2: Improving post-discharge surveillance of surgical site infection following cesarean section

2015 ◽  
Vol 213 (6) ◽  
pp. 896-897
Author(s):  
J. Van Schalkwyk ◽  
F. Wong ◽  
N. Prestley ◽  
S. Dhillon ◽  
A. Albert ◽  
...  
2019 ◽  
Vol 10 (2) ◽  
pp. 18
Author(s):  
Evode Uwamungu ◽  
William Rutagengwa ◽  
Jenae Logan ◽  
Pascal Nkubito ◽  
Rex Wong

Post-caesarean surgical site infection (PCSI) is one of the most common cesarean section-related complications. In low- and middle-income countries (LMIC), PCSI prevalence is often under-reported and inaccurate because LMIC surveillance systems are often unable to detect PCSIs developed after discharge; this can ultimately wrongly inform the decision-making related to reducing PCSIs.This paper describes the establishment of a post-discharge PCSI surveillance system for identification of PCSI rate in a district hospital in Rwanda.A total of 540 women underwent CS in the hospital from November 2017 to February 2018, and 536 (99.3%) consented to participate in the surveillance. Among those consented, 22 had no telephone and 174 could not be reached by telephone despite multiple attempts. At the end of this study, a total of 340 women completed the entire surveillance period. The total PCSI rate was 11.5%.Out of all PCSIs, 21% were detected during hospitalization period and 79% were detected during the post-discharge period.The PCSI surveillance system developed in this project covered the 30-day period after surgery and provided a more accurate estimate of PCSI rate.  The system was able to track PCSIs developed after a patient was discharged from the hospital. Long term sustainability of the project must be evaluated.


2018 ◽  
Vol 5 (3) ◽  
pp. 145
Author(s):  
Amiruddin Amiruddin ◽  
Ova Emilia ◽  
Shinta Prawitasari ◽  
Leo Prawirodihardjo

Background: Surgical Patient Safety is essential to be carried out in operating theatre to prevent mortality and surgical complication. Patient safety is the basic principal in medical care and a major component of medical care management in hospital (WHO, 2009).Objective: To investigate association between SSC implementation among surgical team, surgical site infection and duration of hospital stay.Method: This is an analytical cross sectional study. Population of this study was women who underwent cesarean section with live birth in Barru general hospital during 1 December 2016-30 April 2017. This study was carried out in Barru general hospital, 137 samples met inclusion and exclusion criteria. Data was obtained from medical records. Maternal outcome were duration of hospital stay, surgical site infection, and maternal mortality. Besides, this study also assesed knowledge and compliance of surgical team in implementation of SSC. The result of this study was analysed with computer statisctics analysis program.Result adn Discussion: One-hundred thirty seven patients met study criteria. Compliance of surgery team in SSC was 64%,. SSC was not implemented precisely in 36% patients (49 patients). There is no significant association between surgical team compliance with surgical site infection in cesarean section patients (p=0.078). A significant association was found between surgical team compliance with duration of hospital stay (p=0.006).Conclusion: The surgical team compliance in implementation of SSC was not yet optimal. An intensive socialization is needed to improve compliance of team in order that SSC implementation run promptly. This was part of efforts to reduce post operative complication and shorten hospital stay.Keywords: SSC, cesarean section, compliance, infection, duration of hospital stay


2018 ◽  
Vol 46 (6) ◽  
pp. S45-S46
Author(s):  
Lilly M. Guardia-LaBar ◽  
Amal Johnson ◽  
Alice Blackman

2011 ◽  
Vol 5 (S6) ◽  
Author(s):  
MA Alishaq ◽  
JA AlAjmi ◽  
B Al-Ali ◽  
F Saleh ◽  
M El-Sheik ◽  
...  

2009 ◽  
Vol 72 (3) ◽  
pp. 243-250 ◽  
Author(s):  
J. Tanner ◽  
D. Khan ◽  
C. Aplin ◽  
J. Ball ◽  
M. Thomas ◽  
...  

Sign in / Sign up

Export Citation Format

Share Document