NDLI: Postdischarge surveillance following cesarean section: the incidence of surgical site infection and associated factors.

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Postdischarge surveillance following cesarean section: the incidence of surgical site infection and associated factors.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Cardoso Del Monte, Meire Celeste Pinto Neto, Aarão Mendes
Spatial Coverage	Brazil
Description	Country affiliation: Brazil Author Affiliation: Cardoso Del Monte MC ( Department of Infection Control, Women's Hospital, School of Medical Sciences, University of Campinas, Campinas, São Paulo, Brazil. meiredelmonte@yahoo.com)
Abstract	BACKGROUND: The rate of surgical site infections (SSI) and their associated risk factors was identified by performing postdischarge surveillance following cesarean section at a public university teaching hospital in Brazil. METHODS: The study was conducted at the Center for Women's Integrated Health Care in Brazil between May 2008 and March 2009. Women were contacted by telephone 15 and 30 days after cesarean section. During hospitalization, a form was completed on factors associated with post-cesarean SSI. The chi(2) test and Fisher exact test were used to analyze categorical variables and the Mann-Whitney test for numerical variables. Relative risks (RR) and their respective 95% confidence intervals (95% CI) were calculated for factors associated with SSI. P values < .05 were considered significant. RESULTS: The final sample consisted of 187 women. SSI was detected in 44 cases (23.5%). In 42 of 44 women (95%), SSI appeared following discharge from hospital, becoming evident within the first 15 days following surgery. Number of prenatal consultations < or =7 (RR, 2.09; 95% CI: 1.26-3.48) and hypertension (RR, 2.07; 95% CI: 1.25-3.43) were significantly associated with SSI in the bivariate analysis. In the multivariate analysis, only hypertension (RR, 2.47; 95% CI: 1.21-5.04) remained significant. CONCLUSION: Postdischarge surveillance is essential for ensuring accurate estimates of post-cesarean section SSI. A 15-day postdischarge follow-up was shown to be sufficient. Hypertension was a factor associated with SSI.
File Format	HTM / HTML
ISSN	01966553
Issue Number	6
Volume Number	38
e-ISSN	15273296
Journal	American Journal of Infection Control
Language	English
Publisher	Elsevier
Publisher Date	2010-08-01
Publisher Place	United States
Access Restriction	One Nation One Subscription (ONOS)
Subject Keyword	Adverse Effects Humans Risk Factors Surgical Wound Infection Epidemiology Journal Article Incidence Young Adult Cesarean Section Discipline Communicable Diseases Adolescent Hospitals, Teaching Questionnaires Brazil Adult Female Interviews As Topic
Content Type	Text
Resource Type	Article
Subject	Infectious Diseases Public Health, Environmental and Occupational Health Epidemiology Health Policy

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Postdischarge surveillance following cesarean section: the incidence of surgical site infection and associated factors.