Surgical Site Infection among Women Post Cesarean Section: An Integrative Review

Background: Surgical site infection (SSI) in cesarean section (CS) is a major cause of prolonged hospital stay and resource consumption, and causes morbidity and mortality for the mother and the baby. Purpose: This literature review aimed to assess and identify risk factors, interventions, and prev...

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Main Authors: Shinta Novelia, Wipa Sae Sia, Praneed Songwathana
Format: Article
Language:English
Published: Diponegoro University 2017-06-01
Series:Nurse Media: Journal of Nursing
Subjects:
Online Access:https://ejournal.undip.ac.id/index.php/medianers/article/view/15127
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author Shinta Novelia
Wipa Sae Sia
Praneed Songwathana
author_facet Shinta Novelia
Wipa Sae Sia
Praneed Songwathana
author_sort Shinta Novelia
collection DOAJ
description Background: Surgical site infection (SSI) in cesarean section (CS) is a major cause of prolonged hospital stay and resource consumption, and causes morbidity and mortality for the mother and the baby. Purpose: This literature review aimed to assess and identify risk factors, interventions, and prevention strategies of SSI for women post CS especially the obese women. Methods: An integrative literature review was conducted by employing the databases of PubMed, ProQuest, Science Direct, Wiley online library, and Google scholar from 1999 to 2015. This review identified the studies conducted either in women post-CS or obese women post CS. Results: A total of 58 articles were found, and 14 articles met the criteria. The risk factors of CS-SSI were classified into extrinsic and intrinsic factors. The intrinsic factors include limited mobility, poor nutrition, and comorbidity (diabetes) while the extrinsic factors include surgical technique, skin closure methods, prophylactic antibiotic, and the use of drains. Poor nutrition, diabetes, and limited mobility were the common factors found in obese women undergoing CS. Maintaining nutritional status and controlling blood glucose were proposed to prevent CS-SSI among obese women post-CS. Conclusions: Nurses should have adequate knowledge about the risk factors of CS-SSI to assess the risk factors of CS-SSI especially in obese women. The intervention of CS-SSI might need a bundle of interventions which consist of pre-operative and post-operative prevention strategies.
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spelling doaj.art-eb83677016e843ca99bd1677e2803b572023-01-11T02:46:24ZengDiponegoro UniversityNurse Media: Journal of Nursing2087-78112406-87992017-06-0171465510.14710/nmjn.v7i1.1512711502Surgical Site Infection among Women Post Cesarean Section: An Integrative ReviewShinta Novelia0Wipa Sae Sia1Praneed Songwathana2Midwifery Department, Faculty of Health Science, Universitas Nasional, IndonesiaDepartment of Surgical Nursing, Faculty of Nursing, Prince of Songkla University, ThailandDepartment of Surgical Nursing, Faculty of Nursing, Prince of Songkla University, ThailandBackground: Surgical site infection (SSI) in cesarean section (CS) is a major cause of prolonged hospital stay and resource consumption, and causes morbidity and mortality for the mother and the baby. Purpose: This literature review aimed to assess and identify risk factors, interventions, and prevention strategies of SSI for women post CS especially the obese women. Methods: An integrative literature review was conducted by employing the databases of PubMed, ProQuest, Science Direct, Wiley online library, and Google scholar from 1999 to 2015. This review identified the studies conducted either in women post-CS or obese women post CS. Results: A total of 58 articles were found, and 14 articles met the criteria. The risk factors of CS-SSI were classified into extrinsic and intrinsic factors. The intrinsic factors include limited mobility, poor nutrition, and comorbidity (diabetes) while the extrinsic factors include surgical technique, skin closure methods, prophylactic antibiotic, and the use of drains. Poor nutrition, diabetes, and limited mobility were the common factors found in obese women undergoing CS. Maintaining nutritional status and controlling blood glucose were proposed to prevent CS-SSI among obese women post-CS. Conclusions: Nurses should have adequate knowledge about the risk factors of CS-SSI to assess the risk factors of CS-SSI especially in obese women. The intervention of CS-SSI might need a bundle of interventions which consist of pre-operative and post-operative prevention strategies.https://ejournal.undip.ac.id/index.php/medianers/article/view/15127obese womenwound infectionsurgical site infectioncesarean section
spellingShingle Shinta Novelia
Wipa Sae Sia
Praneed Songwathana
Surgical Site Infection among Women Post Cesarean Section: An Integrative Review
Nurse Media: Journal of Nursing
obese women
wound infection
surgical site infection
cesarean section
title Surgical Site Infection among Women Post Cesarean Section: An Integrative Review
title_full Surgical Site Infection among Women Post Cesarean Section: An Integrative Review
title_fullStr Surgical Site Infection among Women Post Cesarean Section: An Integrative Review
title_full_unstemmed Surgical Site Infection among Women Post Cesarean Section: An Integrative Review
title_short Surgical Site Infection among Women Post Cesarean Section: An Integrative Review
title_sort surgical site infection among women post cesarean section an integrative review
topic obese women
wound infection
surgical site infection
cesarean section
url https://ejournal.undip.ac.id/index.php/medianers/article/view/15127
work_keys_str_mv AT shintanovelia surgicalsiteinfectionamongwomenpostcesareansectionanintegrativereview
AT wipasaesia surgicalsiteinfectionamongwomenpostcesareansectionanintegrativereview
AT praneedsongwathana surgicalsiteinfectionamongwomenpostcesareansectionanintegrativereview