The Outcome of the Hospital Protocol for Prevention of Surgical Site Infection After Cesarean Deliveries
Abdelazim I.A. Abu-Faza M. Al-Ajmi S. Farghali M. Shikanova S.
March 2021Springer Nature
SN Comprehensive Clinical Medicine
2021#3Issue 3862 - 869 pp.
This study was designed to evaluate the outcome of the implemented post-cesarean section (CS) surgical site infection (SSI) prevention protocol in Ahmadi Hospital, Kuwait. A total of 229 women who delivered by elective repeat cesarean section (ERCS) were included in this comparative study: 112 women who delivered by ERCS after the implemented protocol (study group) compared to 117 controls (who delivered by ERCS before the implemented protocol). The outcome include the incidence of post-CS SSI after and before the implemented protocol and the risk factors which may predispose to post-CS SSI. The incidence of post-CS SSI was significantly high in the controls (who delivered by ERCS before the implemented protocol) compared to the study group (who delivered by ERCS after the implemented protocol) (12.8% (15/117) versus 3.6% (4/112), respectively) (P = 0.01). The relative risk (RR) analysis showed that obesity and pregestational diabetes were significant risks for post-CS SSI (RR 0.35 (95%CI; 0.13–0.99) P = 0.04 and RR 0.24 (95%CI; 0.063–0.93) P = 0.03, respectively). In addition, the prolonged rupture of membranes (ROM) before the ERCS, duration of ERCS (more than 1 h), and surgical difficulties/adhesions during the ERCS were significant risks for post-CS SSI (RR 6.0 (95%CI; 1.003–35.9) P = 0.04, RR 6.0 (95%CI; 1.003–35.9) P = 0.04, and RR 6.0 (95%CI; 1.003–35.9) P = 0.04, respectively). The incidence of post-CS SSI after ERCS significantly reduced following the post-CS SSI prevention protocol. Obesity, pregestational diabetes, prolonged ROM, duration of ERCS (more than 1 h), and surgical difficulties/adhesions during the ERCS were definite risks for post-CS SSI.
Cesareans , Elective , Prevention , Protocol , Surgical site infection
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Department of Obstetrics, and Gynecology, Ahmadi Hospital, Kuwait Oil Company (KOC), P.O. Box: 9758, Ahmadi, 61008, Kuwait
Department of Obstetrics, and Gynecology, Ain Shams University, Cairo, Egypt
Chief Clinical Officer, Ahmadi Hospital, Kuwait Oil Company (KOC), Ahmadi, Kuwait
Department of Obstetrics and Gynecology, Sabah Maternity Hospital, Sabah, Kuwait
Department of Obstetrics and Gynecology №1, West Kazakhstan Marat Ospanov Medical University, Aktobe, Kazakhstan
Department of Obstetrics
Department of Obstetrics
Chief Clinical Officer
Department of Obstetrics and Gynecology
Department of Obstetrics and Gynecology №1
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