Vol. 5, Issue 8 (2019)
Surgical site infections in caesarean section
Author(s): Somu Sharmila Kumari, Dr. Badam Rajani Kumari, Menda Prathibha Chaitanya, Timmasarthi Kanka Durga, Pendem Shobharani
Abstract: Surgical site infection is one of the most common complication following caesarean section, with an incidence of 14- 46% Objective: The present study helps to know the risk factors and the organisms causing surgical site injection at our hospital and then sensitivity to different antibiotics. Materials and Methods: This was a retrospective case study of patients delivered by caesarean section in Government Victoria Hospital, Andhra Medical College, Visakhapatnam between July 2018 to June 2019 with a sample size of 100. Observation and Results: Most of the patients belonged to 21-25 years (55%). Majority are from rural areas (71%), 57% were un booked. Most of them were primigravida (59%). Anaemia is the most common medical risk factor (48%). Diabetes and prom> 8 hours were 27% each, repeat LSCS 14-15%. 85% were emergency caesarean sections. Escherichia coli (E. coli) is the predominant organism and is resistant to cefuroxime. 63% of them required secondary suturing. Conclusion: Surgical site infection is more prevalent among emergency caesarean sections and women who were un booked. With regular antenatal visits, modifiable factors like anaemia are corrected. E. coli was the predominate organism.
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