Table 6 The bivariate and multivariable association of surgical site infections and independent factors among women who underwent obstetrics surgery at FHRH, Ethiopia, 2018 (n = 447)
Characteristics | Surgical site infection | COR(95% CI) | AOR(95% CI) | p value | |
|---|---|---|---|---|---|
Yes | No | ||||
Duration of labor | |||||
≤ 24 h | 23 (54.8%) | 246 (82.2) | 1 | 1 | |
≥ 25 h | 19 (45.2%) | 53 (17.8%) | 3.83 (1.68–7.84) | 5.25 (2.32–11.8) | 0.001** |
Duration of operation | |||||
≤ 1 h | 34 (81%) | 367 (90.6) | 1 | 1 | |
> 1 h | 8 (19%) | 38 (9.4%) | 2.27 (0.98–5.26) | 0.5 (0.15–1.68) | 0.26 |
Duration of ROM | |||||
< 12 h | 9 (22.5%) | 118 (45.7) | 1 | 1 | |
≥ 12 h | 31 (77.5%) | 140 (54.3) | 2.9 (1.32–6.34) | 1.98 (0.76–5.1) | 0.16 |
Chorioamnionitis | |||||
Yes | 9 (22.5%) | 14 (5.4) | 5.06 (2.02.12.) | 3.73 (1.22–11.4) | 0.021** |
No | 31 77.5(%) | 244 (94.6) | 1 | 1 | |
Type of incision | |||||
Pfannenstiel | 22 (52.4%) | 325 (80.2%) | 1 | 1 | |
Vertical | 20 (47.6%) | 80 (19.8%) | 3.69 (1.92–7.09) | 1.6 (0.67–3.74) | 0.26 |
DM | |||||
yes | 5 (19%) | 15 (3.7) | 3.5 (1.2–10.2) | 3.99 (1.03–15.5) | 0.045** |
No | 37 (88.1%) | 390 (96.3) | 1 | 1 | |
Skin closure technique | |||||
Interrupted | 10 (23.8%) | 30 (7.4) | 3.9 (1.75–8.7) | 0.57 (0.16–2.03) | 0.39 |
Subcuticular | 32 (76.2%) | 375 (92.6) | 1 | 1 | |
Type of anesthesia | |||||
SA | 27 (64.3%) | 333 (82.2) | 1 | 1 | |
GA | 15 (35.7%) | 72 (17.8%) | 2.56 (1.3–5.07) | 1.34 (0.35–5.1) | 0.66 |
PIH | |||||
yes | 11 (26.2%) | 36 (8.8%) | 3.63 (1.68–7.84) | 6.4 (2.26–18.2) | 0.000** |
No | 31 (75.8%) | 369 (91.2) | 1 | 1 | |
Thickness of subcutaneous tissue | |||||
≤ 2 cm | 26 (61.9%) | 343 (84.4) | 1 | 1 | |
> 2 cm | 16 (38.1%) | 62 (15.6) | 3.4 (1.72–6.71) | 4.05 (1.75–9.4) | 0.001** |
EBL | |||||
≤ 1 L | 36 (85.7%) | 378 (93.3) | 2.3 (0.9–6) | 1.3 (0.26–6.6) | 0.74 |
> 1 L | 6 (14.3%) | 27 (6.7%) | 1 | 1 | |
UTI | |||||
yes | 7 (1.7) | 5 (11.9) | 1 | 1 | |
No | 398 (98.3) | 37 (88.1) | 7.68 (2.3–25.4) | 7.78 (1.4–43.25) | 0.019** |
HIV/AIDS | |||||
Yes | 8 (19.7) | 5 (11.9) | 1 | 1 | |
No | 397 (80.3) | 37 (88.1) | 6.7 (2.1–21.5) | 3.5 (0.76–16.5) | 0.1 |