Abstract

Surgical Site Infection is an infection related to a surgical procedure that occurs near the
surgical site within 30 days following surgery (or up to 90 days following surgery where an
implant is involved). After surgery, the chances of developing SSI are about 1% to 3%. Without
timely treatment, sepsis can rapidly lead to tissue damage, organ failure, and death. To
determine factors associated with post-cesarean section SSI among postoperative mothers in
Mubende Regional Referral Hospital. This was a case-control study design. Post cesarean
section mothers with wound infection were the cases and post cesarean section mothers
without post cesarean section site infection at the same post-natal Ward, with the same age
and with the same exposure like the cases were the controls. Data collected was clear, coded
and entered into Microsoft excel, then analyzed using SPSS v.20.Bivariate and Multivariate
analysis was done to check for the relationship between dependent and independent
variables. Descriptive data were presented using frequency tables. At a multivariate stage,
number of ANC visits, type of surgery, HIV status, type of incision, preoperative antibiotics,
duration of labor, diabetes mellitus and BMI were independently associated with SSI after
cesarean section. Surgical site infection after cesarean section is still a significant public
health challenge. Predictors in include: ANC attendance, type of skin incision, HIV status,
duration of labour, diabetes mellitus, BMI, type of surgery and pre-operative antibiotics.
Based on the findings, increased awareness of these risk factors informing development and
implementation of protocols may minimize SSI rate after CS. Additionally, provision of health
education to patients and community.