oumara, H Soumana Diaouga, Z Salifou Lankoandé, A Ayouba, A Gagara, M Chaibou Yacouba, M Nayama