Study of surgical site infection in patients undergoing caesarean section at tertiary care center, Gujarat

Abstract

Background: Surgical site infection following cesarean delivery leads to increasing the duration of patient hospitalization, hospital costs and raise the burden on our healthcare system. The incidence of SSI after cesarean range from 3% to 5%. Objective of current investigation was to study the risk factor & microbial agents responsible for SSI in LSCS and impact of SSI on perinatal outcome.Methods: This prospective study was done among 324 pregnant women undergoing LSCS at department of obstetrics and Gynecology in GMERS medical college & hospital, Sola, Ahmedabad during April 2015 to April 2016. All patients were following up to 7thpostoperative day.SSI was defined by CDC criteria.Results: The incidence of SSI noted in present study was 8.02%. Almost 46.2% cases had BMI ≥25 kg/m2, 65.4% multipara, 34.6% resided in rural area of SSI group. PIH, PROM, LSCS in emergency, multiple vaginal examination (>3), perioperative blood glucose (≥110 mg/dl), duration of surgery (≥60 min), past H/O of LSCS noted in participants of SSI was 30.8%, 30.8%, 96.1, 19.3%, 84.6%, 23.1%), 73.1% respectively. Staphylococcus aureus was the most common microorganism identified and incidence of NICU admission was 11.5% in SSI group.Conclusions: Incidence of SSI in present is 8.02%. BMI, PIH, PROM, LSCS in emergency, multiple vaginal examination (>3), perioperative blood glucose (≥110 mg/dl), duration of surgery (≥60 min), Past H/O of LSCS were noted statistically significantly higher among the participants of SSI group. Staphylococcus aureus was the most common organism identified.