Research Journal of Medical Sciences
ISSN: Online 1993-6095ISSN: Print 1815-9346
Abstract
In India there has been a rise in the rate of caesarean section in the last few years and wound infection is most common complication following caesarean section. The study aimed at analyzing the risk factors for the development of wound infection following caesarean section. Prospective hospital‐based cross‐sectional study was conducted from 2016 to 2018, enrolled women who developed surgical site infections(SSI) within 30 days of caesarean delivery performed in the hospital. Descriptive statistics were used for socio‐demographic variables and appropriate univariate and multi variate analysis used to find the association between continuous and categorical variables with a p‐value of <0.05 as statistically significant. Out of 4540 cesarean deliveries, 52 (1.1%) cases developed SSI. Surgical site infections were found significantly associated with maternal age above 25years, BMI>27Kg/m2 (p<0.001), hypertension, diabetes (p<0.001), the urgency of caesarean delivery, prolonged operative duration, technique and suture material (p<0.001) used. Poliglecaprone (monofilament) was found suitable for subcutaneous tissue and skin closure. Out of 38 cases with microbial growth, 52% cultured Staphylococcus aureus with 60% displaying methicillin resistance, followed by Diphtherioids (22%) and Pseudomonas (10.5%). Majority isolates showed higher sensitivity to Linezolid, Clindamycin and Vancomycin. Apart from maternal factors, the surgeon’s operative skill and technique and suture material also contribute significantly to the development of SSI. A developing trend towards resistance to higher antibiotics was noted among Methicillin‐resistant Staphylococcus aureus. Gentamicin and Linezolid were found as effective as second‐line agents. Thus, maintenance of quality asepsis and a hospital‐based antibiotic policy is vital.
How to cite this article:
Al Shukkur Sahrun, D. Rao Bharathi and M. Zubair Sabah. Prospective Analysis of Wound Infection Following Cesarean Section.
DOI: https://doi.org/10.36478/10.59218/makrjms.2024.5.543.548
URL: https://www.makhillpublications.co/view-article/1815-9346/10.59218/makrjms.2024.5.543.548