To To Determine the Frequency of Post Caesarean Wound Infection in a Tertiary Care Hospital

Abstract

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 1^st July 2016 to 31^st 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.