CSSI

Caesarean Surgical Site Infection Study

4.6%

SSI Incidence Rate

35.3%

Patients with Risk Factors

61.1%

Emergency C-Sections

Overview

Surgical site infections are one of the most common associated infections in the low middle-income countries. As per studies conducted in India, they make up to 14-16% of inpatient infections. Objective of present study was to evaluate the risk factors associated with caesarean surgical site infections and the bacteria causing these infections and the antibiotic sensitivity and resistance pattern of the pathogens isolated.

Aim

To estimate the incidence of surgical site infections following caesarean sections at MediCiti Institute of Medical Sciences.

Objectives

Identify risk factors associated with SSI following caesarean and to determine the bacteriological profile of SSI linked with caesarean section.

Current Status

A total of 2,038 participants were recruited for the study. 23 participants were excluded due to missing information, resulting in 2,015 participants included in the final analysis. The mean age of participants was 24.1 years (SD 3.2 years), with the majority being multigravida (n = 1,274; 63.2%). Overall, 711 participants (35.3%) had at least one known comorbidity. A total of 1,232 participants (61.1%) underwent emergency cesarean section. The average duration of hospital stay was 9.4 days (SD 3.2 days).

Conclusion

The rate of SSI following caesarean deliveries subjected to single dose antibiotic prophylaxis was 4.6% with 99% being superficial infections. Young women and obese women were at high risk of developing SSI. Our finding also indicates the need for continuous vigilance on SSI control measures at the hospital-level.