scholarly journals Antimicrobial susceptibility profile of surgical site infection isolates from a tertiary care center in West India

2019 ◽  
Vol 21 (1) ◽  
pp. 69
Author(s):  
GurpreetSingh Bhalla ◽  
Naveen Grover ◽  
Gurpreet Singh ◽  
ManbeerSingh Sarao ◽  
Deepshikha Mishra
Keyword(s):  
Surgical Site Infection ◽  
Antimicrobial Susceptibility ◽  
Care Center ◽  
Tertiary Care ◽  
Tertiary Care Center ◽  
Site Infection ◽  
Antimicrobial Susceptibility Profile

scholarly journals To study the effectiveness of prophylactic use of ceftriaxone (single dose) in caesarean section in low risk patients in a tertiary care center, Moradabad, India

2017 ◽  
Vol 5 (12) ◽  
pp. 5278
Author(s):  
Ruby Kumari ◽  
Arti Sharma ◽  
. Sheetal ◽  
Pratibha Roy ◽  
. Anupriya
Keyword(s):  
Single Dose ◽  
Caesarean Section ◽  
Surgical Site Infection ◽  
Care Center ◽  
Tertiary Care ◽  
Infectious Complications ◽  
Low Risk ◽  
Tertiary Care Center ◽  
Site Infection ◽  
Risk Patients

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.

Incidence and risk factors for surgical site infection post-hysterectomy in a tertiary care center

2017 ◽  
Vol 45 (3) ◽  
pp. 284-287 ◽  
Author(s):  
Aurora Pop-Vicas ◽  
Jackson S. Musuuza ◽  
Michelle Schmitz ◽  
Ahmed Al-Niaimi ◽  
Nasia Safdar
Keyword(s):  
Risk Factors ◽  
Surgical Site Infection ◽  
Care Center ◽  
Tertiary Care ◽  
Tertiary Care Center ◽  
Site Infection

scholarly journals Prevention of Surgical Site Infection in Total Joint Arthroplasty: An International Tertiary Care Center Survey

2013 ◽  
Vol 10 (1) ◽  
pp. 45-51 ◽  
Author(s):  
Benjamin F. Ricciardi ◽  
Mathias P. Bostrom ◽  
Lars Lidgren ◽  
Jonas Ranstam ◽  
Katharina M. D. Merollini ◽  
...  
Keyword(s):  
Surgical Site Infection ◽  
Total Joint Arthroplasty ◽  
Care Center ◽  
Tertiary Care ◽  
Joint Arthroplasty ◽  
Tertiary Care Center ◽  
Site Infection

scholarly journals Chlorhexidine-alcohol versus Povidone-Iodine-alcohol for surgical site antisepsis in caesarean section

2019 ◽  
Vol 8 (4) ◽  
pp. 1359
Author(s):  
Vishnu Priya Kesani ◽  
Sruthi Talasila ◽  
Sheela S. R.
Keyword(s):  
Caesarean Section ◽  
Surgical Site Infection ◽  
Povidone Iodine ◽  
Care Center ◽  
Tertiary Care ◽  
Site Infection ◽  
Healthcare Associated Infection ◽  
Skin Antisepsis ◽  
Control And Prevention ◽  
Healthcare Associated

Background: Caesarean section is one of the most common procedures performed. Recent studies found that surgical-site infection (SSI) was the most common healthcare-associated infection. Authors hypothesized that optimization of preoperative skin antisepsis may decrease postoperative infections. The objective was to establish the efficacy of chlorhexidine-based antiseptic protocol versus povidone-iodine protocol in reducing SSI for patients undergoing caesarean deliveries.Methods: This is a randomized prospective study conducted from April 2017 to September 2017 at a tertiary care center in India. Women who underwent caesarean sections were allocated into either group. Enrolled patients were randomly assigned to have the surgical site painted with chlorhexidine-alcohol preparation or painted with a solution of 10% povidone-iodine and then with surgical spirit. The outcomes were any SSI occurring within a week or during the 30 day follow up period of the surgery including any of: superficial or deep surgical site infection, or endometritis, according to Centers for Disease Control and Prevention definitions.Results: A total of 560 subjects (273 in the chlorhexidine group and 287 in the iodine group) qualified for the study. The number of surgical-site infection was significantly lower in the chlorhexidine group than in the iodine group (6.95% vs. 14.28%; P=0.005). Chlorhexidine–alcohol was significantly more protective than iodine-alcohol against both superficial incisional infections (5.49% vs. 10.10%, P=0.03) and deep incisional infections (1.46% vs. 4.18%, P=0.04).Conclusions: This study highlighted that Chlorhexidine-alcohol provided superior skin antisepsis in comparison to povidone iodine-alcohol.

Risk factors for post caesarean surgical site infection at a tertiary care center in Eastern Nepal

2017 ◽  
Vol 13 (3) ◽  
pp. 314-317
Author(s):  
Manisha Chhetry ◽  
Shanti Subedi ◽  
Basudeb Banerjee
Keyword(s):  
Risk Factors ◽  
Surgical Site Infection ◽  
Care Center ◽  
Tertiary Care ◽  
Site Infection ◽  
Emergency Procedures ◽  
Membrane Rupture ◽  
Duration Of Surgery ◽  
Elective Cesarean ◽  
Associated Risk Factors

Background & Objectives:Post cesarean surgical site infection (SSI) is one of the commonly encountered complications which considerably increase the burden to health care. It is caused due to the interplay of various patient related, procedure related and iatrogenic factors. This study aims at identifying common risk factors for post cesarean SSI at our centre.Materials & Methods:This was a prospective observational study conducted from July 2015 to December 2015, in which all patients who were admitted with post cesarean SSI or developed SSI during their stay were included and their risk factors were studied.Results:Emergency procedures (82.97%) were more likely to develop SSI as compared to elective cesarean (17%). Among the patient related risk factors most of them were nulliparous (48.9%), term gestation (42.6%), malnourished (53.1%) and had history of prolonged leaking (44.68%) The mean age was 24.04±4.6years.Most of the patients who developed SSI were operated for repeat cesarean and fetal indications. Most patients who had SSI had at three to five per vaginal examinations (2.72±2). 66% of patient who had SSI had duration of surgery more than one hour. 68% of the surgeries which developed SSI were done by residents as compared to 32% of those done by consultantsConclusion:The commonly associated risk factors linked with post cesarean SSI are maternal age, emergency procedures, prolonged membrane rupture, multiple vaginal examinations, malnutrition and the experience of surgeon. 

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