Master of Public Health in Reproductive Health

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    DETEMINANTS OF SURGICAL SITE INFECTION FOLLOWING CESAREAN DELIVERIES IN HAWASSA UNIVERSITY COMPREHENSIVE SPECIALIZED HOSPITAL, HAWASSA, ETHIOPIA : UNMATCHED CASE –CONTROL STUDY
    (hawassa universty, 2023-05) SISAY DEJENE
    Background - Globally the incidence of infection following Cesearn delivery was significantly higher in lower-income countries including Ethiopia. Even though surgical site infection is among the leading causes of maternal mortality and morbidity, only a few studies have been conducted on the determinants of surgical site infection following cesarean deliveries. Objective – This study aimed to identify the determinants of surgical site infection following cesarean deliveries in Hawassa University Comprehensive Specialized Hospital Hawassa, Ethiopia. Methods – A hospital-based unmatched case-control study was conducted from September 2019- to September 2022 at Hawassa University Comprehensive Specialized Hospital. Data was extracted from April 15 to May 15, 2023. Cases were selected through consecutive sampling, while controls were selected using a systematic random sampling method. A total of 320 participants were included (107 cases and 213 controls). Data were collected by using the Open Data kit (ODK) downloaded and exported to XLS then imported to SPSS version 26. A binary logistic regression model was conducted and a variable with a p-value of < 0.25 was selected as a candidate variable for the final multivariable logistic regression model and a P-value of less than 0.05 was statistically considered as significant predictors. Results: A total of 320 mothers (107 cases and 213 controls) were included in this study. Women with diabetes mellitus were 3.7 times [AOR: 3.71, 95%CI: 1.18–11.66] at higher odds for surgical site infection compared to women who did not have diabetes mellitus. Vaginal examination [AOR= 2.28 (95%CI, 1.15-4.54)], post-operative hematocrit less than 30% [AOR= 4.12(95% CI 1.97-8.61).women in labour during C/S [AOR= 5.16( (95%CI,1.33-20.1)]. more than 5 days duration of hospital stay[AOR=3.42 (95%CI, 1.32-8.89)] were identified factors. Conclusion and Recommendation ; In this study Diabetes mellitus, Number of vaginal examinations, post-operative hematocrit, labor status during C/S and length of hospital stay were the identified as determinants of surgical site infection following cesarean deliveries. Therefore early detection and risk assessment during certain times in order to reduce these determining factors of surgical site infection is important