CLINICAL PROFILE AND MORBIDITY IN SURGICAL SITE INFECTION FOLLOWING CESAREAN SECTION IN A TERTIARY CARE CENTER IN NORTH KERALA, INDIA
DOI:
https://doi.org/10.22159/ajpcr.2023.v16i1.46197Keywords:
Surgical site infection, Cesarean, Risk factor, Incidence, Labor-relatedAbstract
Objectives: The objectives of this of this study were as follows: (1) To analyse the clinical presentation of surgical site infection (SSI) and to identify the causative organism (2) the maternal morbidities of post-cesarean SSI.
Methods: This study was conducted in the Department of Obstetrics and Gynecology, KMCT Medical college, Kozhikode, from April 1, to August 31, 2021, after clearance from the Ethical Committee, in which 153 cases of SSI Post cesarean were included in the study.
Results: All the patients with SSI had wound discharge, followed by pain and induration (94.4%). Fever was present in 44.4%. About 44.4% of the wound discharge were detected between days 6 and 10. Mean day of detection of wound discharge among patients with SSI was 8.78 days. Superficial incisional SSI (94.4%) had the highest incidence followed by deep incisional (5.6%). Staphylococcus aureus (50%) was the most common organism isolated followed by Escherichia coli (11.1%). MRSA (11.1%) was isolated from only two cases. Intraoperative adhesions and prolonged operative time were a predictor of SSI (p=0.001). Mean days of hospital stay with and without SSI were 5 and 8.22, respectively, highlighting the extended length of hospital stay among patients with SSI.
Conclusion: Prompt and early identification of SSI with appropriate treatment can reduce the maternal morbidity and improve reproductive health of women.
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References
Devi SL, Durga DV. Surgical site infections post cesarean section. Int J Reprod Contracept Obstet Gynecol 2018;7:2486-9. doi: 10.18203/2320- 1770.ijrcog20182373
Alfouzan W, Al Fadhli M, Abdo N, Alali W, Dhar R. Surgical site infection following cesarean section in a general hospital in Kuwait: Trends and risk factors. Epidemiol Infect 2019;147:e287. doi: 10.1017/ S0950268819001675, PMID 31597580
Shree R, Park SY, Beigi RH, Dunn SL, Krans EE. Surgical site infection following cesarean delivery: Patient, provider, and procedure-specific risk factors. Am J Perinatol 2016;33:157-64. doi: 10.1055/s-0035- 1563548, PMID 26344010
Center for Disease Prevention and Control. Guideline for Prevention of Surgical Site Infection. United States: Center for Disease Prevention and Control; 1999.
Kondakasseril NR, Hiran N, Andrews AM. Surgical site infection following lower segment caesarean section in a tertiary care hospital. J Evol Med Dent Sci 2016;5:1306-9. doi: 10.14260/jemds/2016/305
Opøien HK, Valbø A, Grinde-Andersen AG, Walberg M. Post-cesarean surgical site infections according to CDC standards: Rates and risk factors. A prospective cohort study. Acta Obstet Gynecol Scand 2007;86:1097-102. doi: 10.1080/00016340701515225, PMID 17712651
Mpogoro FJ, Mshana SE, Mirambo MM, Kidenya BR, Gumodoka B, Imirzalioglu C. Incidence and predictors of surgical site infections following caesarean sections at Bugando Medical Centre, Mwanza, Tanzania. Antimicrob Resist Infect Control 2014;3:25. doi: 10.1186/2047-2994-3-25, PMID 25126415
Thakur N, Kujur A. Microbiological and antibiotic sensitivity pattern of surgical site infection following caesarean section in a tertiary care center of Chhattisgarh. Int J Reprod Contracept Obstet Gynecol 2021;10:2638-46. doi: 10.18203/2320-1770.ijrcog20212369
Al Shukkur S, Rao B, Zubair SM. Prospective Analysis of Wound Infection Following Cesarean Section. United States: Research Square; 2020. doi: 10.21203/rs.3.rs-67756/v1
De D, Saxena S, Mehta G, Yadav R, Dutta R. Risk factor analysis and microbial etiology of surgical site infections following lower segment caesarean. Int J Antibio 2013;2013:283025. doi: 10.1155/2013/283025
Lilani SP, Jangale N, Chowdhary A, Daver GB. Surgical site infection in clean and clean-contaminated cases. Indian J Med Microbiol 2005;23:249-52. doi: 10.1016/S0255-0857(21)02530-5, PMID 16327121
Ketema DB, Wagnew F, Assemie MA, Ferede A, Alamneh AA, Leshargie CT, et al. Incidence and predictors of surgical site infection following cesarean section in North-West Ethiopia: A prospective cohort study. BMC Infect Dis 2020;20:902. doi: 10.1186/s12879-020- 05640-0, PMID 33256630
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