The Association Between Preterm Premature Rupture of Membranes and Surgical Site Infection Following Cesarean Section
OBJECTIVE: To evaluate clinical characteristics of surgical-site infections (SSIs) following cesarean section (CS) and to identify infection rates and risk factors associated with SSIs following cesarean section. STUDY DESIGN: A total of 197 patients who underwent cesarean and complicated with SSIs...
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| Format: | Article |
| Language: | English |
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Medical Network
2016-12-01
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| Series: | Gynecology Obstetrics & Reproductive Medicine |
| Subjects: | |
| Online Access: | http://gorm.com.tr/index.php/GORM/article/view/439 |
| _version_ | 1797915862039003136 |
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| author | Mehmet Çınar Hakan Timur Ali İrfan Güzel Aytekin Tokmak Burak Ersak Sibel Saygan Dilek Uygur |
| author_facet | Mehmet Çınar Hakan Timur Ali İrfan Güzel Aytekin Tokmak Burak Ersak Sibel Saygan Dilek Uygur |
| author_sort | Mehmet Çınar |
| collection | DOAJ |
| description | OBJECTIVE: To evaluate clinical characteristics of surgical-site infections (SSIs) following cesarean section (CS) and to identify infection rates and risk factors associated with SSIs following cesarean section.
STUDY DESIGN: A total of 197 patients who underwent cesarean and complicated with SSIs was evaluated during hospital stay or within 30 days following cesarean section by readmission to the hospital or by post discharge survey. The clinical characteristics, subsequent microbiological culture results and management were recorded.
RESULTS: There were 34 (17.25%) patients complicated with preeclampsia and 26 (13.17%) gestational diabetes mellitus (GDM) in the study group. Preterm rupture of membranes (PROM) rate was 17.31% and mean rupture period were 6.61 hours. In the study population, 66 patients had positive culture results. The most isolated microorganism was S. Aureus (n=13, 19.7%). Preeclampsia, GDM and PROM rates were statically significant high in patients with positive culture results (p<0.05). There were 31 patients complicated with PROM in the study group. The rates of positive culture results were significantly increased by PROM (mean 45%, p<0.05).
CONCLUSION: Independent risk factors for post-cesarean SSIs are younger age, obesity, diabetes, hypertension, premature rupture of membranes. Information regarding higher rates of SSIs should be provided to obese women undergoing cesarean delivery, especially when diabetes and hypertension coexists. |
| first_indexed | 2024-04-10T12:48:09Z |
| format | Article |
| id | doaj.art-2c36fdfa5f4841ec9d8d160dff771b65 |
| institution | Directory Open Access Journal |
| issn | 1300-4751 |
| language | English |
| last_indexed | 2024-04-10T12:48:09Z |
| publishDate | 2016-12-01 |
| publisher | Medical Network |
| record_format | Article |
| series | Gynecology Obstetrics & Reproductive Medicine |
| spelling | doaj.art-2c36fdfa5f4841ec9d8d160dff771b652023-02-15T16:13:56ZengMedical NetworkGynecology Obstetrics & Reproductive Medicine1300-47512016-12-0122313914310.21613/GORM.2016.439554The Association Between Preterm Premature Rupture of Membranes and Surgical Site Infection Following Cesarean SectionMehmet Çınar0Hakan Timur1Ali İrfan Güzel2Aytekin Tokmak3Burak Ersak4Sibel Saygan5Dilek Uygur6Dr. Zekai Tahir Burak Kadın Sağlığı E.A.H.Zekai Tahir Burak Women's Health and Resourche hospitalZekai Tahir Burak Women's Health and Resourche hospitalZekai Tahir Burak Women's Health and Resourche hospitalZekai Tahir Burak Women's Health and Resourche hospitalZekai Tahir Burak Women's Health and Resourche hospitalZekai Tahir Burak Women's Health and Resourche hospitalOBJECTIVE: To evaluate clinical characteristics of surgical-site infections (SSIs) following cesarean section (CS) and to identify infection rates and risk factors associated with SSIs following cesarean section. STUDY DESIGN: A total of 197 patients who underwent cesarean and complicated with SSIs was evaluated during hospital stay or within 30 days following cesarean section by readmission to the hospital or by post discharge survey. The clinical characteristics, subsequent microbiological culture results and management were recorded. RESULTS: There were 34 (17.25%) patients complicated with preeclampsia and 26 (13.17%) gestational diabetes mellitus (GDM) in the study group. Preterm rupture of membranes (PROM) rate was 17.31% and mean rupture period were 6.61 hours. In the study population, 66 patients had positive culture results. The most isolated microorganism was S. Aureus (n=13, 19.7%). Preeclampsia, GDM and PROM rates were statically significant high in patients with positive culture results (p<0.05). There were 31 patients complicated with PROM in the study group. The rates of positive culture results were significantly increased by PROM (mean 45%, p<0.05). CONCLUSION: Independent risk factors for post-cesarean SSIs are younger age, obesity, diabetes, hypertension, premature rupture of membranes. Information regarding higher rates of SSIs should be provided to obese women undergoing cesarean delivery, especially when diabetes and hypertension coexists.http://gorm.com.tr/index.php/GORM/article/view/439Surgical-site infections, Cesarean section, Microbiological, Culture, Premature rupture of membranes |
| spellingShingle | Mehmet Çınar Hakan Timur Ali İrfan Güzel Aytekin Tokmak Burak Ersak Sibel Saygan Dilek Uygur The Association Between Preterm Premature Rupture of Membranes and Surgical Site Infection Following Cesarean Section Gynecology Obstetrics & Reproductive Medicine Surgical-site infections, Cesarean section, Microbiological, Culture, Premature rupture of membranes |
| title | The Association Between Preterm Premature Rupture of Membranes and Surgical Site Infection Following Cesarean Section |
| title_full | The Association Between Preterm Premature Rupture of Membranes and Surgical Site Infection Following Cesarean Section |
| title_fullStr | The Association Between Preterm Premature Rupture of Membranes and Surgical Site Infection Following Cesarean Section |
| title_full_unstemmed | The Association Between Preterm Premature Rupture of Membranes and Surgical Site Infection Following Cesarean Section |
| title_short | The Association Between Preterm Premature Rupture of Membranes and Surgical Site Infection Following Cesarean Section |
| title_sort | association between preterm premature rupture of membranes and surgical site infection following cesarean section |
| topic | Surgical-site infections, Cesarean section, Microbiological, Culture, Premature rupture of membranes |
| url | http://gorm.com.tr/index.php/GORM/article/view/439 |
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