Evaluation of surgical site infections after caserean deliveries

Yıl 2019, Cilt: 11 Sayı: 1, 35 - 40, 27.06.2019

Selami Erdem Oznur Erdem

Öz

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.

Anahtar Kelimeler

Surgical site infection, cesarean delivery

Kaynakça

• 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.
• 9. American College of Obstetricians and Gynecologists. ACOG Practice Bulletin No. 120: Use of prophylactic antibiotics in labor and delivery. Obstet Gynecol 2011;117:1472–83.
• 10. Opøien HK, Valbø A, Grinde-Andersen A, 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.
• 11. Vermillion ST, Lamoutte C, Soper DE, Verdeja A. Wound infection after cesarean: effect of subcutaneous tissue thickness. Obstet Gynecol 2000;95:923–6.
• 12. Ansar A. Surgical site infection in obstetrics practice. J Surg Pakistan 2013;18:68–73.
• 13. Ogunsola FT, Oduyebo O, Iregbu KC, Coker AO, Adetunji A. A Review of Nosocomial Infection at the Lagos university Teaching Hospital: Problems and Strategies for Improvement. J Niger Infect Control Assoc 1998;1:11–3.
• 14. Onoh R, Onyebuchi A, Ukaegbe C, Umeora OJ, Agboeze J, Egbuji C, et al. Microbiological pattern of postcesarean wound infection at Federal Teaching Hospital, Abakaliki. African J Med Heal Sci 2013;12:97.
• 15. Vallejo MC, Attaallah AF, Shapiro RE, Elzamzamy OM, Mueller MG, Eller WS. Independent risk factors for surgical site infection after cesarean delivery in a rural tertiary care medical center. J Anesth 2017;31:120–6.
• 16. Roberts S, Maccato M, Faro S, Pinell P. The microbiology of post-cesarean wound morbidity. Obstet Gynecol 1993;81:383–6.
• 17. Anvikar. One year prospective study of 3280 surgical wounds. Indian J Med Microbiol 1999;17:129.
• 18. 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.
• 19. Hopkins L, Smaill FM. Antibiotic prophylaxis regimens and drugs for cesarean section. In: Henderson S, editor. Cochrane Database Syst. Rev., Chichester, UK: John Wiley & Sons, Ltd; 1999.
• 20. Korol E, Johnston K, Waser N, Sifakis F, Jafri HS, Lo M, et al. A systematic review of risk factors associated with surgical site infections among surgical patients. PLoS One 2013;8.