Post-caesarean section surgical site infections at a Tanzanian tertiary hospital: a prospective observational study

J Hosp Infect. 2016 Aug;93(4):355-9. doi: 10.1016/j.jhin.2016.02.021. Epub 2016 Mar 11.


Few data are available on the determinants and characteristics of post-caesarean section (CS) surgical site infections (SSIs) in resource-limited settings. We conducted a prospective observational cohort study to evaluate the rates, determinants, and microbiological characteristics of post-CS SSI at the Dodoma Regional Referral Hospital (DRRH) Gynaecology and Obstetrics Department in Tanzania. Spanning a three-month period, all pregnant women who underwent CS were enrolled and followed up for 30 days. SSI following CS occurred in 224 (48%) women. Only 10 (2.1%) women received pre-incision antibiotic prophylaxis. Urgent intervention is needed to prevent and control infections and contain the rising rate of post-CS SSI at the DRRH.

Keywords: Antibiotic prophylaxis; Antimicrobial resistance; Caesarean section; Pregnant women; Resource-limited settings; Surgical site infection.

Publication types

  • Observational Study

MeSH terms

  • Adult
  • Antibiotic Prophylaxis / statistics & numerical data
  • Cesarean Section / adverse effects*
  • Female
  • Humans
  • Pregnancy
  • Prospective Studies
  • Surgical Wound Infection / epidemiology*
  • Tanzania / epidemiology
  • Tertiary Care Centers
  • Young Adult