To To Determine the Frequency of Post Caesarean Wound Infection in a Tertiary Care Hospital
Objective: To determine the frequency of post cesarean wound infections in a tertiary care hospital.
Material and methods: This descriptive cross sectional study was conducted at Department of Gynaecology and Obstetrics, Mardan Medical Complex, Mardan from 1st July 2016 to 31st December 2016.All patients who underwent cesarean section during the study period were followed for development of wound infection. The patients, who developed wound infection, were enrolled. Their pus/tissue fluids were collected sent for culture and sensitivity and then reports were followed.
Results: Out of the 392 patients recruited, 47(12%) developed wound infection. The most prevalent age group was 26-35years (49%) while gestational age was 36 -40 weeks in 19(40%) cesareans. 22 (46%) of women were illiterate.20 (42.5%) belonged to rural areas and 22(47%) were para 2-5. Pattern of wound infection seen in our study was superficial incision infection in 30 patients (63.8%), deep incision infection in 13 patients (27.6%) and organ/space infection was in 4 patients (8.5%). Staphylococcus aureus was most common pathogen isolated in 15(32%) followed by Escherichia coli in7 (14.8%) cases.
Conclusion: Rate of wound infection is in the range of WHO recommendation but efforts should be done for infection prevention to reduce the risk of wound sepsis.