Surveillance of surgical site infection after cesarean section and time of notification

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• 作者：Jú ; nia Leonne Dourado de Almeida Lima ; MSc^a ; ^b ; Regina Amé ; lia Lopes Pessoa de Aguiar ; MD ; PhD^c ; Henrique Vitor Leite ; MD ; PhD^c ; Hercules Hermes Riani Martins Silva^d ; Werlley Meira de Oliveira^d ; Joã ; o Paulo Tomaz da Cunha Sacramento^e ; Eduarda Almeida Wakabayashi^d ; Helen Cristina de Souza^d ; Wanessa Trindade Clemente ; MD ; PhD^f ; ^g ; Roberta Maia de Castro Romanelli ; MD ; PhD^g ; ^h ; ^{rmcromanelli@gmail.com" class="auth_mail" title="E-mail the corresponding author}
• 关键词：Cross-infection ; Epidemiologic surveillance ; Infection Control
• 刊名：American Journal of Infection Control
• 出版年：2016
• 出版时间：1 March 2016
• 年：2016
• 卷：44
• 期：3
• 页码：273-277
• 全文大小：396 K

文摘

Cesarean section is a surgical procedure the main complication of which is surgical site infection (SSI), which is related to maternal morbidity and mortality.

Objective

To evaluate active monitoring by telephone to identify infection and time of SSI report in postpartum women and associated risk factors.

Methods

We conducted a prospective observational study from 2013-2014, at a referral service for high-risk pregnancies. Surveillance was conducted via telephone at least 30 days after cesarean delivery. Incidence ratio and time of infection occurrence (days) was analyzed. Survival analysis was conducted to assess the temporal distribution of the development of infection.

Results

Of a total of 353 patients, 14 (4%) cases of SSI were reported, and 10 (7.4%) of the reported cases occurred within 15 days after cesarean and average time of infection was12.21 days. American Society of Anesthesiologists score was the only risk factor associated with SSI after cesarean section.

Conclusions

The prevalence of SSI after cesarean section via telephone is similar to several services with different methods of surveillance, considering it could be used by services with limited resources. Superficial incisional SSI was the most common type of infection, time of infection report was mainly before the 15th day postprocedure, and American Society of Anesthesiologists score of 2 or less was protective against SSI. Telephone calls can be a viable method to identify women with infection briefly after discharge, particularly at-risk patients.