埃塞俄比亚剖宫产术后手术部位感染及其相关因素：一项横断面研究。
Surgical site infection and its associated factors following cesarean section in Ethiopia: a cross-sectional study.
作者信息
Azeze Getnet Gedefaw, Bizuneh Asmamaw Demis
机构信息
Department of Midwifery, Faculty of Health Sciences, Woldia University, Woldia, Ethiopia.
Department of Nursing, Faculty of Health Sciences, Woldia University, Woldia, Ethiopia.
出版信息
BMC Res Notes. 2019 May 27;12(1):288. doi: 10.1186/s13104-019-4325-x.
OBJECTIVE
This study aimed to determine the magnitude and associated factors of surgical site infection following cesarean section at Felegehiwot referral hospital, Amhara, Bahir Dar, Ethiopia, 2018. An institution-based retrospective cross-sectional study was conducted from April 1 to May 30, 2018, at Felegehiwot referral hospital. Retrospective chart review was implemented on 383 women who gave birth via cesarean section at Felegehiwot hospital from October 1, 2016 to September 30, 2017. Systematic random sampling technique was implemented to select patient medical charts.
RESULTS
This study revealed that the prevalence of surgical site infection following cesarean section was 7.8% with the [95% CI 5.2-10.5%]. Rupture of membrane before cesarean section (AOR = 13.9, 95% CI 2.99-64.8), vertical skin incision/longitudinal abdominal incision (AOR = 4.77, 95% CI 1.74-13.06), duration of operation lasting longer than 30 min (AOR = 4.9, 95% CI 1.8-13.1), interrupted skin closure technique (AOR = 6.29, 95% CI 2.07-19.11) were statistically associated with surgical site infection following cesarean section.
目的
本研究旨在确定2018年埃塞俄比亚巴赫达尔阿姆哈拉地区费莱盖希沃特转诊医院剖宫产术后手术部位感染的发生率及相关因素。2018年4月1日至5月31日，在费莱盖希沃特转诊医院开展了一项基于机构的回顾性横断面研究。对2016年10月1日至2017年9月30日在费莱盖希沃特医院剖宫产分娩的383名妇女进行回顾性病历审查。采用系统随机抽样技术选择患者病历。
结果
本研究显示，剖宫产术后手术部位感染的患病率为7.8%，[95%置信区间5.2 - 10.5%]。剖宫产术前胎膜破裂（比值比=13.9，95%置信区间2.99 - 64.8）、垂直皮肤切口/腹部纵切口（比值比=4.77，95%置信区间1.74 - 13.06）、手术持续时间超过30分钟（比值比=4.9，95%置信区间1.8 - 13.1）、间断皮肤缝合技术（比值比=6.29，95%置信区间2.07 - 19.11）与剖宫产术后手术部位感染在统计学上相关。
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