Why the study?
Surgical site infections are common and expected to increase due to rising obesity, diabetes, and antibiotic resistance, with cesarean sections carrying a high risk of infection.
This position paper provides adapted evidence-based recommendations for the prevention of surgical site infections in obstetric and gynecological surgery in Italy.
Answers are grounded in this paper and cite their sources.
Rising obesity, diabetes, and resistance may drive higher post-C-section SSI rates; leaves open optimal prevention strategies.
Surgical site infections represent about a quarter of all infections that develop in the hospital setting. Far from being solved, this problem is expected even increasing in the next years, mainly for the increase in prevalence of obesity and diabetes and the increasing spread of antibiotic resistance. Obstetrics and Gynecology represent, for frequency of interventions, incidence and impact, one of the major fields of interest. Caesarean section is one of the most frequent surgical procedures in women and is the one most likely to get complicate with surgical site infection. According to some estimates, up to 12% of cesarean sections will be complicated by surgical site infection with repercussions on women and newborn health, and high costs for the community.
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Cetin et al. (2020) conducted a review in Surgical site infections in obstetric and gynecological surgery. Standardized procedures and antisepsis was evaluated. The Italian Society of Gynecology and Obstetrics provides updated recommendations and standardized procedures for the prevention of surgical site infections in obstetric and gynecological surgery.
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