Burden of Surgical Site Infection Following Cesarean Section in Sub-Saharan Africa: A Narrative Review

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dc.contributor.authorSway, Angie
dc.contributor.authorNthumba, Peter
dc.contributor.authorSolomkin, Joseph
dc.contributor.authorTarchini, Giorgio
dc.contributor.authorGibbs, Ronald
dc.contributor.authorRen, Yanhan
dc.contributor.authorWanyoro, Anthony
dc.date.accessioned2021-04-16T06:13:18Z
dc.date.available2021-04-16T06:13:18Z
dc.date.issued2019
dc.descriptionAn Article Published in International Journal of Women’s Healthen_US
dc.description.abstractCesarean 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%.en_US
dc.identifier.urihttp://ir-library.ku.ac.ke/handle/123456789/21994
dc.language.isoenen_US
dc.publisherDove Medical Press Limiteden_US
dc.subjectCesarean sectionen_US
dc.subjectMaternal mortalityen_US
dc.subjectSurgical site infectionen_US
dc.subjectWound infectionen_US
dc.subjectSepsisen_US
dc.subjectSub-Saharan Africaen_US
dc.titleBurden of Surgical Site Infection Following Cesarean Section in Sub-Saharan Africa: A Narrative Reviewen_US
dc.typeArticleen_US
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