The Association Between Preterm Premature Rupture of Membranes and Surgical Site Infection Following Cesarean Section

Authors

  • Mehmet Çınar Dr. Zekai Tahir Burak Kadın Sağlığı E.A.H.
  • Hakan Timur Zekai Tahir Burak Women's Health and Resourche hospital
  • Ali İrfan Güzel Zekai Tahir Burak Women's Health and Resourche hospital
  • Aytekin Tokmak Zekai Tahir Burak Women's Health and Resourche hospital
  • Burak Ersak Zekai Tahir Burak Women's Health and Resourche hospital
  • Sibel Saygan Zekai Tahir Burak Women's Health and Resourche hospital
  • Dilek Uygur Zekai Tahir Burak Women's Health and Resourche hospital

DOI:

https://doi.org/10.21613/GORM.2016.439

Keywords:

Surgical-site infections, Cesarean section, Microbiological, Culture, Premature rupture of membranes

Abstract

OBJECTIVE: To evaluate clinical characteristics of surgical-site infections (SSIs) following cesarean section (CS) and to identify infection rates and risk factors associated with SSIs following cesarean section.
STUDY DESIGN: A total of 197 patients who underwent cesarean and complicated with SSIs was evaluated during hospital stay or within 30 days following cesarean section by readmission to the hospital or by post discharge survey. The clinical characteristics, subsequent microbiological culture results and management were recorded.
RESULTS: There were 34 (17.25%) patients complicated with preeclampsia and 26 (13.17%) gestational diabetes mellitus (GDM) in the study group. Preterm rupture of membranes (PROM) rate was 17.31% and mean rupture period were 6.61 hours. In the study population, 66 patients had positive culture results. The most isolated microorganism was S. Aureus (n=13, 19.7%). Preeclampsia, GDM and PROM rates were statically significant high in patients with positive culture results (p<0.05). There were 31 patients complicated with PROM in the study group. The rates of positive culture results were significantly increased by PROM (mean 45%, p<0.05).
CONCLUSION:  Independent risk factors for post-cesarean SSIs are younger age, obesity, diabetes, hypertension, premature rupture of membranes. Information regarding higher rates of SSIs should be provided to obese women undergoing cesarean delivery, especially when diabetes and hypertension coexists.

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Published

2016-12-28

How to Cite

1.
Çınar M, Timur H, Güzel A İrfan, Tokmak A, Ersak B, Saygan S, Uygur D. The Association Between Preterm Premature Rupture of Membranes and Surgical Site Infection Following Cesarean Section. Gynecol Obstet Reprod Med [Internet]. 2016Dec.28 [cited 2021Sep.26];22(3):139-43. Available from: https://www.gorm.com.tr/index.php/GORM/article/view/439

Issue

Section

Obstetrics; Maternal Fetal Medicine and Perinatology

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