Alshahrani Najim Z, Albeshry Abdulrahman M, Aljunaid Mohammed A, Kilani Mohammed A
Department of Family and Community Medicine, Faculty of Medicine, University of Jeddah, Jeddah, Saudi Arabia.
Department of Family and Community Medicine, Faculty of Medicine, University of Jeddah, Jeddah, Saudi Arabia.
J Infect Public Health. 2025 Sep;18(9):102855. doi: 10.1016/j.jiph.2025.102855. Epub 2025 May 31.
This systematic review and meta-analysis evaluated the prevalence, risk factors, and outcomes of surgical site infections (SSIs) following cesarean sections (C/S) in Saudi Arabia, a significant public health concern impacting maternal morbidity and hospital stays. Seven studies, including 7632 women, were analyzed. The pooled prevalence of SSIs post-cesarean section was 3 % (95 % CI: 2 %-4 %), with substantial heterogeneity across studies (I² = 81.8 %). Consistently identified risk factors included Pre-existing diabetes mellitus, Obesity (BMI ≥ 30), and prolonged surgery duration, while hypertension, premature rupture of membranes, and gestational age showed no significant association with SSIs. Most infections were managed effectively with systemic antibiotics, and maternal outcomes were generally favorable, although some cases required prolonged recovery or neonatal intensive care admission. Staphylococcus aureus and Escherichia coli were among the most common causative pathogens. These findings underscore the need for enhanced preventive strategies and standardized protocols to reduce SSI rates and improve maternal and neonatal health outcomes in Saudi Arabia.
本系统评价和荟萃分析评估了沙特阿拉伯剖宫产术后手术部位感染（SSI）的患病率、危险因素及转归，这是一个影响孕产妇发病率和住院时间的重大公共卫生问题。分析了7项研究，共纳入7632名女性。剖宫产术后SSI的合并患病率为3%（95%CI：2%-4%），各研究间存在显著异质性（I² = 81.8%）。一致确定的危险因素包括既往糖尿病、肥胖（BMI≥30）和手术时间延长，而高血压、胎膜早破和孕周与SSI无显著关联。大多数感染通过全身使用抗生素得到有效控制，尽管有些病例需要延长恢复时间或入住新生儿重症监护病房，但孕产妇转归总体良好。金黄色葡萄球菌和大肠杆菌是最常见的致病病原体。这些发现强调了在沙特阿拉伯加强预防策略和标准化方案以降低SSI发生率并改善孕产妇和新生儿健康结局的必要性。
