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The CS rate was 21.8% and the wound infection rate 13.2%. Risk factors included: length of labour; decision-to-incision time and stillbirth. Only 7.4% of women received preoperative antibiotic prophylaxis, but all women received multiple-dose, postoperative antibiotics. The wound infection rate found is likely to be an underestimate owing to loss to follow-up. The adherence to international guidelines regarding preoperative antibiotic prophylaxis needs to be improved.<\/jats:p>","DOI":"10.1177\/0049475517739539","type":"journal-article","created":{"date-parts":[[2017,11,7]],"date-time":"2017-11-07T01:32:45Z","timestamp":1510018365000},"page":"192-199","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":16,"title":["Caesarean section wound infections and antibiotic use: a retrospective case-series in a tertiary referral hospital in The Gambia"],"prefix":"10.1177","volume":"48","author":[{"given":"Alex","family":"Aulakh","sequence":"first","affiliation":[{"name":"Foundation Year 2 Doctor, School of Medicine and Dentistry, University of Aberdeen, Aberdeen, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Patrick","family":"Idoko","sequence":"additional","affiliation":[{"name":"Consultant Obstetrician and Gynaecologist, University of The Gambia Medical School, Banjul, The Gambia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Suzanne T","family":"Anderson","sequence":"additional","affiliation":[{"name":"Head of Clinical Services, Medical Research Council Unit The Gambia, Banjul, The Gambia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Wendy","family":"Graham","sequence":"additional","affiliation":[{"name":"Professor of Obstetric Epidemiology, Department of Infectious Disease Epidemiology, London School of Hygiene and Tropical Medicine, London, UK"},{"name":"Emeritus Professor of Obstetrics and Epidemiology, University of Aberdeen, Aberdeen, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2017,11,6]]},"reference":[{"key":"bibr1-0049475517739539","doi-asserted-by":"publisher","DOI":"10.1016\/S2214-109X(14)70227-X"},{"key":"bibr2-0049475517739539","doi-asserted-by":"publisher","DOI":"10.1080\/00016340903147405"},{"key":"bibr3-0049475517739539","unstructured":"World Health Organization.\n                      Report on the burden of endemic health care-associated infection worldwide\n                      . Geneva: World Health Organization, 2011."},{"key":"bibr4-0049475517739539","doi-asserted-by":"publisher","DOI":"10.2471\/BLT.11.088179"},{"key":"bibr5-0049475517739539","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2015.15553"},{"key":"bibr6-0049475517739539","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhin.2008.06.002"},{"key":"bibr7-0049475517739539","doi-asserted-by":"publisher","DOI":"10.1007\/s00268-014-2840-4"},{"key":"bibr8-0049475517739539","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-3016.2007.00786.x"},{"key":"bibr9-0049475517739539","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.2012.03452.x"},{"key":"bibr10-0049475517739539","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(10)61458-4"},{"key":"bibr11-0049475517739539","unstructured":"World Health Organization.\n                      Trends in maternal mortality: 1990 to 2013. Estimates by WHO, UNICEF. UNFPA, the World Bank and the United Nations Population Division\n                      . Geneva: World Health Organization, 2014."},{"key":"bibr12-0049475517739539","doi-asserted-by":"publisher","DOI":"10.3402\/gha.v7.25368"},{"key":"bibr13-0049475517739539","unstructured":"World Health Organization.\n                      WHO Guidelines for Safe Surgery: 2009: safe surgery saves lives\n                      . Geneva: World Health Organization 2009."},{"key":"bibr14-0049475517739539","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajic.2008.03.002"},{"key":"bibr15-0049475517739539","doi-asserted-by":"publisher","DOI":"10.1053\/j.semperi.2012.04.013"},{"key":"bibr16-0049475517739539","unstructured":"The Gambia Bureau of Statistics (GBOS) and ICF International.\n                      The Gambia Demographic and Health Survey 2013\n                      . Banjul, The Gambia, and Rockville, MD: GBOS and ICF International, 2014."},{"key":"bibr17-0049475517739539","unstructured":"UNICEF Data.\n                      Monitoring the situation of children and women: Delivery care indicators\n                      . New York: UNICEF, 2016. Available at: http:\/\/data.unicef.org\/topic\/maternal-health\/delivery-care."},{"key":"bibr18-0049475517739539","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijgo.2009.08.013"},{"key":"bibr19-0049475517739539","doi-asserted-by":"publisher","DOI":"10.4314\/ejhs.v21i2.69049"},{"key":"bibr20-0049475517739539","doi-asserted-by":"publisher","DOI":"10.1186\/2047-2994-3-25"},{"key":"bibr21-0049475517739539","doi-asserted-by":"publisher","DOI":"10.4103\/2141-9248.96934"},{"key":"bibr22-0049475517739539","first-page":"69","volume":"5","author":"Conroy K","year":"2012","journal-title":"Rev Obstet Gynecol"},{"key":"bibr23-0049475517739539","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijsu.2012.04.004"},{"key":"bibr24-0049475517739539","doi-asserted-by":"publisher","DOI":"10.3109\/01443615.2013.832737"},{"key":"bibr25-0049475517739539","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2393-13-123"}],"container-title":["Tropical Doctor"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0049475517739539","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/0049475517739539","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0049475517739539","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T13:30:47Z","timestamp":1777642247000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/0049475517739539"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,11,6]]},"references-count":25,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2018,7]]}},"alternative-id":["10.1177\/0049475517739539"],"URL":"https:\/\/doi.org\/10.1177\/0049475517739539","relation":{},"ISSN":["0049-4755","1758-1133"],"issn-type":[{"value":"0049-4755","type":"print"},{"value":"1758-1133","type":"electronic"}],"subject":[],"published":{"date-parts":[[2017,11,6]]}}}