Cefazoline or Normal Saline Irrigation Doesn’t Reduce Surgical Site Infections After Cesarean

نویسندگان

  • Azade Askari Fertility and Infertility Research Center, Hormozgan University of Medical Sciences, Bandar Abbass, Iran.
  • Maryam Rahmani Fertility and Infertility Research Center, Hormozgan University of Medical Sciences, Bandar Abbass, Iran.
  • Minoo Rajaee Fertility and Infertility Research Center, Hormozgan University of Medical Sciences, Bandar Abbass, Iran.
  • Said Hosseini Hormozgan University of Medical Sciences, Bandar Abbass, Iran.
  • Zahra Etaati Department of Obstetrics and Gynecology, Hormozgan University of Medical Sciences, Bandar Abbass, Iran.
چکیده مقاله:

Introduction: Cesarean surgical site infection (SSI) occurs in 3% to 17% of patients who undergo cesarean delivery. SSIs increase postcesarean maternal morbidity and health costs and cause longer hospital stays. Therefore, we designed a study to assess the effects of normal saline and cefazolin irrigation on the incidence of SSIs. Methods: In this study, 200 participants were divided into 3 groups with a 2:1:1 ratio. All pregnant women who underwent cesarean after 6 hours passed their rupture of membrane and were admitted to Shariati Hospital of Bandar Abbas were eligible for our study. Patients with immunodeficiency, coagolopathy, allergy to penicillin or cefazolin, history of immunosuppressive drug use, gestational diabetes mellitus or preeclampsia were excluded from the study. Age, gestational age, hours passed from rupture of membrane, the duration of surgery, anemia (Hb < 11), number of vaginal exams and duration of hospitalization were collected from the patients. The SPSS 13 software was used to analyze the collected data and descriptive statistics, one way ANOVA and chi-square were used. A p-value of < 0.05 was considered as significant (clinicaltrials.gov ID= NCT01566734). Results: The mean age of the participants was 25.8 ± 5.6. The incidence of SSIs was 2.5% among all the participants. In this study, 0 patients (0%) of the cefazolin group, 1 patient (2%) of the normal saline group and 4 (4%) of the control group developed SSIs. No significant relation was seen between age, the number of vaginal exams, mean gestational age, duration of surgery, anemia and the type of irrigation. Conclusion: The results of this study show that normal saline or cefazolin irrigation does not decrease the incidence of SSIs. However, these solutions might have a different impact on high-risk patients.

برای دانلود باید عضویت طلایی داشته باشید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

cefazoline or normal saline irrigation doesn’t reduce surgical site infections after cesarean

introduction: cesarean surgical site infection (ssi) occurs in 3% to 17% of patients who undergo cesarean delivery. ssis increase postcesarean maternal morbidity and health costs and cause longer hospital stays. therefore, we designed a study to assess the effects of normal saline and cefazolin irrigation on the incidence of ssis. methods: in this study, 200 participants were divided into 3 gro...

متن کامل

Surgical site infections after cesarean delivery: epidemiology, prevention and treatment

Cesarean delivery (CD) is one of the most common procedures performed in the United States, accounting for 32% of all deliveries. Postpartum surgical site infection (SSI), wound infection and endometritis is a major cause of prolonged hospital stay and poses a burden to the health care system. SSIs complicate a significant number of patients who undergo CD - 2-7% will experience sound infection...

متن کامل

Surgical site infections occurring after hospital discharge.

Although surgical site infections (SSIs) occurring after hospital discharge cause substantial morbidity, their epidemiology is not well understood, and methods for routine postdischarge surveillance have not been validated. Inpatient and outpatient surveillance followed 5572 nonobstetric procedures among members of a health maintenance organization with extensive automated records. Records were...

متن کامل

A statewide collaborative to reduce pediatric surgical site infections.

BACKGROUND Surgical site infections (SSIs) are preventable events associated with significant morbidity and cost. Few interventions have been tested to reduce SSIs in children. METHODS A quality improvement collaboration was established in Ohio composed of all referral children's hospitals. Collaborative leaders developed an SSI reduction bundle for selected cardiac, orthopedic, and neurologi...

متن کامل

Minimizing surgical-site infections.

Primitive ancestors of Homo sapiens and their colonizing bacteria have coevolved for approximately 500,000 years; some experts estimate that the total number of human cells is 1013 and the total number of colonizing microbes is 1014. Despite this 10-to-1 inequity, the balance of power is influenced by an intact human immune system and the integrity of the skin and mucous membranes. Operative pr...

متن کامل

Surgical Site Infections

BACKGROUND Surgical site infection (SSI) rates are publicly reported as quality metrics and increasingly used to determine financial reimbursement. OBJECTIVE To evaluate the volume-outcome relationship as well as the year-to-year stability of performance rankings following coronary artery bypass graft (CABG) surgery and hip arthroplasty. RESEARCH DESIGN We performed a retrospective cohort s...

متن کامل

منابع من

با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

ذخیره در منابع من قبلا به منابع من ذحیره شده

{@ msg_add @}


عنوان ژورنال

دوره 1  شماره None

صفحات  6- 11

تاریخ انتشار 2012-09

با دنبال کردن یک ژورنال هنگامی که شماره جدید این ژورنال منتشر می شود به شما از طریق ایمیل اطلاع داده می شود.

کلمات کلیدی

میزبانی شده توسط پلتفرم ابری doprax.com

copyright © 2015-2023