Abstract
Prevalence and indicators of post cesarean surgical site infection in Minia maternity university hospital
Highlights
The incidence of cesarean deliveries, both repeat and primary, has risen dramatically over the last few decades, with an estimated global number of 22.9 million cesarean deliveries in 2012 (Miller ES et al, 2013; Molina G, et al, 2015).surgical site infection (SSI), which refers to infection of the skin and subcutaneous tissue at the surgical incision site and is typically caused by skin flora such as Streptococcus species, Staphylococcus species, or mixed aerobic/ anaerobic bacteria (Duff et al, 2007).Several risk factors for developing post cesarean section SSI are noted in the literature
The procedure itself, SSI was more common among cesarean sections per-formed in an emergency setting use of prophylactic antibiotics, cases accompanied by uterine rupture, cesarean hysterectomy need for blood transfusion, in surgeries of longer duration. (Schneid-Kofman N et al, 2005) (Krieger Y et al, 2016) (Salim R, et al, 2012) (Mitt P et al, 2005) (Tran TS et al, 2000) Surgery duration of more than 1 hour had been reported to increase the risk for SSI more than two fold (Killian CA et al, 2001) (Suonio S et al, 1989)
The majority age of women 234(49.7%) were between 25 -35 years of age, 470(99.8%) were house wife, 455 (96.6%) were from rural areas, and 296(62.8%) their body mass index were between 26-30
Summary
Several risk factors for developing post cesarean section SSI are noted in the literature. Identification of these factors is vital for creating targeted practices for reducing SSI rate. Host-related risk factors include maternal age, obesity, residence in rural (compared to urban) area, pregestational diabetes mellitus, previous cesarean delivery, maternal preoperative condition. Pregnancy related factors include hypertensive disorder, gestational diabetes mellitus, epidural use of internal fetal monitoring. The procedure itself, SSI was more common among cesarean sections per-formed in an emergency setting use of prophylactic antibiotics, cases accompanied by uterine rupture, cesarean hysterectomy need for blood transfusion, in surgeries of longer duration. The procedure itself, SSI was more common among cesarean sections per-formed in an emergency setting use of prophylactic antibiotics, cases accompanied by uterine rupture, cesarean hysterectomy need for blood transfusion, in surgeries of longer duration. (Schneid-Kofman N et al, 2005) (Krieger Y et al, 2016) (Salim R, et al, 2012) (Mitt P et al, 2005) (Tran TS et al, 2000) Surgery duration of more than 1 hour had been reported to increase the risk for SSI more than two fold (Killian CA et al, 2001) (Suonio S et al, 1989)
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