Surgical site infections in postpartum women who underwent C-sections in a Maternity Hospital of Cordoba city

Mostrar todas las versiones(2)

Post-surgical infections in patients who underwent cesarean sections (PIPC) are responsible for significant postpartum morbidity and increase in hospital costs.  This study intended to investigate the incidence of PIPC, the prevalence of microorganisms involved and epidemiological factors s...

Descripción completa

Guardado en:
Detalles Bibliográficos
Autores principales: Sienko, G, Ospina, R, Fernández, C, Pavan, J, García Allende, H, Cannistraci Giolito, R
Formato: Artículo revista
Lenguaje:Español
Publicado: Universidad Nacional Cba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología 2019
Materias:
post surgical infections; caesarean sections
post surgical infections
cesarean sections
infecciones post quirúrgicas
cesáreas
Acceso en línea:https://revistas.unc.edu.ar/index.php/med/article/view/25624
Aporte de:
Revistas de la UNC de Universidad Nacional de Córdoba
id I10-R10-article-25624
record_format ojs
institution Universidad Nacional de Córdoba
institution_str I-10
repository_str R-10
container_title_str Revistas de la UNC
language Español
format Artículo revista
topic post surgical infections; caesarean sections
post surgical infections
cesarean sections
infecciones post quirúrgicas
cesáreas
spellingShingle post surgical infections; caesarean sections
post surgical infections
cesarean sections
infecciones post quirúrgicas
cesáreas
Sienko, G
Ospina, R
Fernández, C
Pavan, J
García Allende, H
Cannistraci Giolito, R
Surgical site infections in postpartum women who underwent C-sections in a Maternity Hospital of Cordoba city
topic_facet post surgical infections; caesarean sections
post surgical infections
cesarean sections
infecciones post quirúrgicas
cesáreas
author Sienko, G
Ospina, R
Fernández, C
Pavan, J
García Allende, H
Cannistraci Giolito, R
author_facet Sienko, G
Ospina, R
Fernández, C
Pavan, J
García Allende, H
Cannistraci Giolito, R
author_sort Sienko, G
title Surgical site infections in postpartum women who underwent C-sections in a Maternity Hospital of Cordoba city
title_short Surgical site infections in postpartum women who underwent C-sections in a Maternity Hospital of Cordoba city
title_full Surgical site infections in postpartum women who underwent C-sections in a Maternity Hospital of Cordoba city
title_fullStr Surgical site infections in postpartum women who underwent C-sections in a Maternity Hospital of Cordoba city
title_full_unstemmed Surgical site infections in postpartum women who underwent C-sections in a Maternity Hospital of Cordoba city
title_sort surgical site infections in postpartum women who underwent c-sections in a maternity hospital of cordoba city
description Post-surgical infections in patients who underwent cesarean sections (PIPC) are responsible for significant postpartum morbidity and increase in hospital costs.  This study intended to investigate the incidence of PIPC, the prevalence of microorganisms involved and epidemiological factors such as age, hypertension, obesity, previous pregnancy controls (PC), type of C-section and antibiotic prophylaxis (AtbP).  Retrospective study of patients who underwent C-sections from 01/01/2014 to 12/31/2017 in a Maternity Hospital of Cordoba city. Fifty infected patients and a non-infected control group (n: 22) were analyzed. We used Pearson's chi-squared test for categorical variables; multivariate analysis of conglomerates (MVAC) in addition to multiple correspondence analysis (MCA) were also performed. Results: In the studied period, we performed 5941 C-sections, 80 of which developed infections (1.34%). Fifty-three samples of 50 patients underwent bacteriological analysis: 46 abscesses of the abdominal wall, 5 samples of peritoneal fluid, 1 endometrial aspirate and 1 blood culture. Patient's age ranged between 16 and 48 years, median: 25 years (95%, CI 22-27). Twenty-seven out of 53 (51%) cultures developed aerobic germs and 19/53 (36%) anaerobic microorganisms.   From the total of samples received, 23/53 (43%) yielded 46 strains of Gram-positive cocci (GPC): Staphylococcus aureus (SAU): 17/46 (37%), Coagulase negative Staphylococci: 13/46 (28%), Enterococcus faecalis and viridans group streptococci: 8/46 (17%) strains of each one. Twelve of the 53 samples (23%) developed 16 strains of Gram-negative bacilli (GNB): Proteus mirabilis: 6/16, Escherichia coli: 5/16 and 1/16 strain of a different enterobacteriaceae. The analysis of PICP regarding AtbP was significant (p=0.03) whereas it was irrelevant for the other categorical variables. However, the MAC grouped AtbP, PC and non-infected patients within the same conglomerate. This finding was also observed with the MCA (discriminative variable loads in the same dimension) as well as in the perceptual map. Aerobic germs prevailed over anaerobic ones and GPC over GNB, being SAU the most frequently detected microorganism. MVAC allowed us to detect possible relevant variables for PICP, such as lack of AtbP and PC.
publisher Universidad Nacional Cba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología
publishDate 2019
url https://revistas.unc.edu.ar/index.php/med/article/view/25624
work_keys_str_mv AT sienkog surgicalsiteinfectionsinpostpartumwomenwhounderwentcsectionsinamaternityhospitalofcordobacity
AT ospinar surgicalsiteinfectionsinpostpartumwomenwhounderwentcsectionsinamaternityhospitalofcordobacity
AT fernandezc surgicalsiteinfectionsinpostpartumwomenwhounderwentcsectionsinamaternityhospitalofcordobacity
AT pavanj surgicalsiteinfectionsinpostpartumwomenwhounderwentcsectionsinamaternityhospitalofcordobacity
AT garciaallendeh surgicalsiteinfectionsinpostpartumwomenwhounderwentcsectionsinamaternityhospitalofcordobacity
AT cannistracigiolitor surgicalsiteinfectionsinpostpartumwomenwhounderwentcsectionsinamaternityhospitalofcordobacity
AT sienkog infeccionesdelsitioquirurgicoenpuerperascesareadasenunamaternidaddecordoba
AT ospinar infeccionesdelsitioquirurgicoenpuerperascesareadasenunamaternidaddecordoba
AT fernandezc infeccionesdelsitioquirurgicoenpuerperascesareadasenunamaternidaddecordoba
AT pavanj infeccionesdelsitioquirurgicoenpuerperascesareadasenunamaternidaddecordoba
AT garciaallendeh infeccionesdelsitioquirurgicoenpuerperascesareadasenunamaternidaddecordoba
AT cannistracigiolitor infeccionesdelsitioquirurgicoenpuerperascesareadasenunamaternidaddecordoba
first_indexed 2022-08-20T01:26:35Z
last_indexed 2022-08-20T01:26:35Z
_version_ 1770719005599858688
spelling I10-R10-article-256242019-11-11T21:18:27Z Surgical site infections in postpartum women who underwent C-sections in a Maternity Hospital of Cordoba city Infecciones del sitio quirúrgico en puérperas cesareadas en una Maternidad de Córdoba. Sienko, G Ospina, R Fernández, C Pavan, J García Allende, H Cannistraci Giolito, R post surgical infections; caesarean sections post surgical infections cesarean sections infecciones post quirúrgicas cesáreas Post-surgical infections in patients who underwent cesarean sections (PIPC) are responsible for significant postpartum morbidity and increase in hospital costs.  This study intended to investigate the incidence of PIPC, the prevalence of microorganisms involved and epidemiological factors such as age, hypertension, obesity, previous pregnancy controls (PC), type of C-section and antibiotic prophylaxis (AtbP).  Retrospective study of patients who underwent C-sections from 01/01/2014 to 12/31/2017 in a Maternity Hospital of Cordoba city. Fifty infected patients and a non-infected control group (n: 22) were analyzed. We used Pearson's chi-squared test for categorical variables; multivariate analysis of conglomerates (MVAC) in addition to multiple correspondence analysis (MCA) were also performed. Results: In the studied period, we performed 5941 C-sections, 80 of which developed infections (1.34%). Fifty-three samples of 50 patients underwent bacteriological analysis: 46 abscesses of the abdominal wall, 5 samples of peritoneal fluid, 1 endometrial aspirate and 1 blood culture. Patient's age ranged between 16 and 48 years, median: 25 years (95%, CI 22-27). Twenty-seven out of 53 (51%) cultures developed aerobic germs and 19/53 (36%) anaerobic microorganisms.   From the total of samples received, 23/53 (43%) yielded 46 strains of Gram-positive cocci (GPC): Staphylococcus aureus (SAU): 17/46 (37%), Coagulase negative Staphylococci: 13/46 (28%), Enterococcus faecalis and viridans group streptococci: 8/46 (17%) strains of each one. Twelve of the 53 samples (23%) developed 16 strains of Gram-negative bacilli (GNB): Proteus mirabilis: 6/16, Escherichia coli: 5/16 and 1/16 strain of a different enterobacteriaceae. The analysis of PICP regarding AtbP was significant (p=0.03) whereas it was irrelevant for the other categorical variables. However, the MAC grouped AtbP, PC and non-infected patients within the same conglomerate. This finding was also observed with the MCA (discriminative variable loads in the same dimension) as well as in the perceptual map. Aerobic germs prevailed over anaerobic ones and GPC over GNB, being SAU the most frequently detected microorganism. MVAC allowed us to detect possible relevant variables for PICP, such as lack of AtbP and PC. La infección post quirúrgica en pacientes cesareadas (IPQC) es una complicación que causa una importante morbilidad postparto y un incremento de los costos hospitalarios.  Este estudio estuvo dirigido a conocer la incidencia de IPQC, la prevalencia de microorganismos involucrados y factores epidemiológicos (FE) como la edad, hipertensión (HPT), obesidad (OB), controles gestacionales previos (CP), tipo de cesárea (TC) y profilaxis antibiótica (PA). Estudio retrospectivo de pacientes cesareadas desde el 01/01/2014 hasta 31/12/2017 en una Maternidad de Cba. Se estudiaron 50 pacientes infectadas con grupo control no infectadas (n:22). Para las variables categóricas se aplicó el X2 de Pearson y se realizó un análisis multivariado de conglomerados (AC) y de correspondencias múltiples (ACM). En el período estudiado se realizaron 5941 cesáreas de las cuales se infectaron 80 pacientes (1.34%). Se analizaron 53 muestras de 50 pacientes para diagnóstico bacteriológico: 46 abscesos de pared abdominal, 5 líquidos de cavidad peitoneal, 1 aspirado de endometrio y 1 hemocultivo. Sus edades oscilaron entre 16 a 48 años, media de 25 años (95% IC 22-27). En 27/53 (51%) desarrollaron gérmenes aeróbicos, en 19/53 (36 %) anaerobios. En cuanto a las muestras con desarrollo aeróbico, 23/53 (43%) desarrollaron 46 cepas de cocos Gram positivos (CGP): Staphylococcus aureus (SAU) 17/46 (37%), Staphylococos coagulasa negativos (SCN) 13/46 (28 %), Enterococcus faecalis y estreptococcus viridans, 8 (17%) cepas de c/u. En tanto que en 12 muestras de 53 (23%) desarrollaron 16 cepas de bacilos Gram negativos (BGN): Proteus mirabilis 6/16, E.coli 5/16 y una sola cepa de otras enterobacterias. El análisis de las IPQC respecto PA fue significativo (p=0,03) mientras que no lo fue para las otras variables categóricas. Sin embargo, el AC agrupó en un conglomerado PA, CP y el grupo no infectado. Esto fue también observado en el ACM (cargas discriminantes de las variables mencionadas en la misma dimensión) así como en el mapa perceptual. Prevalecieron microorganismos aeróbicos sobre anaeróbicos y CGP sobre BGN, siendo SAU el de mayor frecuencia. El análisis multivariado permitió seleccionar probables variables de importancia en la IPQC como la ausencia de PA y falta de CP. Universidad Nacional Cba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología 2019-10-08 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion application/pdf https://revistas.unc.edu.ar/index.php/med/article/view/25624 Revista de la Facultad de Ciencias Médicas de Córdoba.; 2019: Suplemento JIC XX Revista de la Facultad de Ciencias Médicas de Córdoba; 2019: Suplemento JIC XX Revista da Faculdade de Ciências Médicas de Córdoba; 2019: Suplemento JIC XX 1853-0605 0014-6722 spa https://revistas.unc.edu.ar/index.php/med/article/view/25624/27345 Derechos de autor 2019 Universidad Nacional de Córdoba

Ejemplares similares