Risk factors for surgical site infection after cesarean delivery in a rural area in China: A case–controlled study

• DOI: 10.1016/j.amsu.2021.103110
• Publication Date: 2021-11-25T07:25:57Z
• Authors: Xiaobo He; Dongmei Li; Tingting Sun; Qiaona Dai; Min Hu; Zhiyong Zhu; Xia Sun; Junjun Zhou
• Keywords: Surgical Site Infection; Cesarean delivery

We aimed to determine the prevalence and risk factors of surgical site infection (SSI) after cesarean delivery (CD) in a rural area China. identified 155 patients with incisional organ/space SSIs by International Classification Disease codes matched them 465 (controls) time-matched retrospective quality assurance analysis. Multiple logistic regression analyses were performed examine for SSI: work-years providers, number antenatal care (ANC) visits, CD labor, positive discharge culture, postoperative C-reactive protein (CRP) levels fever. discussion: During study, women SSI among 8640 who delivered CD. The incidence was 179 per 10 000patients (95%CI: 151–207 000 patients). total duration hospitalization 14.49 ± 8.68 days compared 7.96 2.35 no (P < 0.01). analysis showed that providers (odds ratio [OR] = 3.729, 95% confidence interval [CI]: 1.463–9.501, p 0.006), irregular ANC visits (OR 3.245, CI: 1.264–8.329, 0.028), labor 2.545, 0.935–6.926, 0.020), CRP level 0.016) culture 2.954, 0.305–28.643, 0.019) positively associated SSI. However, rates maternal request 0.186, 0.065–0.535, 0.002) fever 0.208, 0.087–0.494, 0.001) negatively related Special attentions should be paid had attempted higher surgery, greater