Surgical Site Infection Following Lower Segment Caesarean Section in a Tertiary Care Hospital

Kondakasseril, Nishi Roshini; Hiran, Nishitha; Andrews, Andrews Mekkattukunnel

doi:10.14260/jemds/2016/305

Cited by 4 publications

(12 citation statements)

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“…Incidence of SSI following caesarean section in the present study was found to be 4% which was found to be in accordance with studies of Kondakasseril et al and Vallejo et al 7,8 Kondakasseril et al carried out a case control study amongst all women who delivered by caesarean section and found that the overall wound infection rate in the study was 3.5%, (50) among 1410 Lower Transverse caesarean section. 7 Vallejo et al, conducted a retrospective, case-controlled, time-matched, quality assurance electronic medical record (EMR) analysis to determine the incidence of surgical site infection (SSI) after caesarean delivery (CD) and identify the risk factors in a rural population and concluded that the incidence of SSI after CD was 7.0%. 8…”

Section: Discussionsupporting

confidence: 91%

“…21 Kondakasseril et al carried out a case control study amongst all women who delivered by caesarean section and found that the overall superficial infection was seen in 36 (72%) and deep infection in 12 (24%) and Organ/Space SSI in 2 (4%). 7 In the present study, we found that majority of SSI postcaesarean section occurred between 4 th to 10 th postoperative day. The study carried out by Bhadauria et al to find out the incidence of post-operative wound infection among the elective and emergency obstetrics and gynaecological abdominal surgeries showed the appearance of infection between 6 th and 10 th postoperative days in more than half of the population.…”

Section: Discussionsupporting

confidence: 54%

“…According to Killian et al, transverse incision has less chance of wound dehiscence. 7 Devjani et al carried out a prospective study to identify risk factors for SSI following caesarean section and found that univariate analysis indicated that type of skin incision has been significantly associated with SSI. Vertical skin incision was seen in 19.8% of patients developing SSI and had a p-value of <0.05.…”

Section: Discussionmentioning

confidence: 99%

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Assessment of risk factors for surgical site infection following caesarean section

Sangwan

Malhotra

2019

Int J Reprod Contracept Obstet Gynecol

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Background: Assessment of surgical site infection is an important factor to determine the functioning of the health care system. Objectives of this study was to estimate the incidence of surgical site infection among caesarean section cases and to determine the risk factors associated with surgical site infection and comparison with patients having healthy wounds.Methods: One thousand pregnant women who underwent caesarean section were divided into two groups: Group 1 (cases): Those who had SSI within 30 days of caesarean section and Group 2 (controls): Those who didn’t have SSI.Results: Mean age of group I was 25.35±4.40 and 21.12±3.60 years in group II (p >0.05). Mean gestational age of group I cases was 38.07±1.88 weeks and in group II, it was 38.17±2.06 weeks (p >0.05). A total of 37 (82.5%) women in group I and 931 (96.98%) women in group II underwent emergency caesarean section (p <0.05). In group I, mean duration of surgery was 1.0±0.13 hours and 1.02±0.21 hours in group II (p <0.05). Maximum number of patients i.e. 22 (55%) had wound discharge between 4-7 days followed by 11 (27.5%) between 8-10 days. Mean wound discharge was 7.32±3.45 days in group I. Majority of women, i.e. 27 (67%) found to be sterile in the present study followed by 7 (17.5%) women were found to have staphylococcus aureus. Mean duration of resuturing was 17.42±6.98 days. Mean baby weight in group I was 2.72±0.53 kg and in group II it was 2.95±0.53 kg (p <0.001).Conclusions: Risk of developing SSI after caesarean section is multi-factorial and found to be influenced by emergency surgery, PROM, pre-operative anaemia, multiple vaginal examinations, interrupted skin suturing, raised BMI, nulliparity, emergency caesarean, duration of surgery.

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Section: Discussionsupporting

confidence: 91%

Section: Discussionsupporting

confidence: 54%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Assessment of risk factors for surgical site infection following caesarean section

Sangwan

Malhotra

2019

Int J Reprod Contracept Obstet Gynecol

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“…Devi and Durga [11] and Kawakita and Landy [15] observed that 1 st time mothers who underwent primary cesarean has significant association of developing SSI which is in contrast to finding in the present study. SSI was evenly distributed among both nulliparous and multipara as per Kondakasseril et al [7].…”

Section: Paritymentioning

confidence: 88%

“…Wodajo et al [5] 11 Mpogoro et al [6] 10.9 Kondakasseril et al [7] 4.4 Vijayan et al [8] 4.1 De et al [9] 24.…”

Section: Authors Incidence (%)mentioning

confidence: 99%

Incidence and Risk Factors of Surgical Site Infection Following Cesarean Section in a Tertiary Care Centre in North Kerala, India

T¹,

VK²,

ANTONY³

2022

Asian J Pharm Clin Res

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Objectives: To objectives of the study were to study 1) the incidence and maternal determinants (host related) risk factors on post cesarean surgical site infection (SSI) and 2) the influence of labor related and procedure related risk factors on post cesarean SSI. Methods: This study was conducted in the Department of Obstetrics and Gynaecology, KMCT Medical College, Kozhikode from April 1 to August 31 2021 after clearance from ethical committee in which 153 cases of SSI post cesarean were included in the study. Results: Educational status of patients had statistically significant association with the development of SSI incidence of SSI (44.4%) and is highest among overweight women. Patients with diabetes and hypertension had increased risk of developing SSI. 72.2% with SSI had duration of ruptured membrane for >8 h and duration of rupture of membrane were significantly associated with development of wound infection. Significant linear association was found between number of prior cesarean and risk of development of SSI (p=0.019). Cesarean with mean operative time >45 min had statistically significant risk of developing SSI. Intraoperative complication like adhesions was a predictor of SSI (p=0.001) Conclusions: Medical morbidities and increased body mass index being predictors along with prolonged operative time can be properly identified and awareness ensured to prevent and identify post cesarean SSI.

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Incidence and risk factors of surgical site infection in abdominal surgeries: A scoping review of cohort and case–control studies

Jahangir,

Okhovati,

Moameri

et al. 2023

Preprint

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Background Abdominal surgery is considered a high-risk surgery for the development of surgical site infection. Few studies have evaluated the relative importance of its risk factors. Therefore, in this paper we mapped and summarized the evidence aimed to determine the relative importance of the risk factors and incidence of surgical site infections in abdominal surgery. Methods We searched SCOPUS, PubMed, and Web of Science databases up to March 16, 2023. Using the methodology of the Joanna Briggs Institute, we used both univariate and multivariate analysis results to evaluate the relative importance of the risk factors. Results Of 14,237 identified records, 107 articles were included in the review. The National Nosocomial Infection Surveillance (NNIS) risk index, operative time, and higher wound class were strong risk factors for surgical site infection incidence. Patients' educational status, malnutrition, functional status, and history of neurological/psychiatric disorders were also the risk factors, but there is a need for more evidence to reach a conclusion. The pooled incidence of surgical site infections was 10.6% (95% CI 9.02–12.55) in abdominal surgery, and the type of surgical procedures accounted for 31.5% of the heterogeneity. Conclusion Our findings show that surgical site infection in abdominal surgery is a multifactorial phenomenon with a considerable risk and has different risk factors with various relative importance. Determining the relative importance of the risk factors for prevention and control of surgical site infection is strongly recommended. We provide some recommendations for future research.

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Surgical Site Infection Following Lower Segment Caesarean Section in a Tertiary Care Hospital

Abstract: AIM OF THE STUDYTo identify infection rates and risk factors associated with Surgical Site Infection (SSI) following Caesarean Section.

Cited by 4 publications

References 16 publications

Assessment of risk factors for surgical site infection following caesarean section

Assessment of risk factors for surgical site infection following caesarean section

Incidence and Risk Factors of Surgical Site Infection Following Cesarean Section in a Tertiary Care Centre in North Kerala, India

Incidence and risk factors of surgical site infection in abdominal surgeries: A scoping review of cohort and case–control studies

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