Reduction of adverse outcomes from cesarean section by surgical-site infection prevention care bundles in maternity.


Journal

International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics
ISSN: 1879-3479
Titre abrégé: Int J Gynaecol Obstet
Pays: United States
ID NLM: 0210174

Informations de publication

Date de publication:
Jun 2023
Historique:
revised: 21 11 2022
received: 20 07 2022
accepted: 28 11 2022
medline: 17 5 2023
pubmed: 2 12 2022
entrez: 1 12 2022
Statut: ppublish

Résumé

To reduce average surgical-site infection (SSI) rates to less than 7.5%, as well as other complications by incrementally implementing an SSI prevention care bundle in maternity: (1) ChloraPrep; (2) PICO dressings, performing elective cesarean sections in a main theater rather than a labor ward and warming blankets; (3) vaginal cleansing; and (4) Hibiscrub. In this prospective cohort study, the association between categorical variables was assessed by χ In all, 1682 women (mean age 33.1 ± 5.2 years) underwent either elective (53.9%) or emergency (46.1%) cesarean section. After a small initial increase (10.0%-11.8%), SSI progressively declined to 4.4% (χ The maternal SSI prevention care bundle is simple and inexpensive; it effectively reduces SSI after a cesarean section and should be offered routinely to women undergoing cesarean section.

Identifiants

pubmed: 36452991
doi: 10.1002/ijgo.14605
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

963-968

Informations de copyright

© 2022 The Authors. International Journal of Gynecology & Obstetrics published by John Wiley & Sons Ltd on behalf of International Federation of Gynecology and Obstetrics.

Références

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Auteurs

Matthew Erritty (M)

Obstetrics and Gynaecology, Ashford and St Peter's Hospitals NHS Foundation Trust, Surrey, UK.

Joann Hale (J)

Obstetrics and Gynaecology, Ashford and St Peter's Hospitals NHS Foundation Trust, Surrey, UK.

James Thomas (J)

Obstetrics and Gynaecology, Ashford and St Peter's Hospitals NHS Foundation Trust, Surrey, UK.

Anna Thompson (A)

Surgical Site Infection Surveillance Team, Ashford and St Peter's Hospitals NHS Foundation Trust, Surrey, UK.

Ria Wright (R)

Surgical Site Infection Surveillance Team, Ashford and St Peter's Hospitals NHS Foundation Trust, Surrey, UK.

Anna Low (A)

Obstetrics and Gynaecology, Ashford and St Peter's Hospitals NHS Foundation Trust, Surrey, UK.

Megan Carr (M)

Obstetrics and Gynaecology, Ashford and St Peter's Hospitals NHS Foundation Trust, Surrey, UK.

Richard George (R)

Obstetrics and Gynaecology, Ashford and St Peter's Hospitals NHS Foundation Trust, Surrey, UK.

Lisa Williams (L)

Obstetrics and Gynaecology, Ashford and St Peter's Hospitals NHS Foundation Trust, Surrey, UK.

Alexandra Dumitrescu (A)

Obstetrics and Gynaecology, Ashford and St Peter's Hospitals NHS Foundation Trust, Surrey, UK.

Jacqui Rees (J)

Department of Quality, Ashford and St Peter's Hospitals NHS Foundation Trust, Surrey, UK.

Shashi Irukulla (S)

Surgical Site Infection Surveillance Team, Ashford and St Peter's Hospitals NHS Foundation Trust, Surrey, UK.

Christopher H Fry (CH)

School of Physiology, Pharmacology and Neuroscience, University of Bristol, Bristol, UK.

David Fluck (D)

Department of Cardiology, Ashford and St Peter's Hospitals NHS Foundation Trust, Surrey, UK.

Thang S Han (TS)

Department of Endocrinology, Ashford and St Peter's Hospitals NHS Foundation Trust, Surrey, UK.
Institute of Cardiovascular Research, Royal Holloway, University of London, Surrey, UK.

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