Abstract
Background: Post caesarean section (CS) wound infection or surgical site infection is a leading cause of prolonged hospital stay or readmission. An understanding of its risk factors is important. Methods: A case control study was conducted in the Department of Obstetrics and Gynecology of Sir Salimullah Medical College & Mitford Hospital, in Dhaka, Bangladesh from January to June 2014 to evaluate the risk factors of postoperative surgical site infection following CS. One hundred patients were studied. Results: Fifty patients of post CS wound infection (surgical site infection: SSI) were selected as cases. Body mass index > 25 (kg/m2), anemia (p = 0.001), prolonged rupture of membrane (p = 0.005), prolonged operation time (p = 0.019), and junior surgeons performing the operation (p = 0.011) were the risk factors for CS-SSI. Conclusions: Pre- and postoperative care and surgical training of junior doctors should be directed to these risk factors.
Highlights
Caesarean section (CS) is a common operation in obstetrics
A case control study was conducted in the Department of Obstetrics and Gynecology of Sir Salimullah Medical College & Mitford Hospital, in Dhaka, Bangladesh from January to June 2014 to evaluate the risk factors of postoperative surgical site infection following caesarean section (CS)
A meta-analysis of 196 studies from sixty-seven low and middle income countries (LMICs) evaluated the risk of maternal death in women with CS [3]: 25% all women who died in LMICs had undergone CS
Summary
CS wound infection (CS-surgical site infection (SSI): CS-SSI) is a major cause of prolonged hospital stay, high hospital cost, increased morbidity and mortality [3] [4] [5]. Risk factors for CS-SSIs have been reported to include body mass index (BMI) more than 25, anemia, prolonged operative time, premature rupture of membranes (PROM), emergency procedure, pre-existing medical illness, and procedures performed by junior surgeons [9]. Post caesarean section (CS) wound infection or surgical site infection is a leading cause of prolonged hospital stay or readmission. Methods: A case control study was conducted in the Department of Obstetrics and Gynecology of Sir Salimullah Medical College & Mitford Hospital, in Dhaka, Bangladesh from January to June 2014 to evaluate the risk factors of postoperative surgical site infection following CS. Conclusions: Pre- and postoperative care and surgical training of junior doctors should be directed to these risk factors
Sign-in/Register to view highlights & summary Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
