Frequency of Surgical Site Infection (SSI) Among Patients Undergoing Caesarean Section Receiving Care-Bundle Approach

Abstract

Objective: To determine the frequency of SSI among patients undergoing Caesarean Section (CS) who received a care-bundle approach.

Methodology: This prospective cohort study was conducted in the Department of Obstetrics and Gynaecology at Fauji Foundation Hospital Rawalpindi, Pakistan, from January 1 to May 31, 2024. Five hundred women aged between 18 and 35 years undergoing emergency and elective CS were included. A care-bundle approach based on current best practices was applied, and patients were assessed for SSIs before discharge and four weeks post-CS.

Results: Consisted of 500 women, with a mean age of 28.67 ± 3.19 years. The majority of participants (93.8%) were between 26 and 35 years old, and the mean parity was 2.38 ± 1.16. Of the 500 patients, 240 (48%) underwent elective CS, while 260 (52%) had emergency CS.

The frequency of SSI among patients receiving the care-bundle approach was 8.8% (44 out of 500).

Conclusion: Implementing the care-bundle approach significantly reduced the rate of SSI, aligning with global trends and highlighting its utility in resource-limited settings.