MMA Incidence of surgical site infection following caesarean section and its associated factors in a Tikrit Teaching Hospital, Iraq Incidence of caesarean section infection
Abstract
Objective
The rate of delivery by caesarean section has increased greatly. This increase has been attributed to wide variety of factors related to mother, child, medical and legal climate. Post-operative caesarean section infection is an important of maternal febrile morbidity. It leads to prolongation of hospital stay and add extra cost to patient charge for hospitalization.
Materials and Methods
The present work was conducted on 500 patients with caesarean sections.. Their ages ranged from 15-45 years. The majority of these patients were from rural areas or referred to this hospital from other town’s hospitals. General information such as including demographic survey was listed. Wound infection was assessed by culture.
Results
Caesarean wound infections ranged from grade 0 to grade 5c. The highest percentage ( 48.8 ) of wounds was of grade 0. The high incidence of caesarean infection was among the age group 21-30 years old. The present study showed that 46.7% of patients with body weight more than 85 kgs developed wound infection. The present study revealed that 62.4% of patients come from rural areas. Wound infection rates for elective, emergency and caesarean after trail were 13.6, 18.5 and 22.4 percent respectively.
Conclusions
Chi-squared test showed a significant difference strong association between weight group and infection rate ( P ˂ 0.00001). On bacteriological examination of caesarean wounds, grade 4, 5s and grade 5c showed 100% positive bacterial cultures. The present attempt showed that the pooled infection rate was 18.4% with 95% confidence limits.
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