Risk factors of surgical site infections after caesarean section: A study in a tertiary care hospital
Dr. Md Abu Rayhan Bhuiyan, Dr. Md Abul Kalam Azad, Dr. Rashida Begum, Dr. Md Zahidul Islam
Background: In recent years increasing rates of cesarean deliveries have received widespread attention and have increased widespread discussion in the public domain in Bangladesh. Besides these, surgical site infection is one of the most common complications following caesarean section. But we have very limited data on this issue. Aim of the study: The aim of this study was to assess the risk factors of surgical site injections after caesarean section deliveries. Methods and Materials: This was an observational study which was conducted in the Department of Surgery collaboratively with the Department of Gynaecology of 250 Bedded Bongamata Sheikh Fazilatunnesa Mujib General Hospital, Sirajganj, Bangladesh during the period from January 2018 to June 2018. In total 86 patients with surgical site injections after caesarean section were selected as the study population of this study. This study had been approved by the ethical committee of the mention hospital previously. The proper written consents were obtained from each of the participants before starting the main intervention. The cases studied were the patients whose caesarean section was complicated by surgical site infections only. Cases with other major complications were excluded from the study according to the exclusion criteria. Results: According to the frequencies of medical risk factors the highest 47.67% (n=41) patients were with anaemia whereas 27.91% (n=24) were with diabetes, 19.77% (n=17) were with hypertensive disorders and 4.65% (n=4) were with hypothyroidism. On the other hand according to the frequencies of obstetric risk factors we found the highest 26.74% (n=23) patients were with PROM > 8 hours, 19.77% (n=17) were with failed induction and only 15.12% (n=13) were with previous LSCS. Conclusion: Through our study we found that, it is very important for antenatal women to have regular antenatal visits doctors or hospitals so that modifiable risk factors like anaemia are corrected before term. Proper assessment of risk factors that predispose to surgical site infection is critical for the development of strategies for reducing the incidence of surgical site infection and for identifying high risk patients requiring intensive postoperative surveillance.
Dr. Md Abu Rayhan Bhuiyan, Dr. Md Abul Kalam Azad, Dr. Rashida Begum, Dr. Md Zahidul Islam. Risk factors of surgical site infections after caesarean section: A study in a tertiary care hospital. International Journal of Surgery and Surgical Research, Volume 1, Issue 1, 2019, Pages 11-13