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Post-Cesarean Parietal Suppurations in a Level II Maternity Hospital in Guinea: Sociodemographic, Clinical, Therapeutic and Prognostic Aspects

Received: 24 December 2021    Accepted: 15 January 2022    Published: 24 January 2022
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Abstract

Surgical site infections are frequently encountered in developing countries. In the world, cesarean section is one of the most performed surgical procedures for women. The objective of this study was to describe the socio-demographic, clinical, therapeutic and prognostic aspects of post-cesarean suppurations in the gynecology-obstetrics department of the Communal Medical Center of Ratoma. This was a descriptive study carried out in the gynecology-obstetrics department of the Communal Medical Center of Ratoma (maternity level II) in Guinea extended over six months from April 1 to September 30, 2020. The patients who presented with post suppuration - cesarean section and accepted to participate in the study were included. The variables were socio-demographic, clinical, therapeutic and prognostic. Forty-eight cases of suppurations were recorded out of 1090 cesarean sections, i.e. a frequency of 4.4%. The 31 to 36 age group was the most represented (41.67%). The average age was 23.29±4.76 years with extremes of 16 and 36 years. These were mainly housewives (41.66%), married women (95.84%) and residents mostly in the municipality of Ratoma (75.01%). The time to rupture of the membranes was less than 12 hours in 62.50% of cases and cesarean section was performed urgently in 83.33% of cases and the most frequent indication was foeto-pelvic disproportion in 33.34% of cases. The mean duration of the operation was 37.78±9.10 minutes with extremes of 20 and 75 minutes in the majority of cases. Suppuration was diagnosed at week 1 (60%) and the identified germ was staphylococcus aureus in 61, 53% of cases. No revision surgery had been performed and no maternal deaths were recorded. Post-cesarean parietal suppuration remains frequent; thus a better identification of the factors favoring this affection could make it possible to significantly reduce their incidence and consequently improve the maternal prognosis.

Published in Journal of Gynecology and Obstetrics (Volume 10, Issue 1)
DOI 10.11648/j.jgo.20221001.14
Page(s) 26-31
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Suppuration, Post-cesarean, Guinea

References
[1] Sawadogo YA, Komboigo E, Kiemtore S, Zamane H, Ouedraogo I, Kain DP, et al. Post-parietal suppurationsCaesarean sections at the YalgadoOuedraogo University Hospital Center, Burkina-Faso: epidemiological, clinical, therapeutic and prognostic aspects. Pan Afr Med J 2019.
[2] Farret TCF, Dallé J, Monteiro V da S, Riche CVW, Antonello VS. Riskfactors for surgical site infection followingcesarean section in a Brazilianwomen's hospital: a case-control study. Braz J Infect Dis Off PublBrazSoc Infect Dis 2015; 19: 113–7. https://doi.org/10.1016/j.bjid.2014.09.009.
[3] Zejnullahu VA, Isjanovska R, Sejfija Z, Zejnullahu VA. Surgical site infections aftercesarean sections at the universityclinical center of Kosovo: rates, microbiological profile and riskfactors. BMC Infect Dis 2019; 19: 752. https://doi.org/10.1186/s12879-019-4383-7.
[4] Berthé B, Traoré S, Konaté I, Sogoba D, Tall S, Samaké A, et al. Comparative study of surgical site infections: systematic cesarean section versus iterative cesarean section at the reference health center of commune V of the district of Bamako / Mali 2019.
[5] Shrestha B, Marhatha R, Giri A, Jaisi S, Maskey U. Surgical site wound infection in relation to antibioticprophylaxisgivenbefore skin incision and aftercord clamping during cesareandelivery. Nepal Med Coll J NMCJ 2014; 16: 148–51.
[6] Searle RJ, Myers D. A survey of caesarean section surgical site infections with PICOTM Single Use Negative Pressure WoundTherapy System in high-risk patients in England and Ireland. J Hosp Infect 2017; 97: 122–4. https://doi.org/10.1016/j.jhin.2017.02.023.
[7] Simon L, Heriteau F, Astagneau P, Bernet C, Berger-Carbonne A. Surveillance of surgical site infections in French healthcare establishments 2016.
[8] Merzougui L, Marwen N, Hannachi H, Asma M, Elhaj OB, Waddah M, et al. Incidence and risk factors of surgical site infection after cesarean section in a maternity hospital in Tunisia. Public Health 2018; 30: 339–47.
[9] Berríos-Torres SI, Umscheid CA, Bratzler DW, Leas B, Stone EC, Kelz RR, et al. Centers for Disease Control and Prevention Guideline for the Prevention of Surgical Site Infection, 2017. JAMA Surg 2017; 152: 784. https://doi.org/10.1001/jamasurg.2017.0904.
[10] Wendmagegn TA, Abera GB, Tsehaye WT, Gebresslasie KB, Tella BG. Magnitude and determinants of surgical site infecion among women under wentcesarean section in Ayder comprehensive specialized hospital Mekelle City, Tigrayregion, Northern Ethiopia, 2016. BMC Pregnancy Childbirth 2018; 18: 489. https://doi.org/10.1186/s12884-018-2075-8.
[11] Krieger Y, Walfisch A, Sheiner E. Surgical site infection followingcesareandeliveries: trends and riskfactors. J Matern Fetal Neonatal Med 2017; 30: 8–12. https://doi.org/10.3109/14767058.2016.1163540.
[12] Mpogoro FJ, Mshana SE, Mirambo MM, Kidenya BR, Gumodoka B, Imirzalioglu C. Incidence and predictors of surgical site infections following caesarean sections at Bugando Medical Center, Mwanza, Tanzania. AntimicrobResist Infect Control 2014; 3: 25. https://doi.org/10.1186/2047-2994-3-25.
[13] Amenu D, Belachew T, Araya F. Surgical site infection rate and risk factors among obstetric cases of jimma university specialized hospital, southwest ethiopia. Ethiop J HealthSci 2011; 21: 91–100. https://doi.org/10.4314/ejhs.v21i2.69049.
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    Ibrahima Koussy Bah, Abdourahmane Diallo, Sekouba Kouyate, Thierno Souleymane Diallo, Oumar Diawara, et al. (2022). Post-Cesarean Parietal Suppurations in a Level II Maternity Hospital in Guinea: Sociodemographic, Clinical, Therapeutic and Prognostic Aspects. Journal of Gynecology and Obstetrics, 10(1), 26-31. https://doi.org/10.11648/j.jgo.20221001.14

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    ACS Style

    Ibrahima Koussy Bah; Abdourahmane Diallo; Sekouba Kouyate; Thierno Souleymane Diallo; Oumar Diawara, et al. Post-Cesarean Parietal Suppurations in a Level II Maternity Hospital in Guinea: Sociodemographic, Clinical, Therapeutic and Prognostic Aspects. J. Gynecol. Obstet. 2022, 10(1), 26-31. doi: 10.11648/j.jgo.20221001.14

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    AMA Style

    Ibrahima Koussy Bah, Abdourahmane Diallo, Sekouba Kouyate, Thierno Souleymane Diallo, Oumar Diawara, et al. Post-Cesarean Parietal Suppurations in a Level II Maternity Hospital in Guinea: Sociodemographic, Clinical, Therapeutic and Prognostic Aspects. J Gynecol Obstet. 2022;10(1):26-31. doi: 10.11648/j.jgo.20221001.14

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  • @article{10.11648/j.jgo.20221001.14,
      author = {Ibrahima Koussy Bah and Abdourahmane Diallo and Sekouba Kouyate and Thierno Souleymane Diallo and Oumar Diawara and Ibrahima Amadou Diallo and Yero Diouma Sow and Abdoul Karim Bangoura and Telly Sy},
      title = {Post-Cesarean Parietal Suppurations in a Level II Maternity Hospital in Guinea: Sociodemographic, Clinical, Therapeutic and Prognostic Aspects},
      journal = {Journal of Gynecology and Obstetrics},
      volume = {10},
      number = {1},
      pages = {26-31},
      doi = {10.11648/j.jgo.20221001.14},
      url = {https://doi.org/10.11648/j.jgo.20221001.14},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.jgo.20221001.14},
      abstract = {Surgical site infections are frequently encountered in developing countries. In the world, cesarean section is one of the most performed surgical procedures for women. The objective of this study was to describe the socio-demographic, clinical, therapeutic and prognostic aspects of post-cesarean suppurations in the gynecology-obstetrics department of the Communal Medical Center of Ratoma. This was a descriptive study carried out in the gynecology-obstetrics department of the Communal Medical Center of Ratoma (maternity level II) in Guinea extended over six months from April 1 to September 30, 2020. The patients who presented with post suppuration - cesarean section and accepted to participate in the study were included. The variables were socio-demographic, clinical, therapeutic and prognostic. Forty-eight cases of suppurations were recorded out of 1090 cesarean sections, i.e. a frequency of 4.4%. The 31 to 36 age group was the most represented (41.67%). The average age was 23.29±4.76 years with extremes of 16 and 36 years. These were mainly housewives (41.66%), married women (95.84%) and residents mostly in the municipality of Ratoma (75.01%). The time to rupture of the membranes was less than 12 hours in 62.50% of cases and cesarean section was performed urgently in 83.33% of cases and the most frequent indication was foeto-pelvic disproportion in 33.34% of cases. The mean duration of the operation was 37.78±9.10 minutes with extremes of 20 and 75 minutes in the majority of cases. Suppuration was diagnosed at week 1 (60%) and the identified germ was staphylococcus aureus in 61, 53% of cases. No revision surgery had been performed and no maternal deaths were recorded. Post-cesarean parietal suppuration remains frequent; thus a better identification of the factors favoring this affection could make it possible to significantly reduce their incidence and consequently improve the maternal prognosis.},
     year = {2022}
    }
    

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  • TY  - JOUR
    T1  - Post-Cesarean Parietal Suppurations in a Level II Maternity Hospital in Guinea: Sociodemographic, Clinical, Therapeutic and Prognostic Aspects
    AU  - Ibrahima Koussy Bah
    AU  - Abdourahmane Diallo
    AU  - Sekouba Kouyate
    AU  - Thierno Souleymane Diallo
    AU  - Oumar Diawara
    AU  - Ibrahima Amadou Diallo
    AU  - Yero Diouma Sow
    AU  - Abdoul Karim Bangoura
    AU  - Telly Sy
    Y1  - 2022/01/24
    PY  - 2022
    N1  - https://doi.org/10.11648/j.jgo.20221001.14
    DO  - 10.11648/j.jgo.20221001.14
    T2  - Journal of Gynecology and Obstetrics
    JF  - Journal of Gynecology and Obstetrics
    JO  - Journal of Gynecology and Obstetrics
    SP  - 26
    EP  - 31
    PB  - Science Publishing Group
    SN  - 2376-7820
    UR  - https://doi.org/10.11648/j.jgo.20221001.14
    AB  - Surgical site infections are frequently encountered in developing countries. In the world, cesarean section is one of the most performed surgical procedures for women. The objective of this study was to describe the socio-demographic, clinical, therapeutic and prognostic aspects of post-cesarean suppurations in the gynecology-obstetrics department of the Communal Medical Center of Ratoma. This was a descriptive study carried out in the gynecology-obstetrics department of the Communal Medical Center of Ratoma (maternity level II) in Guinea extended over six months from April 1 to September 30, 2020. The patients who presented with post suppuration - cesarean section and accepted to participate in the study were included. The variables were socio-demographic, clinical, therapeutic and prognostic. Forty-eight cases of suppurations were recorded out of 1090 cesarean sections, i.e. a frequency of 4.4%. The 31 to 36 age group was the most represented (41.67%). The average age was 23.29±4.76 years with extremes of 16 and 36 years. These were mainly housewives (41.66%), married women (95.84%) and residents mostly in the municipality of Ratoma (75.01%). The time to rupture of the membranes was less than 12 hours in 62.50% of cases and cesarean section was performed urgently in 83.33% of cases and the most frequent indication was foeto-pelvic disproportion in 33.34% of cases. The mean duration of the operation was 37.78±9.10 minutes with extremes of 20 and 75 minutes in the majority of cases. Suppuration was diagnosed at week 1 (60%) and the identified germ was staphylococcus aureus in 61, 53% of cases. No revision surgery had been performed and no maternal deaths were recorded. Post-cesarean parietal suppuration remains frequent; thus a better identification of the factors favoring this affection could make it possible to significantly reduce their incidence and consequently improve the maternal prognosis.
    VL  - 10
    IS  - 1
    ER  - 

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Author Information
  • Department of Gynecology and Obstetrics, Faculty of Health Sciences and Techniques of Gamal Abdel Nasser University in Conakry, Conakry, Guinea

  • Department of Gynecology and Obstetrics, Faculty of Health Sciences and Techniques of Gamal Abdel Nasser University in Conakry, Conakry, Guinea

  • Department of Gynecology and Obstetrics, Faculty of Health Sciences and Techniques of Gamal Abdel Nasser University in Conakry, Conakry, Guinea

  • Department of Gynecology and Obstetrics, Faculty of Health Sciences and Techniques of Gamal Abdel Nasser University in Conakry, Conakry, Guinea

  • Department of Gynecology and Obstetrics, Faculty of Health Sciences and Techniques of Gamal Abdel Nasser University in Conakry, Conakry, Guinea

  • Department of Gynecology and Obstetrics, Faculty of Health Sciences and Techniques of Gamal Abdel Nasser University in Conakry, Conakry, Guinea

  • Department of Gynecology and Obstetrics, Faculty of Health Sciences and Techniques of Gamal Abdel Nasser University in Conakry, Conakry, Guinea

  • Department of Gynecology and Obstetrics, Faculty of Health Sciences and Techniques of Gamal Abdel Nasser University in Conakry, Conakry, Guinea

  • Department of Gynecology and Obstetrics, Faculty of Health Sciences and Techniques of Gamal Abdel Nasser University in Conakry, Conakry, Guinea

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