Caesarean section surgical site infection surveillance

Johnson, Aaron J.; Young, David; Reilly, Jacqui

doi:10.1016/j.jhin.2006.03.020

Cited by 141 publications

(120 citation statements)

References 19 publications

(22 reference statements)

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“…Of 5 very small randomized controlled trials in cardiovascular surgery that compared use of staples with use of sutures for skin closure, 3 reported higher infection rates with use of staples, and 2 reported no difference. 32 Our estimate is similar to the findings of Johnson et al, 19 who report that skin closure with staples doubled the risk of SSI after cesarean section. In our study, patients with staples had a significantly higher BMI than patients with sutures.…”

Section: Discussionsupporting

confidence: 89%

“…Previous studies that had sufficient sample sizes and that used multivariate analysis to identify independent risk factors for SSI after cesarean section identified the following factors associated with increased risk of SSI: younger age; obesity; presence of hypertension or preeclampsia; diabetes mellitus; chorioamnionitis; preoperative infection at a remote body site; high preoperative severity of illness; nulliparity; fewer than 7 prenatal visits; longer interval since rupture of membranes; premature rupture of membranes; emergency delivery; ab- sence of antibiotic prophylaxis; longer duration of operation; use of staples for skin closure; and twin delivery. 3,7,8,19 The wide variety of reported independent risk factors for SSI may be due to the variability in potential risk factors selected for analysis. Killian et al 3 included only a very small number of potential risk factors, whereas other studies included a more comprehensive collection.…”

Section: Discussionmentioning

confidence: 99%

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Risk Factors for Surgical Site Infection After Low Transverse Cesarean Section

Olsen

Butler

Willers

et al. 2008

Infect. Control Hosp. Epidemiol.

280

179

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Section: Discussionsupporting

confidence: 89%

Section: Discussionmentioning

confidence: 99%

Risk Factors for Surgical Site Infection After Low Transverse Cesarean Section

Olsen

Butler

Willers

et al. 2008

Infect. Control Hosp. Epidemiol.

280

179

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“…The rate of surgical site infection until hospital discharge following cesarean delivery varies, with reported values ranging from 0.16% to 3.2%. 3,5,6 Although rates are higher if postdischarge surveillance is conducted, this activity is resource intensive and therefore is not routinely performed.…”

mentioning

confidence: 99%

Risk factors for surgical site infection following cesarean delivery: a retrospective cohort study

et al. 2017

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Background:The rate of cesarean delivery is increasing in North America. Surgical site infection following this operation can make it difficult to recover, care for a baby and return home. We aimed to determine the incidence of surgical site infection to 30 days following cesarean delivery, associated risk factors and whether risk factors differed for predischarge versus postdischarge infection. Methods:We identified a retrospective cohort in Nova Scotia by linking the provincial perinatal database to hospital admissions and physician billings databases to follow women for 30 days after they had given birth by cesarean delivery between Jan. 1, 1997 and Dec. 31, 2012. Logistic regression with generalized estimating equations was used to determine risk factors for infection.Results: A total of 25 123 women had 33 991 cesarean deliveries over the study period. Of the 25 123, 923 had surgical site infections, giving an incidence rate of 2.7% (95% CI 2.54%-2.89%); the incidence decreased over time. Risk factors for infection (adjusted odds ratios ≥ 1.5) were prepregnancy weight 87.0 kg or more, gaining 30.0 kg or more during pregnancy, chorioamnionitis, maternal blood transfusion, anticoagulation therapy, alcohol or drug abuse, second stage of labour before surgery, delivery in 1997-2000 and delivery in a hospital performing 130-1249 cesarean deliveries annually. Women who gave birth earlier in the study period, those who gave birth in a hospital with 130-949 cesarean deliveries per year and those with more than 1 fetus were at a significantly higher risk for surgical site infection before discharge; women who smoked were at significantly higher risk for surgical site infection after discharge.Interpretation: Most risk factors are known before delivery, and some are potentially modifiable. Although the incidence of surgical site infection decreased over time, targeted clinical and infection prevention and control interventions could further reduce the burden of illness associated with this health-care-related infection. Abstract ResearchResearch CMAJ OPEN CMAJ OPEN, 5(3) E547

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“…8 Johnson et al found increasing age a significant risk factor for overall SSIs. 9 In the present study, an increased BMI was seen to influence the outcome of surgery in terms of an increased rate of infection. One reason being a decrease in blood circulation in fat tissues is associated with increase in infection rate.…”

Section: Discussionmentioning

confidence: 46%

An original research paper on incidence and risk factors for surgical site infections following major abdominal surgeries in obstetrics and gynaecology

Valecha

Saswade

2017

Int J Reprod Contracept Obstet Gynecol

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Background: Surgical site infections associated with substantial morbidity and mortality, increase in hospital stay and enhanced cost of health care. Objective of present study is to analyse the incidence of surgical site infections after major abdominal obstetrics and gynaecologic surgeries and risk factors for development SSIs.Methods: It is observational study carried out at Department of Obstetrics and Gynaecology, ESI-PGIMSR at a teaching public hospital Mumbai, Maharashtra, India. It is a tertiary care centre and a teaching hospital. Women who had undergone abdominal surgery for various Obstetrics and Gynaecology indications.Results: 7.3% of operated subjects had SSI. And significant risk factors are anemia, obesity hypoprotenemia, prolonged pre-operative hospital stay, Diabetes mellitus.Conclusions: Post-operative abdominal wound infection represents a substantial burden of disease both for the patients and the healthcare services in terms of the morbidity, mortality and economic costs.

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Caesarean section surgical site infection surveillance

Cited by 141 publications

References 19 publications

Risk Factors for Surgical Site Infection After Low Transverse Cesarean Section

Risk Factors for Surgical Site Infection After Low Transverse Cesarean Section

Risk factors for surgical site infection following cesarean delivery: a retrospective cohort study

An original research paper on incidence and risk factors for surgical site infections following major abdominal surgeries in obstetrics and gynaecology

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