ArticleThe British journal of surgery2019
Prevalence and predictors of surgical-site infection after caesarean section at a rural district hospital in Rwanda.
Article in The British journal of surgery, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers, 5 of them syntheses that pooled it.
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Who cites it
36 citing papers in PubMed, 5 syntheses or guidelines pooled it, 66 citations in OpenAlex.
- Epidemiology of surgical site infections post-cesarean section in Africa: a comprehensive systematic review and meta-analysis.BMC pregnancy and childbirth · 2025Pooled it
- Surgical site infections after caesarean section across sub-Sahara Africa: a scoping review of prevalence and associated factors.Frontiers in global women's health · 2025Pooled it
- Prevalence of post-caesarean section surgical site infections in Rwanda: A systematic review and meta-analysis.International wound journal · 2024Pooled it
- Prevalence, risk factors, and antimicrobial resistance of endemic healthcare-associated infections in Africa: a systematic review and meta-analysis.BMC infectious diseases · 2024Pooled it
- Surgical site infection following cesarean section and its predictors in Ethiopia: A systematic review and meta-analysis.PloS one · 2024Pooled it
- The Effect and Feasibility of mHealth-Supported Surgical Site Infection Diagnosis by Community Health Workers After Cesarean Section in Rural Rwanda: Randomized Controlled Trial.JMIR mHealth and uHealth · 2022Trial
- Does community-based health insurance protect women from financial catastrophe after cesarean section? A prospective study from a rural hospital in Rwanda.BMC health services research · 2022Trial
- Diagnosing Post-Cesarean Surgical Site Infections in Rural Rwanda: Development, Validation, and Field Testing of a Screening Algorithm for Use by Community Health Workers.Surgical infections · 2020Trial
- Magnitude and Associated Factors of Surgical Site Infection Following Cesarean Section: A Cross-Sectional Study in Southern Ethiopia.Health science reports · 2026Article
- Environmental Determinants of Surgical Site Infections in Abdominal Surgeries: A Scoping Review of Evidence from East Africa.Journal of multidisciplinary healthcare · 2026Review
- Perioperative outcomes at three rural Rwandan district hospitals: a 28-day prospective observational cohort study.BMJ global health · 2025Observational
- Acceptability of telemedicine for early surgical site infection diagnosis after cesarean delivery in rural Rwanda: a qualitative study.Maternal health, neonatology and perinatology · 2025Article
- Maternal mortality following caesarean section in a low-resource setting: a National Malawian Surveillance Study.BMJ global health · 2024Article
- Prevalence and Risk Factors for Surgical Site Infections among Patients in Referral Hospitals in Rwanda.Rwanda journal of medicine and health sciences · 2024Article
- Knowledge and Practice of Health Care Professionals Regarding the Prevention of Surgical Site Infections at Tertiary Hospitals in Rwanda.Rwanda journal of medicine and health sciences · 2024Article
- The Implementation of Simulation-Based Learning for Training Undergraduate Medical Students in Essential Surgical Care Across Sub-Saharan Africa: a Scoping Review.Medical science educator · 2024Article
- Functional recovery after cesarean delivery: a prospective cohort study in rural Rwanda.BMC pregnancy and childbirth · 2023Article
- Late and Persistent Symptoms Suggestive of Surgical Site Infections After Cesarean Section: Results from a Prospective Cohort Study in Rural Rwanda.Surgical infections · 2023Article
- Antibiotic Utilization Patterns for Different Wound Types among Surgical Patients: Findings and Implications.Antibiotics (Basel, Switzerland) · 2023Article
- Long travel times from health center to hospital reduce caesarean section access: a study from Kirehe District, Rwanda.The Pan African medical journal · 2023Article
Corrections and comments
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Authors and funding
15 authors at 3 institutions in 3 countries.
Funding
Abstract
backgroundThere are few prospective studies of outcomes following surgery in rural district hospitals in sub-Saharan Africa. This study aimed to estimate the prevalence and predictors of surgical-site infection (SSI) following caesarean section at Kirehe District Hospital in rural Rwanda.
methodsAdult women who underwent caesarean section between March and October 2017 were given a voucher to return to the hospital on postoperative day (POD) 10 (±3 days). At the visit, a physician evaluated the patient for an SSI. A multivariable logistic regression model was used to identify risk factors for SSI, built using backward stepwise selection.
resultsOf 729 women who had a caesarean section, 620 were eligible for follow-up, of whom 550 (88·7 per cent) returned for assessment. The prevalence of SSI on POD 10 was 10·9 per cent (60 women). In the multivariable analysis, the following factors were significantly associated with SSI: bodyweight more than 75 kg (odds ratio (OR) 5·98, 1·56 to 22·96; P = 0·009); spending more than €1·1 on travel to the health centre (OR 2·42, 1·31 to 4·49; P = 0·005); being a housewife compared with a farmer (OR 2·93, 1·08 to 7·97; P = 0·035); and skin preparation with a single antiseptic compared with a combination of two antiseptics (OR 4·42, 1·05 to 18·57; P = 0·043). Receiving either preoperative or postoperative antibiotics was not associated with SSI.
conclusionThe prevalence of SSI after caesarean section is consistent with rates reported at tertiary facilities in sub-Saharan Africa. Combining antiseptic solutions for skin preparation could reduce the risk of SSI.
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