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首页> 外文期刊>International Journal of Reproduction, Contraception, Obstetrics and Gynecology >Assessment of incidence of post-operative wound infection in women undergoing caesarean section: a retrospective study
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Assessment of incidence of post-operative wound infection in women undergoing caesarean section: a retrospective study

机译：评估剖宫产妇女术后伤口感染的发生率：一项回顾性研究

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Background: The surgical site infection is the second most common infectious complication occurring after caesarean section. Infections occurring after caesarean section represent a considerable burden to the healthcare systems and preventing these complications is a priority of healthcare systems especially in developing countries. The aim of this study was to determine the incidence of SSI in patients undergoing a LSCS at a RIMS teaching hospital, Raichur, and to identify risk factors, common bacterial pathogens and antibiotic sensitivity. Methods: The present retrospective study was conducted in RIMS Institute, during a period of 3 years i.e. from 2013-2016. In this study a total of 50 cases were collected from MRD department. They were divided into two groups- cases and controls, each having 50 subjects each. Wound infection was defined as inflammation or sepsis with or without positive bacterial cultures. With SSI, there may be fever, redness, swelling and/or pain in the area around the incision site. Complete information regarding demographic data, the type and indication for caesarean section, duration of labour, duration of surgery and rupture of membrane were recorded. Wound infections occuring after 30 days of LSCS & other gynaecological surgeries were excluded. All the results were analyzed by SPSS software 16.0. Chi-square test and student t test were used for the assessment of level of significance. Probability value of less than 0.05 was considered significant. Results: A total of 100 subjects were included in the present study, out of which, 50 were cases and the remaining 50 were controls. The mean age of the subjects was 37.45 years. There were 7 cases and 13 controls who were aged between 20-24 years. There was no significant difference amongst cases and controls regarding age. There was a significant difference in the haemoglobin levels amongst cases and controls. The third criterion that was assessed was duration of labour. Majority of the cases had prolonged labour whereas in majority of the controls, the duration of labour of labour was less than 6 hours. There was a significant difference in duration of labour amongst cases and controls (p0.05). Elective c section was done in 2 cases and 6 controls. C section was performed in an emergency in 48 cases and 44 controls. There was a significant difference in the operation time between cases and controls (p0.05). E.coli infection occurred in 15 cases in the present study followed by Actinobacter species which occurred in 13 cases. Absence of growth was seen in 5 cases. Conclusions: The risk factors associated with SSI in our study were, haemoglobin levels, prolonged labour, duration of operation. The most common organisms isolated were E. coli and Actinobacter species.
机译：背景：手术部位感染是剖宫产术后第二常见的感染性并发症。剖宫产后发生的感染给医疗保健系统带来了沉重负担，防止这些并发症是医疗保健系统的优先事项，尤其是在发展中国家。这项研究的目的是确定在Raichur的一家RIMS教学医院接受LSCS的患者中SSI的发生率，并确定危险因素，常见细菌病原体和抗生素敏感性。方法：本回顾性研究在RIMS研究所进行，为期3年，即从2013年至2016年。在这项研究中，共从MRD部门收集了50例病例。他们分为两组-病例和对照组，每组各有50名受试者。伤口感染被定义为有或没有阳性细菌培养物的炎症或败血症。使用SSI时，切口部位周围区域可能发烧，发红，肿胀和/或疼痛。记录有关人口统计学数据，剖腹产类型和适应症，分娩持续时间，手术持续时间和胎膜破裂的完整信息。 LSCS和其他妇科手术30天后发生的伤口感染被排除在外。所有结果均通过SPSS软件16.0进行分析。卡方检验和学生t检验用于评估显着性水平。小于0.05的概率值被认为是重要的。结果：本研究共纳入100名受试者，其中50例为病例，其余50例为对照。受试者的平均年龄为37.45岁。有7例病例和13例对照者年龄在20-24岁之间。年龄和病例之间没有显着差异。病例和对照之间的血红蛋白水平存在显着差异。评估的第三个标准是劳动时间。大多数病例的产程延长，而在大多数对照中，产程的持续时间少于6小时。病例和对照之间的分娩时间有显着差异（p <0.05）。选择性剖宫产2例，对照组6例。紧急情况下进行C切术48例，对照组44例。病例与对照组之间的手术时间存在显着差异（p <0.05）。在本研究中，大肠杆菌感染发生在15例中，其次是放线菌，在13例中发生。 5例中无生长。结论：本研究中与SSI相关的危险因素为血红蛋白水平，长期分娩和手术时间。分离出的最常见的生物是大肠杆菌和放线菌。

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