Risk Factors Analysis and Microbial Etiology of Surgical Site Infections Following Lower Segment Caesarean Section
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2018, Vol 17, Issue 8
Abstract
Lower segment caesarean section (LSCS) is a common mode of delivery now and surgical site infection is the third most common infectious complication in these patients. Aim & objectives: This study was planned with this background to have a comprehensive approach to SSI following LSCS. Methods: 100 consecutive patients undergoing LSCS, irrespective of indication who developed SSI,were studied. A questionnaire was developed to assess the risk factors associated with development of SSI. All patients were followed up from day one of surgery till discharge postoperative day 30. Results: SSI was identified in (70%) out of 100 patients with SSI. In all age groups,Gram-negative bacilli were the commonest finding. The commonest isolate was Klebsiella pneumoniae(28.72%) followed by Pseudomonas aeruginosa(25.53%) and Staphylococcus aureus (17.04%). ESBL (75.6%), Amp C (27%), MBL (8.5%) & MRSA (87.5%). Conclusions: A proper assessment of risk factors that predispose to SSI and their modification may help in reduction of SSI rates. PROM, overcrowding, poor nutrition, lack of hygiene were found to be significant. Hospital infrastructure has to be improved by providing more space to accommodate the overload of patient’s with good ventilation of wards and water facilities.
Authors and Affiliations
Dr. Cherukuri Karuna Kumari, Dr. K. Raja Sekhar, Dr. CH. Aruna Kumari
Keywords
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- EP ID EP381177
- DOI 10.9790/0853-1708074046.
- Views 52
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