A case-control study of risk factors for surgical site infection after cesarean delivery in eastern Burkina Faso.
OBJECTIVE
To identify the risk factors for surgical site infection after cesarean delivery in a rural area in eastern Burkina Faso.


METHODS
A matched case-control study was conducted in Fada N'Gourma Regional Hospital Center and the Diapaga Medical Center with Surgical Antenna using data from 2011-2014. A total of 99 cases of surgical site infection after cesarean delivery were included in the study. Each case was matched with a control patient similar for age, admission date, and facility where the cesarean took place. Risk factors were identified using conditional logistic regression.


RESULTS
Multivariate analysis identified hyperthermia at admission (OR 2.37; P=0.035), the presence of caput succedaneum in newborns (OR 7.07; P=0.001), and difficult delivery (OR 3.69; P=0. 019) as risk factors for surgical site infection.


CONCLUSIONS
Provision of quality prenatal care, use of the partograph during labor, and the responsiveness of health workers during labor can reduce surgical site infection after cesarean delivery.
African Institute of Public Health, Ouagadougou, Burkina Faso; Directorate of Family Health, Ministry of Health, Ouagadougou, Burkina Faso.
Boezemwendé
B
Kaboré
Fada N'Gourma Regional Hospital, Fada N'Gourma, Burkina Faso.
Georges
G
Soudouem
Institute for Health and Development, Dakar, Senegal.
Ibrahima
I
Seck
African Institute of Public Health, Ouagadougou, Burkina Faso.
Tieba
T
Millogo
African Institute of Public Health, Ouagadougou, Burkina Faso.
Wambi Maurice
WM
Evariste Yaméogo
African Institute of Public Health, Ouagadougou, Burkina Faso; Research Institute of Health Sciences, Ouagadougou, Burkina Faso. Electronic address: sekouanda@yahoo.fr.
Seni
S
Kouanda
D002050:Burkina Faso / Q000453:epidemiology; D016022:Case-Control Studies; D002585:Cesarean Section / Q000009:adverse effects* / Q000706:statistics & numerical data; D005260:Female; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D008297:Male; D011203:Poverty; D011247:Pregnancy; D011256:Pregnancy Outcome / Q000453:epidemiology; D011295:Prenatal Care / Q000379:methods*; D013530:Surgical Wound Infection / Q000453:epidemiology / Q000209:etiology*
Burkina Faso; Cesarean delivery; Risk factors; Surgical site infection