Evaluation of surgical site infections after caserean deliveries
Abstract
Background: Surgical site infection (SSI) is a common postoperative complication. In this study, we aimed to determine the infection rate of the surgical field after cesarean section in our hospital.
Method: Cesarean section patients between january 2016 and december 2017 were studied in our hospital. The culture results of 74 patients diagnosed with SSI were analyzed..
Results: Although no pathogen was detected in 38 (51.36%) of the patients, 36 (48.64%) of the patients were found to be pathogenic microorganisms in culture. ın the culture results of these patients; 11 patients were s. aureus (14.86%), 8 patients (10.81%) were coagulase (-) staphylococcus, ın 7 patients (9.45%), e. coli, ın 2 patients (2.70%), klebsiella pneumonia, ın 2 patients (2.70%), enterococcus faecalis, ın 2 patients (2.70%) proteus mirabilis, 1 patient (1.35%) enterobacter aerogenes, ın one patient (1.35%) Pseudomonas aeruginosa, Gram (+) cocc was detected in 1 patient (1.35%).
Conclusion: SSI culture results should be taken into account when selecting prophylaxis and empirical treatment to prevent surgical site infections.
Keywords
References
- 1. Watanabe A, Kohnoe S, Shimabukuro R, Yamanaka T, Iso Y, Baba H, et al. Risk factors associated with surgical site infection in upper and lower gastrointestinal surgery. Surg Today 2008;38:404–12.
- 2. Magill SS, Hellinger W, Cohen J, Kay R, Bailey C, Boland B, et al. Prevalence of healthcare-associated infections in acute care hospitals in Jacksonville, Florida. Infect Control Hosp Epidemiol 2012;33:283–91.
- 3. Olsen MA, Butler AM, Willers DM, Devkota P, Gross GA, Fraser VJ. Risk factors for surgical site infection after low transverse cesarean section. Infect Control Hosp Epidemiol 2008;29:477-84-6.
- 4. Witter FR, Lawson P, Ferrell J. Decreasing cesarean section surgical site infection: An ongoing comprehensive quality improvement program. Am J Infect Control 2014;42:429–31.
- 5. Tharpe N. Postpregnancy Genital Tract and Wound Infections. J Midwifery Women’s Heal 2008;53:236–46.
- 6. Schneid-Kofman N, Sheiner E, Levy A, Holcberg G. Risk factors for wound infection following cesarean deliveries. Int J Gynecol Obstet 2005;90:10–5.
- 7. Wloch C, Wilson J, Lamagni T, Harrington P, Charlett A, Sheridan E. Risk factors for surgical site infection following caesarean section in England: Results from a multicentre cohort study. BJOG An Int J Obstet Gynaecol 2012;119:1324–33.
- 8. Killian C a, Graffunder EM, Vinciguerra TJ, Venezia R a. Risk factors for surgical-site infections following cesarean section. Infect Control Hosp Epidemiol 2001;22:613–7.
Details
Primary Language
English
Subjects
Internal Diseases
Journal Section
Research Article
Publication Date
June 27, 2019
Submission Date
June 27, 2019
Acceptance Date
-
Published in Issue
Year 2019 Volume: 11 Number: 1