Key result
Over a 3.5-year period, compliance with antibiotic prophylaxis during cesarean sections increased from 53.5% to 94.9%, with an overall surgical site infection rate of 2.41%.
Observational (n=450)
No
A multidimensional program in a community hospital significantly improved compliance with antibiotic prophylaxis during cesarean sections over a 3.5-year period.
Improved prophylaxis compliance tracked with declining cesarean SSI rates; supports targeted bundle evaluation but should not yet alter practice.
Background: The current study aimed at describing the incidence, etiology of surgical site infections (SSI), and compliance with antibiotic prophylaxis in cesarean section during a 3.5 years period in a community hospital. Methods: Prospective data were collected to monitor the incidence of SSI and compliance with antibiotic prophylaxis in 450 patients undergoing the procedure from January 2013 to June 2016. Results: The mean age of the patients was 31.8 years, 14.3% had diabetes mellitus, 4.73% had overweight, and 54.4% of the procedures were elective; also, 69.8% of the procedures had risk index (RI) 0, 26.3% RI1, and 16 patients had RI 2 and 3. Nine patients with SSI were reported, 8 with superficial incisional and 1 organ-space infections. The pooled infection rate in 2013 was 4.44%, followed by 1 .10% in 2014, 1.52% in 2015, and 2.56% in January to June 2016; in addition, 1.04% of the study subjects were RI 0 and 4.50% RI 1. Methicillinresistant Staphylococcus aureus was identified in 2 patients, and Methicillin-sensitive Staphylococcus aureus, Pseudomonas aeruginosa, and Klebsiella pneumonia in 1 patient, respectively. Compliance with antibiotic prophylaxis increased from 53.5% in 2013 to 94.9%in January to June 2016. Conclusions: The current study findings showed the effect o f a multidimensional program to prevent surgical site infection in cesarean section, and the need to strengthen it.
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Garcell et al. (2017) conducted an observational in Cesarean section (n=450). Multidimensional infection control program was evaluated on Incidence of surgical site infection (SSI). Over a 3.5-year period, compliance with antibiotic prophylaxis during cesarean sections increased from 53.5% to 94.9%, with an overall surgical site infection rate of 2.41%.
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