Prevalence and indicators of post cesarean surgical site infection in Minia maternity university hospital

Document Type : Original Article

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Department of Obstetrics & Gynecology, El-Minia Faculty of Medicine

Abstract

background: Surgical site infection (SSI) after a cesarean section increases maternal morbidity and 
medical costs (Cooper et al., 2002). Objective of this study: Was to determine the prevalence and 
indicators of surgical site infection among women having elective cesarean section in maternity 
hospital Minia University during the period of the study. Methods: A across sectional study was 
conducted on all 500 women who had elective cesarean section during period from 1
st February 2018 
till 30 july 2018 in maternity hospital Minia university, obstetrics and gynecology department. Data 
on history of the patient, patient specific demographic information on potential risk factors and the 
occurrence of Surgical Site infections in the first 30 days following surgery were collected using 
pretested data collection form. In addition, relevant data were also abstracted from the medical files of 
the cases. Then data were cleaned, edited and fed to computer and analyzed using SPSS for window 
version 19. Finally Statistical test for significance was employed using chi-squared (X 2) where 
appropriate at 5% level of significance. Results: Among 471 mothers included in the study 119 
(23.3%) developed SSI after elective LSCS mainly superficial type (93.3%) include only skin and 
subsutenous tissue, body mass index more than (30) were 68.1%, lack of antenatal care 90(75.6%)
thickness of subcutenous fat more than 2 cm 93.3% and Suturing techniques had significantly 
increased odds of SSI. Conclusion: It has been revealed that Surgical Site Infections rate is (23.3%)
mainly superficial. BMI, Thickness of subcutenous fat, Antenatal care and type of sutures were 
significantly increased odds of SSI.

 

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