Abstract

Surgical Site Infection Following Caesarean Section in a Tertiary Care Hospital

Author(s): Bijoy Kumar Dutta1 , Barun Kumar Basumatary2 , Arunav Sarma3

BACKGROUND Surgical site infection (SSI) is an infection that occurs after surgery within 30 days in the part of the body where the surgery took place. Some of the common symptoms are: drainage of cloudy fluid from the surgical wound, pain or tenderness, localized swelling, redness, and raised body temperature. Lack of data on surgical site infection among women who underwent caesarean section (C/S) initiated us to determine the incidence of surgical site infection and evaluate various risk factor associated with it. METHODS This is a retrospective randomized case control conducted among patients undergoing LSCS (for various indications) from post-operative ward of GMCH between 1/7/2018 and 30/6/2019. Out of all surgical site infection cases, 370 cases were selected randomly. For every case of surgical site infection, another patient who did not develop surgical site infection under same circumstances was selected as control from the same ward and data was collected. RESULTS The incidence of SSI is 7.74% in Guwahati Medical College. Study shows high PROM, number of PV examination, prolong labour, increased surgical time, increase BMI are risk factors for wound complications. CONCLUSIONS PROM, high BMI, increased duration of surgery, prolonged labour are the independent risk factors for surgical site infection.