Farkhunda Akhter, Maliha Khawar, Tooba Hamid, Moazzam Ali.
SURGICAL SITE INFECTIONS (SSI); Post-caesarean rate and factors.
Professional Med J Jan ;23(11):1328-33.

The objective of this study is to determine the frequency of post-caesarean SSI and determine the frequency of factors leading to post-caesarean SSI. Study design: Descriptive case series. Setting and duration: Department of Obstetrics & Gynaecology, District Headquarters Teaching hospital, Rawalpindi from June 2015 to Nov 2015. Materials and methods: Through non-probability consecutive sampling, 180 patients who have undergone caesarean section who fulfilled the inclusion criteria were enrolled in the study. The data was collected manually on a formatted proforma. All patients suspected of having SSI within 30 days of CS were identified for any pre-operative factors leading to their SSI. Suspected SSI was confirmed by Culture testing of wound swabs, prior to commencement of an antibiotic treatment or as soon as the diagnosis was suspected. Data was analyzed using SPSS version 20. Results: Of the 180 patients, 8 suffered from SSI (4.4%). The average age for the patients was 25.42±3.68 years. The operations were elective in 38.9% of the cases and 61.1% were urgent. On data analysis, Diabetes, Anaemia and emergency CS were significantly associated with SSI with a p-value less than 0.05. Conclusion: SSI continues to be a significant post-operative complication. A thorough assessment of risk factors that predispose to SSI and their prevention may help in reduction of SSI rates. We recommend that above mentioned factors to be taken into consideration before planning obstetrical surgeries. Prevention of these infections should be a clinical and public health priority.

PakMediNet -Pakistan's largest Database of Pakistani Medical Journals - http://www.pakmedinet.com