Abstract Issue

Volume 12 Issue 4 ( October-December ) 2023

Original Articles

Incidence and Risk factors in Surgical Site Infection following Cesarean Section
Jabeena Banoo, Nazia Abdur, Wajid Rana, Gokul Sharma

Background: Cesarean Section (CS) is one of the most commonly performed surgical procedures in obstetrical and gynecological department. Surgical site infection (SSI) after a cesarean section increases maternal morbidity prolongs hospital stay and medical costs. Aim: To determine the incidence and risk factors of surgical site infections in women undergoing caesarean section (emergency and elective). Materials and methods: Present retrospective study included 76 patients between 20 -45 years of age who underwent CS in our hospital and were re-admitted within 6 weeks of CS for SSI. For patients who were hospitalized for SSI, cultures were routinely obtained and gentamicin along with Linezolid were administered in the absence of any contraindications and antibiotics were changed according to the sensitivity pattern obtained in culture report. In wound hematomas, we evacuated the clot under sterile conditions, ligated or cauterized the bleeding vessels and reclosed the wound. Results: Out of 76 cases of cesarean sections, 10 of them developed SSI with incidence rate of 13.15%. Among them, 80.00% were superficial incisional and 20.00% were deep incisional type of SSI with no organ space type. Patients with high BMI had 1.4-fold increased risk of SSI (OR 1.463; 95% CI 1.273-1.681, P<0.001). Likewise, patients with high fasting blood glucose levels had 1.2 increased risk of SSI (OR 1.21; 95% CI 1.06-1.37, P=0.007). Patients with high hemoglobin levels and short surgery time had a decreased risk of SSI (OR 0.532; 95% CI 0.408-0.695, P<0.001 and OR 0.947; 95%CI 0.909-0.987, P=0.010). Pus culture reports showed staph aureus, klebsiella, E.coli Conclusion: Multiple risk factors like age, obesity, High BMI, Low Hb, medical complications during pregnancy, prolonged duration of rupture of membrane for more than 18 hours, and more than five vaginal examinations before the procedure increases the risk of surgical site infection (SSI) following cesarean section.

 
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