Infections of the post-cesarean operating site: epidemiological, clinical, bacteriological, therapeutic and evolutionary aspects in the department of gynecology and obstetrics of the regional university teaching hospital of Ouahigouya

Abstract

Objective: To study post-cesarean surgical site infections (SSI) in the department of obstetrics and gynecology of the Regional University Teaching Hospital of Ouahigouya (RUTHC-OHG), from January 1, 2020 to December 31, 2020.

Methodology: it was a descriptive cross-sectional study with a prospective collection conducted in the department of gynecology and obstetrics of RUTHC / OHG, from January 1, 2020 to December 31, 2020.

Results: Atotal of 787 cesarean sections were performed among which 85 cases of SSI were found, for an incidence of 10.8%. The mean age of the patients was 25.9 years. Housewives accounted for 72.9% of cases, the out-of-school 54.1%. The majority of these were first-time mothers, or 45.9% of cases. SSI was diagnosed mainly between the 4th and 7th postoperative day (75.3%). Superficial infection, in particular parietal suppuration, was the most common, ie 87.5% of cases. The germs identified were mainly Staphylococcus aureus (37.3%), Staphylococcus saprophyticcus (25.5%) and Escherichia coli (17.7%). No maternal deaths have been recorded related to SSI.

Conclusion: Infections at the post-cesarean section remain high in the obstetric gynecology department of RUTHC/OHG. Strict adherence to the prevention rules and control of healthcare-related infections could reduce its incidence.