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251710

Cesarean Surgical Site Bacterial Infection

Article

Last updated: 05 Jan 2025

Subjects

-

Tags

Epidemiology

Abstract

Background: The high incidence rate of surgical site infections (SSIs) highlights the need for prioritizing patient demographics, procedures, and surgical factors to be controlled by programs to reduce the infection rate. Objectives: This study detects the prevalence, causative organisms, and explores the relation between the air contamination in the operative theater and the SSI. Methodology: Cross sectional one-year study from January 2019. One hundred and seventy-two women were involved underwent CD. Intraoperative air sampling was performed during 83 surgery and bacterial air contamination were identified. Follow up for the patients 30 days after surgery was done to detect hospital acquired and community acquired SSI. Two samples were taken from the patient wound with SSI. Microbiological identification and antibiotics susceptibility testing for the isolates were done. The clonal relationships between the same species of isolates from air and wound were studied by evaluating the genomic DNA with PFGE analysis. Results: 14.5 % was the total SSI rate; 6.4%, developed hospital acquired SSI and 8.1% developed community acquired SSI. Most SSI cases yielded growth of Staphylococcus spp. (39, 3%) followed by Pseudomonas spp. (32.1%) and finally Escherichia coli (28.6%). Six wound isolates belonged to two air isolates pulsotype and the rest of isolates showed unsimilar pulsotype of interest. Conclusions: air contamination one of the causes of SSI and measures are recommended to reduce its incidence, including the implementation of infection prevention practices and the administration of antibiotic prophylaxis with strict surgical techniques. Most common cause of community acquired SSI was bad hygiene.

DOI

10.51429/EJMM29407

Keywords

Surgical site infections, cesarean section, air contamination, airborne infections, Air sampling

Authors

First Name

Doaa

Last Name

Masallat

MiddleName

T.

Affiliation

Medical Microbiology and Immunology Department, Faculty of Medicine, Mansoura University

Email

doaamasallat@yahoo.com

City

-

Orcid

0000-0002-3856-7999

First Name

Mohamed

Last Name

Eid

MiddleName

I.

Affiliation

Obstetrics and Gynecology Department, Faculty of Medicine, Mansoura University

Email

-

City

-

Orcid

-

First Name

Dalia

Last Name

Shaheen

MiddleName

-

Affiliation

Medical Biochemistry, Faculty of Medicine, Mansoura University

Email

-

City

-

Orcid

-

First Name

Ahmed

Last Name

State

MiddleName

F.

Affiliation

Dermatology, Andrology and STD, Faculty of Medicine, Mansoura University

Email

-

City

-

Orcid

-

Volume

29

Article Issue

4

Related Issue

35876

Issue Date

2020-10-01

Receive Date

2022-07-28

Publish Date

2020-10-01

Page Start

51

Page End

56

Print ISSN

1110-2179

Online ISSN

2537-0979

Link

https://ejmm.journals.ekb.eg/article_251710.html

Detail API

https://ejmm.journals.ekb.eg/service?article_code=251710

Order

251,710

Type

New and original researches in the field of Microbiology.

Type Code

2,038

Publication Type

Journal

Publication Title

Egyptian Journal of Medical Microbiology

Publication Link

https://ejmm.journals.ekb.eg/

MainTitle

Cesarean Surgical Site Bacterial Infection

Details

Type

Article

Created At

23 Jan 2023