Shazia Jabbar, Shakira Perveen, Quratulain Naseer.
Surgical Site Infection (SSI): Frequency and Risk Factors in Post Caesarean Section Cases in a Tertiary Care Hospital.
Ann Abbasi Shaheed Hosp Karachi Med Dent Coll Jan ;21(4):233-9.

Objective: To determine the frequency of Surgical Site Infections (SSI) and associated risk factors in patients undergoing caesarean section in a tertiary care hospital. Subject and Methods: A descriptive study conducted from 22nd January 2016 to 21st July 2016 in the department of Obstetrics and Gynaecology, Unit 2, Civil Hospital Karachi. Total 185 post-caesarean section patients, were included in the study, regardless of their booking status. Data on history of patient, demographic information and potential risk factors were noted on a predesigned proforma and patient was followed for 30 days post operatively for occurrence of surgical site infection according to Center for Disease Control (CDC), sample size was calculated by open Epi info and SPSS 17 was used for data analysis. Frequency and percentages were calculated for qualitative variables like parity, Body Mass Index (BMI), diabetes mellitus (DM), chorioamnionitis, education status of patient. Chisquare test was performed to determine the association of SSI with risk factors with p-value taken significant at p 0.05. Results: Total of 185 women aged 18-40 years, who underwent caesarean section in our health facility, were selected. Mean age of women was 25.48 + 4.64 years and gestational age was 35.05 ± 2.517 weeks. Women with parity less than 3 were 121 (65.4%), 108 (58.4%) women had Body Mass Index(BMI) 27 and diabetes was found in 85 (45.9%). SSI was seen in 45 (24.3%) post caesarean section patient. Distribution showed that 23 (51.1%) women had superficial incisional infection following caesarean section, 12 (26.6%) women had deep incisional and 10 (22.2%) women had organ/ space infection. Conclusion: The study identified the frequency of surgical site infections as 24.3% following caesarean section and various modifiable risk factors, such as obesity and diabetes in our population were identified. Keywords: surgical site infection(SSI), caesarean section, body mass index (BMI), parity, risk factors.

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