Dergiler / Haydarpaşa Numune Medical Journal / 2021 / Cilt: 61 - Sayı: 4

The Effect of Subcutaneous Saline Irrigation on Surgical Site Infection During Cesarean Section

Sayfa
431–436
Yayın Tarihi
2022-10-19
DOI
—
🏛️Bu makalenin bibliyografik verileri ve tam metin bağlantısı DergiPark üzerinden sağlanmıştır.
DergiPark Kaydı ↗
✨

Yapay Zeka Hızlı Bakış & Çıkarımlar

AI Insight
⚡ TL;DR(1 Cümlede Hızlı Çıkarım)

Discussion and Conclusion: Our results indicated that saline irrigation was not effective in surgical wound site infections.

📌 3 Maddede Bu Makale

🎯
Amaç & Hipotez:Introduction: Postoperative wound site infection is an important source of morbidity in surgeries.
📊
Temel Bulgular & Veri:Methods: A total of 2,220 patients who underwent cesarean section in the obstetrics and gynecology clinic of our hospital between January 2017 and December 2020 were included in the study.
💡
Sonuç & Katkı:Discussion and Conclusion: Our results indicated that saline irrigation was not effective in surgical wound site infections.
🔬Tür:Araştırma Makalesi
📍Kapsam:2017 Verileri
⚙️Değişkenler:Alan Parametreleri

Abstract

Introduction: Postoperative wound site infection is an important source of morbidity in surgeries. This leads to financial burden in patients and healthcare systems. There is a need for simple and inexpensive methods in order to reduce surgical site infection (SSI). In this study, we aimed to retrospectively investigate the effect of saline irrigation on the reduction of surgical wound site infections following cesarean section. Methods: A total of 2,220 patients who underwent cesarean section in the obstetrics and gynecology clinic of our hospital between January 2017 and December 2020 were included in the study. A total of 1,090 cesarean sections with skin irrigation were compared with 1,130 cesarean sections performed without irrigation. Variable factors that could affect infection such as cesarean technique, patient population’s characteristics, and operating room conditions were completely same for both groups. Results: SSI was detected in 22 (1%) of the 2,220 patients. Nine (0.8%) patients in Group 1 and 13 (1.1%) patients in Group 2 were infected. The difference between both groups was statistically insignificant (p>0.05). Patients’ age, body mass index (BMI), gestational week, length of stay, pre-cesarean hemoglobin, the rates of urgent cesarean sections, smokers, and diabetes mellitus (DM) were similar between both groups (p>0.05). The rates of DM (p=0.056) and BMI (p=0.022) were statistically higher compared to general patients. Discussion and Conclusion: Our results indicated that saline irrigation was not effective in surgical wound site infections.

🔖

Bu Makaleye Atıf Yap

ANDAN, C., TUNÇ, Ş., AKSİN, Ş., GÖKLÜ, M. R. (2022). The Effect of Subcutaneous Saline Irrigation on Surgical Site Infection During Cesarean Section. Haydarpaşa Numune Medical Journal, Cilt: 61 - Sayı: 4, 431–436. https://ajindex.com/articles/535868

📄 Tam Metin PDF Okuyucu

📄

PDF görüntüleyici hazırlanıyor...

Kaynakça (15)

  1. Sung S, Mahdy H. Cesarean section. In: StatPearls. Treasure Island, FL: StatPearls Publishing; 2021
  2. Chien P. Global rising rates of caesarean sections. BJOG 202;128:781–2
  3. Demirbaş MK, Meltem P, İnci MB. Changing rates of cesarean section in Turkey and in the World and probable causes. Sakarya Tıp Dergisi 2018;7:158–63
  4. OECD. Caesareansections (İndicator); 2017. Available from: https://data.oecd.org/healthcare/caesarean-sections.htm. Accessed Apr 1, 2021
  5. Dahlke JD, Mendez-Figueroa H, Rouse DJ, Berghella V, Baxter JK, Chauhan SP. Evidence-based surgery for cesarean delivery: An updated systematic review. Am J Obstet Gynecol 2013;209:294–306
  6. Temming LA, Raghuraman N, Carter EB, Stout MJ, Rampersad RM, Macones GA, et al. Impact of evidence-based interventions on wound complications after cesarean delivery. Am J Obstet Gynecol 2017;217:449.e1–9
  7. Conroy K, Koenig AF, Yu YH, Courtney A, Lee HJ, Norwitz ER. Infectious morbidity after cesarean delivery: 10 strategies to reduce risk. Rev Obstet Gynecol. 2012;5:69–77
  8. Zejnullahu VA, Isjanovska R, Sejfija Z, Zejnullahu VA. Surgical site infections after cesarean sections at the University clinical center of Kosovo: Rates, microbiological profile and risk factors. BMC Infect Dis 2019;19:752
  9. Barbut F, Carbonne B, Truchot F, Spielvogel C, Jannet D, Goderel I, et al. Surgical site infections after cesarean section: Results of a five-year prospective surveillance. J Gynecol Obstet Biol Reprod 2004;33:487–96
  10. Azeze GG, Bizuneh AD. Surgical site infection and its associated factors following cesarean section in Ethiopia: A crosssectional study. BMC Res Notes 2019;12:288
  11. Gelaw KA, Aweke AM, Astawesegn FH, Demissie BW, Zeleke LB. Surgical site infection and its associated factors following cesarean section: a cross sectional study from a public hospital in Ethiopia. Patient Saf Surg 2017;11:18
  12. Alfouzan W, Al Fadhli M, Abdo N, Alali W, Dhar R. Surgical site infection following cesarean section in a general hospital in Kuwait: Trends and risk factors. Epidemiol Infect 2019;147:e287
  13. Saeed KB, Corcoran P, Greene RA. Incisional surgical site infection following cesarean section: A national retrospective cohort study. Eur J Obstet Gynecol Reprod Biol 2019;240:256– 60
  14. Jasim HH, Sulaiman SA, Khan AH, Dawood OT, Abdulameer AH, Usha R. Incidence and risk factors of surgical site ınfection among patients undergoing cesarean section. Clin Med Insights Ther 2017;9:1–7
  15. Smaill FM,