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Abstract
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Introduction: Surgical site infections (SSI) are the second most common complication of Cesarean sections, occurring in 3-15% of cases, and can lead to severe complications including sepsis, necrotizing fasciitis, and death. Possible associated factors in the current literature include blood loss/transfusion, use or lack of antibiotic prophylaxis, duration of operation, type of anesthesia used, vitamin D levels and hemoglobin A1c. The goal of this study is to identify specific local risk factors that are contributing to our high wound infection rate. Secondary outcomes are to focus on which of these factors can be modifiable in order to decrease the incidence of post cesarean surgical site infections.
Methods: IRB approval was obtained and we performed a retrospective cohort chart review of 525 females ages 12-45 years old who underwent cesarean section at University Medical Center from January 1, 2017 to December 31, 2017. We reviewed corresponding clinical charts to extract parameters that could contribute to increased infection rates.
Results: Our results showed twenty (3.8%) out of 525 women presented with positive wound infection after C-section. We found significant differences between two groups for the following variables: diabetes (p=0.013), anesthesia (p=0.032), and wound class (p < 0.009).
Conclusion/Implications: While we cannot often control the type of anesthesia used or blood loss in surgery, there are other factors that could possibly be modified to reduce the risk and incidence of post-cesarean wound infections such as BMI and optimization of diabetes that could potentially minimize the prevalence of SSIs.
Methods: IRB approval was obtained and we performed a retrospective cohort chart review of 525 females ages 12-45 years old who underwent cesarean section at University Medical Center from January 1, 2017 to December 31, 2017. We reviewed corresponding clinical charts to extract parameters that could contribute to increased infection rates.
Results: Our results showed twenty (3.8%) out of 525 women presented with positive wound infection after C-section. We found significant differences between two groups for the following variables: diabetes (p=0.013), anesthesia (p=0.032), and wound class (p < 0.009).
Conclusion/Implications: While we cannot often control the type of anesthesia used or blood loss in surgery, there are other factors that could possibly be modified to reduce the risk and incidence of post-cesarean wound infections such as BMI and optimization of diabetes that could potentially minimize the prevalence of SSIs.
Introduction: Surgical site infections (SSI) are the second most common complication of Cesarean sections, occurring in 3-15% of cases, and can lead to severe complications including sepsis, necrotizing fasciitis, and death. Possible associated factors in the current literature include blood loss/transfusion, use or lack of antibiotic prophylaxis, duration of operation, type of anesthesia used, vitamin D levels and hemoglobin A1c. The goal of this study is to identify specific local risk factors that are contributing to our high wound infection rate. Secondary outcomes are to focus on which of these factors can be modifiable in order to decrease the incidence of post cesarean surgical site infections.
Methods: IRB approval was obtained and we performed a retrospective cohort chart review of 525 females ages 12-45 years old who underwent cesarean section at University Medical Center from January 1, 2017 to December 31, 2017. We reviewed corresponding clinical charts to extract parameters that could contribute to increased infection rates.
Results: Our results showed twenty (3.8%) out of 525 women presented with positive wound infection after C-section. We found significant differences between two groups for the following variables: diabetes (p=0.013), anesthesia (p=0.032), and wound class (p < 0.009).
Conclusion/Implications: While we cannot often control the type of anesthesia used or blood loss in surgery, there are other factors that could possibly be modified to reduce the risk and incidence of post-cesarean wound infections such as BMI and optimization of diabetes that could potentially minimize the prevalence of SSIs.
Methods: IRB approval was obtained and we performed a retrospective cohort chart review of 525 females ages 12-45 years old who underwent cesarean section at University Medical Center from January 1, 2017 to December 31, 2017. We reviewed corresponding clinical charts to extract parameters that could contribute to increased infection rates.
Results: Our results showed twenty (3.8%) out of 525 women presented with positive wound infection after C-section. We found significant differences between two groups for the following variables: diabetes (p=0.013), anesthesia (p=0.032), and wound class (p < 0.009).
Conclusion/Implications: While we cannot often control the type of anesthesia used or blood loss in surgery, there are other factors that could possibly be modified to reduce the risk and incidence of post-cesarean wound infections such as BMI and optimization of diabetes that could potentially minimize the prevalence of SSIs.
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