TITLE:
Risk Factors for Wound Infection Following Caesarean Section: A Case Control Study from Sir Salimullah Medical College & Mitford Hospital in Dhaka, Bangladesh
AUTHORS:
Farhana Israt Jahan, Ferdousi Begum, Farzana Islam, Shahana Pervin, Annekathryn Goodman
KEYWORDS:
Caesarean Section, Body Mass Index, Wound Infection, Surgical Site Infection, Prolonged Rupture of Membrane
JOURNAL NAME:
Open Journal of Obstetrics and Gynecology,
Vol.9 No.6,
June
28,
2019
ABSTRACT: Background: Post caesarean section (CS) wound infection or surgical site infection is
a leading cause of prolonged hospital stay or readmission. An understanding of
its risk factors is important. Methods: A case control study was conducted in the Department of Obstetrics
and Gynecology of Sir Salimullah Medical College & Mitford Hospital, in
Dhaka, Bangladesh from January to June 2014 to evaluate the risk factors of
postoperative surgical site infection following CS. One hundred patients were
studied. Results: Fifty patients of post CS wound infection (surgical site infection: SSI)
were selected as cases. Body mass index > 25 (kg/m2), anemia (p = 0.001), prolonged
rupture of membrane (p = 0.005), prolonged operation time (p = 0.019), and
junior surgeons performing the operation (p = 0.011) were the risk factors for
CS-SSI. Conclusions: Pre- and postoperative care and surgical training
of junior doctors should be directed to these risk factors.