Surgical Site Infection Following Elective Caesarean Section: A Case-Control Study of Postdischarge Surveillance

Griffiths, Jill; Demianczuk, Nestor; Cordoviz, Melody; Joffe, AR

doi:10.1016/s1701-2163(16)30460-1

Cited by 27 publications

(23 citation statements)

References 8 publications

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“…This incidence is broadly consistent with other recent studies that used Centers for Disease Control and Prevention definitions of infection and PDS. [10][11][12][13][14][15][16][17][18][19][20][21] These studies varied in terms of the PDS method used (eg, telephone contact with patients 30 days postpartum, physician/midwife questionnaires, patient questionnaires, or combinations of these methods), which may explain partly the differences in the reported SSI rates. PDS of SSI may be challenging because there is no consensus about the optimal PDS method.…”

Section: Discussionmentioning

confidence: 99%

“…As a result, we were able to follow-up 7,691 patients over 5.5 years, which is, to the best of the authors' knowledge, the highest number of patients followed and the longest study duration compared with other similar studies. [10][11][12][13][14][15][16][17][18][19][20][21] Multiple factors contribute to post-CS SSI. In our study, prolonged rupture of membranes with subsequent CS was a major risk factor for post-CS SSI.…”

Section: Discussionmentioning

confidence: 99%

“…[9][10][11][12][13][14][15][16][17][18][19][20][21] This study was undertaken to determine the incidence of post-CS SSIs using a PDS system, and to assess the effects of components…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

A multifaceted prevention program to reduce infection after cesarean section: Interventions assessed using an intensive postdischarge surveillance system

Ng¹,

Brown²,

Alexander³

et al. 2015

American Journal of Infection Control

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

A multifaceted prevention program to reduce infection after cesarean section: Interventions assessed using an intensive postdischarge surveillance system

Ng¹,

Brown²,

Alexander³

et al. 2015

American Journal of Infection Control

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“…Si bien la mayoría de estudios perinatales en pacientes VIH se han enfocado a la disminución de la transmisión vertical, estudios más recientes (13)(14)(15) , como el nuestro, buscan evaluar las consecuencias maternas de dichas intervenciones en términos de morbilidad, sobre todo considerando que el beneficio en mujeres con cargas virales indetectables es menor.…”

Section: Discussionunclassified

“…Podríamos suponer que, debido a su estado de infección, las mujeres VIH reactivas tendrían un mayor riesgo de infecciones posoperatorias. Sin embargo, los datos de estudios realizados al respecto son aún controversiales (12)(13)(14)(15) . Uno de los principales estudios que comparó las diferencias en la tasa de complicaciones entre mujeres con y sin VIH sometidas a cesárea electiva, observó un aumento en la frecuencia de complicaciones generales en el grupo de mujeres con VIH (12) .…”

Section: Introductionunclassified

Asociación entre el estado de infección por VIH y complicaciones infecciosas poscesárea electiva

Tejaja

Huayanay

Gutiérrez

et al. 2014

Rev Peru Med Exp Salud Publica

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Objetivos. Determinar la asociación entre VIH y complicaciones infecciosas (CI) después de una cesárea electiva. Materiales y métodos. Estudio de cohortes no concurrentes; se revisaron las historias clínicas de 237 cesáreas electivas en gestantes VIH reactivas atendidas en el Instituto Nacional Materno Perinatal de Perú, realizadas entre 2004 a 2012. Estas fueron pareadas por cirujano y fecha de cesárea con 237 gestantes VIH no reactivas. Se recogieron datos sociodemográficos, clínicos, características de la cesárea y relacionados a la infección por el VIH. Las CI se evaluaron según las recomendaciones del NHI Consensus Development Task Force. Se realizó el análisis bivariado con un nivel de significación del 5% y el cálculo del Odds Ratio (OR) con intervalo de confianza (IC) al 95%. Se construyó un modelo de regresión logística condicional. Resultados. El 13,9% de mujeres VIH positivas presentaron CI y 9,7% del grupo control (OR: 1,5 IC95% [0,9-2,7]); las expuestas (mujeres con VIH) tuvieron mayor probabilidad de tener una infección del tracto urinario (ITU) que las no expuestas (ORa: 4,5 IC95% [1,[4][5][6][7][8][9][10][11][12][13][14]5]). Se encontró asociación entre CI y el tipo de incisión (ORa: 2,3 IC95% [1,1-4,5]) y el tiempo de hospitalización (6 frente a 3 días, p<0,001). Conclusiones. Las mujeres VIH positivas sin tratamiento antirretroviral tuvieron mayor riesgo de CI; aunque no se observó mayor riesgo global de CI en expuestas después de una cesárea electiva. El principal factor de riesgo asociado a una CI poscesárea electiva en mujeres VIH positivas fue el tipo de incisión. Palabras clave: VIH; Embarazo; Cesárea; Complicaciones postoperatorias; Complicaciones infecciosas del embarazo; (fuente: DeCS BIREME). ASSOCIATION BETWEEN HIV INFECTION STATUS AND INFECTIOUS COMPLICATIONS AFTER AN ELECTIVE C-SECTION ABSTRACT Objectives:To determine the connection between HIV and infectious complications (IC) after an elective C-section. Materials and methods.A non-concurrent cohort study was conducted, in which the clinical records of 237 elective C-sections on HIV-positive pregnant women who gave birth at the Instituto Nacional Materno Perinatal (National Maternal Perinatal Institute) between 2004 and 2012 were revised. The records were matched by surgeon and C-section date, with 237 HIV-negative pregnant women. Socio-demographic and clinical data were collected, along with characteristics of the C-section and data related to the HIV infection. IC were evaluated according to the NIH Consensus Development Task Force. The descriptive analysis and the bivariate analysis were carried out with a significance level of 5% for the hypothesis tests and the calculation of the Odds Ratio (OR) with a confidence interval (CI) at 95%. A conditional logistic regression model was built. Results. IC were present in 13.9% of HIV-positive women and 9.7% of the control group (OR: 1.5 CI95% [0.9-2.7]); those who were exposed (women with HIV) were more likely to have a urinary tract infection (UTI) than those who were not exposed (OR...

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Routes of administration of antibiotic prophylaxis for preventing infection after caesarean section

Nabhan

Allam²,

Salama

2015

Cochrane Database of Systematic Reviews

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Surgical Site Infection Following Elective Caesarean Section: A Case-Control Study of Postdischarge Surveillance

Cited by 27 publications

References 8 publications

A multifaceted prevention program to reduce infection after cesarean section: Interventions assessed using an intensive postdischarge surveillance system

A multifaceted prevention program to reduce infection after cesarean section: Interventions assessed using an intensive postdischarge surveillance system

Asociación entre el estado de infección por VIH y complicaciones infecciosas poscesárea electiva

Routes of administration of antibiotic prophylaxis for preventing infection after caesarean section

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