Study of surgical site infection: An obstetrical surgical morbidity at a tertiary level hospital
Background: Surgical site infection (SSI) is amongst the most common sufferings following cesarean section. It contributes to increased morbidity and negative impact on the mental, social and economic condition of patients. This study aimed to determine the incidence, risk factors, and therefore the bacteriological profile following cesarean section at Umaid Hospital Jodhpur.
Methods: This was a hospital-based prospective observational study of 1600 patients who had cesarean section over 3 months duration. Among them, 50 patients developed post-cesarean SSI. Wound swabs were collected from these patients. Culture and antibiotic sensitivity were done for aerobic pyogenic organisms.
Results: Out of the 1600 participants who had a cesarean section, 50 patients had SSI, giving an incidence of 3.12 of 100 cesarean sections. The common isolates were coagulase-negative Staphylococcus Aureus (57%), Staphylococcus Aureus (14%), E.coli (17%), Acinetobacter (7%), and Klebsiella (3%). The risk factors were emergency cesarean section, obesity, rupture of membranes, lack of intraoperative antibiotic coverage, previous cesarean section, etc. The common isolates were resistant to Ofloxacin and sensitive to Vancomycin, Linezolid, and Amikacin.
Conclusion: The post-cesarean wound infection rate in our center was 3.12 of 100 cesarean sections. Linezolid, Cefazoline antibiotics were sensitive for the common isolates from SSI and may be used prophylactically till the final report of culture and sensitivity is obtained. This may reduce the complications associated with SSI.
Keywords: Cesarean section, surgical site infection, wound infections, antibiotic sensitivity