scholarly journals Reliability and validity of using telephone calls for post-discharge surveillance of surgical site infection following caesarean section at a tertiary hospital in Tanzania

Author(s):  
Boniface Nguhuni ◽  
Pasquale De Nardo ◽  
Elisa Gentilotti ◽  
Zainab Chaula ◽  
Caroline Damian ◽  
...  
2015 ◽  
Vol 2 (suppl_1) ◽  
Author(s):  
Elisa Lloyd-Smith ◽  
Christopher F. Lowe ◽  
Mary Mcnaughton ◽  
Marc G. Romney ◽  
Victor Leung

2010 ◽  
Vol 76 ◽  
pp. S78 ◽  
Author(s):  
E. Morelli ◽  
G. McIlvenny ◽  
G. Reid ◽  
H.E. Crookshanks ◽  
L. Doherty ◽  
...  

2021 ◽  
Vol 30 ◽  
Author(s):  
Gabrielle Meriche Galvão Bento da Silva Guatura ◽  
Vanessa de Brito Poveda

ABSTRACT Objective: to create and validate an instrument for detecting potential cases of surgical site infection through post-discharge telephone surveillance. Method: a methodological study using psychometric analyzes to develop and validate an instrument for conducting post-discharge surveillance of surgical site infection. Results: the instrument had a total content validity coefficient equal to 0.87. It was applied to a sample of 100 patients and compared to a medical and nursing physical examination to detect surgical site infection, resulting in satisfactory Cohen’s kappa (0.83), Cronbach’s alpha (0.87) and Comparative Fit Index (0.998). The difference between the time spent on telephone calls for patients positive for surgical site infection was statistically greater than the time spent on calls for patients negative for surgical site infection (p <0.001). Sensitivity was 76.4%, with specificity of 100%, negative predictive values of 92.5%, positive values of 100% and accuracy of 94%. Conclusion: the instrument was validated in content, criteria and constructo stages.


2021 ◽  
Vol 9 (4) ◽  
pp. 743
Author(s):  
Blenda Gonçalves Cabral ◽  
Danielle Murici Brasiliense ◽  
Ismari Perini Furlaneto ◽  
Yan Corrêa Rodrigues ◽  
Karla Valéria Batista Lima

Surgical site infection (SSI) following caesarean section is associated with increased morbidity, mortality, and significant health care costs. This study evaluated the epidemiological, clinical, and microbiological features of Acinetobacter spp. in women with SSIs who have undergone caesarean section at a referral hospital in the Brazilian Amazon region. This study included 69 women with post-caesarean SSI by Acinetobacter spp. admitted to the hospital between January 2012 and May 2015. The 69 Acinetobacter isolates were subjected to molecular species identification, antimicrobial susceptibility testing, detection of carbapenemase-encoding genes, and genotyping. The main complications of post-caesarean SSI by Acinetobacter were inadequate and prolonged antibiotic therapy, sepsis, prolonged hospitalization, and re-suture procedures. A. baumannii, A. nosocomialis and A. colistiniresistens species were identified among the isolates. Carbapenem resistance was associated with OXA-23-producing A. baumannii isolates and IMP-1-producing A. nosocomialis isolate. Patients with multidrug-resistant A. baumannii infection showed worse clinical courses. Dissemination of persistent epidemic clones was observed, and the main clonal complexes (CC) for A. baumannii were CC231 and CC236 (Oxford scheme) and CC1 and CC15 (Pasteur scheme). This is the first report of a long-term Acinetobacter spp. outbreak in women who underwent caesarean section at a Brazilian hospital. This study demonstrates the impact of multidrug resistance on the clinical course of post-caesarean infections.


2015 ◽  
Vol 213 (6) ◽  
pp. 896-897
Author(s):  
J. Van Schalkwyk ◽  
F. Wong ◽  
N. Prestley ◽  
S. Dhillon ◽  
A. Albert ◽  
...  

Author(s):  
Ruby Kumari ◽  
Arti Sharma ◽  
. Sheetal ◽  
Pratibha Roy ◽  
. Anupriya

Background: There is increasing incidence of caesarean section throughout the world. As caesarean section is associated with infectious complications which increase the rate of morbidity and mortality of mothers. For prevention of infectious complications antibiotics are used but careless use of antibiotics increasing incidence of antibiotic resistance. Many guidelines and studies recommend single dose antibiotic prophylaxis for women undergoing elective or non-elective caesarean section. The aim of this study was to assess the effectiveness of Ceftriaxone as prophylactic antibiotic (single dose) in caesarean section in low risk patients.Methods: A Prospective single blind study was carried out in the department of obstetrics and gynaecology, TMMC and RC Moradabad, a tertiary care center, in all low risk patients underwent for Elective and Emergency Lower segment caesarean section for 1 year from 1st June 2015 to May 2016 on 110 patients. Data was collected and analyzed by percentage and proportion.Results: Prevalence of caesarean section was maximum in women of 26-35years age group (52.72%),about 67.27% was emergency LSCS, most common indication of caesarean section was Fetal distress (29.09%),refusal for vaginal delivery after caesarean section (10.90%) was one of the cause for increasing rate of repeat caesarean section, 41.81% women in labour,72.27% cases were with intact membrane, in 9.09% cases, antibiotic had to change in post-operative period due to urinary tract infection and surgical site infection, most common post-operative complication was superficial surgical site infection with purulent discharge (2.72%). No major life-threatening complication occurred.Conclusions: Single dose of Ceftriaxone is effective for prevention of post-caesarean infectious complication.


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