Risk factors and management of surgical site infection in caesarean section patients at a teaching hospital
Objectives: This study was conducted to recognize the risk factors particularly the modifiable ones that may be related to the woman, pregnancy or to the technique itself and implementing the strategies to prevent, diagnose and treat infection so that the morbidity and mortality related to the pos...
Saved in:
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Barpeta Obstetrics and Gynaecological Society
2024-12-01
|
| Series: | New Indian Journal of OBGYN |
| Subjects: | |
| Online Access: | https://journal.barpetaogs.co.in/pdf/111124.pdf |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| Summary: | Objectives: This study was conducted to recognize the risk factors particularly the modifiable ones that may be
related to the woman, pregnancy or to the technique itself and implementing the strategies to prevent, diagnose and
treat infection so that the morbidity and mortality related to the post-surgery sepsis can be reduced. Methods: Present
study was a prospective observational study conducted at department of Obstetrics & Gynaecology, Government
Medical College, Aurangabad for the duration of 2 years (October 2018 to September 2020). SSI diagnosed by
clinical features, CDC criteria, depth of infection and contamination, treatment modalities and morbidity related to
SSI are analysed. Results: Risk factors noted for SSI in caesarean section patients were emergency caesarean section,
3 or more per vaginal examination, duration of surgery > 38 mins, anaemia, PROM, previous surgery (caesarean
section/ hysterectomy/ myomectomy/ laparotomy), hypertensive disorders of pregnancy, BMI > 30 kg/m2
, blood loss
>500ml, age > 30 years & GDM. Conclusion: Always screen for high risk factors preoperatively and anticipate SSI.
Incidence in our study was 4.7, also means that 95.3% of those who underwent caesarean section did not develop SSI.
So, antibiotic policy can be updated as that a second line antibiotic should be started by anticipating SSI in those who
have any high-risk factors. |
|---|---|
| ISSN: | 2454-2334 2454-2342 |