Surgical Site Infection in Caesarean Section – A Prospective Cohort

Abstract

Background : Surgical site infection (SSI) is one of the most common complications following caesarean section,
and has an incidence of 3%–15%.With the global increase in caesarean section rate, it is expected that the
occurrence of SSI will increase in parallel, hence its clinical significance. Optimization of maternal comorbidities,
appropriate antibiotic prophylaxis, and evidence-based surgical techniques are some of the practices proven to be
effective in reducing the incidence of SSI.
Material & Method: Prospective, cohort, observational study conducted in tertiary care hospital. Women
undergoing LSCS during study period were monitored for SIS and its associated risk factors.
Result : During the study period total 324 patients undergone LSCS, among them 26 patients had wound site
infection. Increase incidence of SSI in the presence of PROM and BMI >=25, in emergency LSCS and also with
increase duration of the surgery, which is statistically significant.(p<0.05). 42.3% patients had no growth in their
culture sensitivity report.
Conclusion:The present study highlights on the incidence of wound infection, possible risk factors and etiology of
wound infection. Incidence of SSI in this study is 8.02%. In SSI Staphylococcus Aureus is most common organism.