Risk factors for surgical site infection after cesarean delivery in a rural area in China: A case–controlled study

Autor:	Tingting Sun, Dongmei Li, Xia Sun, Zhiyong Zhu, Qiaona Dai, Xiaobo He, Min Hu, Junjun Zhou
Rok vydání:	2021
Předmět:	medicine.medical_specialty business.industry Case–controlled study Case-control study Cesarean delivery General Medicine Risk factors Emergency medicine Medicine Surgery Rural area business China Surgical site infection Case-controlled Study
Zdroj:	Annals of Medicine and Surgery
ISSN:	2049-0801
DOI:	10.1016/j.amsu.2021.103110
Popis:	Background We aimed to determine the prevalence and risk factors of surgical site infection (SSI) after cesarean delivery (CD) in a rural area in China. Methods We identified 155 patients with incisional and organ/space SSIs by International Classification of Disease codes and matched them with 465 patients (controls) in a time-matched retrospective quality assurance analysis. Multiple logistic regression analyses were performed to examine the risk factors for SSI: the work-years of providers, the number of antenatal care (ANC) visits, CD after labor, positive discharge culture, postoperative C-reactive protein (CRP) levels and fever. Results and discussion: During the study, 155 women with SSI were identified among the 8640 patients who delivered by CD. The incidence of SSIs was 179 per 10 000patients (95%CI: 151–207 per 10 000 patients). The total duration of hospitalization in patients with SSI was 14.49 ± 8.68 days compared with 7.96 ± 2.35 days in patients with no SSI (P Highlights • The incidence of SSIs was 179 per 10 000 patients (95%CI: 151–207). • Risk factors of SSIs included: irregular ANC visits, a positive discharge culture. • Higher CRP levels and fever after surgery had a greater risk of SSI.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_dedup___::5e21eb3d90c28504485043f40290da77 https://doi.org/10.1016/j.amsu.2021.103110 Zobrazit plný text záznamu