Evidence map›Paper›PMID 40666253›Full record

SynthesisFrontiers in global women's health2025

Surgical site infections after caesarean section across sub-Sahara Africa: a scoping review of prevalence and associated factors.

Rebekah Wood, Anna Borodova, Sophie Wolter, Micheline N'Guessan, Amadou Aziz Diallo, Mamadou Kamis Diallo, Katharina Heldt, Carlos Rocha, Ibrahima Nabé, Bamourou Diané and 2 more

Abstract readSystematic Review
In one paragraph

Synthesis in Frontiers in global women's health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Article
  6. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Rebekah Wood *Centre for International Health Protection, Robert Koch Institute, Berlin, Germany.
Anna Borodova *Centre for International Health Protection, Robert Koch Institute, Berlin, Germany.
Sophie WolterCentre for International Health Protection, Robert Koch Institute, Berlin, Germany.
Micheline N'GuessanUniversity Hospital Bouaké, Bouaké, Côte d'Ivoire.
Amadou Aziz DialloFaranah Regional Hospital, Faranah, Guinea.
Mamadou Kamis DialloFaranah Regional Hospital, Faranah, Guinea.
Katharina HeldtMethods Development, Research Infrastructure and Information Technology, Robert Koch Institute, Berlin, Germany.
Carlos RochaCentre for International Health Protection, Robert Koch Institute, Berlin, Germany.
Ibrahima NabéFaranah Regional Hospital, Faranah, Guinea.
Bamourou DianéUniversity Hospital Bouaké, Bouaké, Côte d'Ivoire.
Mahamoud Sama CherifFaranah Regional Hospital, Faranah, Guinea.
Sophie Alice MüllerCentre for International Health Protection, Robert Koch Institute, Berlin, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Surgical site infections are among the most common healthcare associated infections worldwide and pose a significant risk in cesarean section procedures, which are the most frequently performed surgical operations globally. Our scoping review aimed to synthesize available literature from studies conducted in sub-Saharan Africa on the prevalence of post-caesarean surgical site infections, as well as on reported associated factors. In this scoping review we included studies retrieved in OVID from January 2014 to January 15, 2024 without restrictions on the language of publication or publication status focusing on studies from sub-Saharan African countries. The review was registered on the Open Science Framework platform. The reported rates of surgical site infection across the 73 included studies ranged from 2.0%-56.0%. A forest plot showed that the studies were highly heterogeneous, whereby only 11.0% showed a surgical site infection rate above 20.0%. Most surgical site infections surfaced within two-weeks after a caesarean section. The strongest and most frequently cited risk factors were: duration of labour ≥8 h, surgical duration, multiple vaginal examinations, stored water usage, and premature rupture of membrane. The following protective factors were also determined: Pfannenstiel/transversal incisions, caesarean section at term, having health insurance, normal body mass index, <1 h of surgical intervention, <24 h of premature rupture of membrane, low intraoperative blood loss and absorbable sutures. Staphylococcus Systematic Review Registration: https://osf.io/qe7bf/.

Indexed as

caesareanscoping reviewsub-Saharan Africasurgical site infectionwound infection

Identifiers

PMID40666253
PMCPMC12259575

What OpenQuestion holds

Textmetadata
LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.