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-R10article-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
bdutipo_str Revistas
_version_ 1764819782367969281

Ejemplares similares