Surgical site infections prevalence among caesarean section patients
Introduction: Cesarean section is one of the most prevalent surgical procedures in the world and Surgical Site Infections (SSI) are the most common complication following Cesarean section. This leads to greater patient dissatisfaction, longer hospital stays, and higher treatment costs. The aim of th...
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| Format: | Article |
| Language: | English |
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Emergency Department of Hospital San Pedro (Logroño, Spain)
2024-12-01
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| Series: | Iberoamerican Journal of Medicine |
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| Online Access: | https://doi.org/10.53986/ibjm.2025.0005 |
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| author | Tasneem Alkout Abdulhamid M. Alkout Esraa Rasheed Osama Etekbali Fathi Abousnina Alhadi Araibi |
| author_facet | Tasneem Alkout Abdulhamid M. Alkout Esraa Rasheed Osama Etekbali Fathi Abousnina Alhadi Araibi |
| author_sort | Tasneem Alkout |
| collection | DOAJ |
| description | Introduction: Cesarean section is one of the most prevalent surgical procedures in the world and Surgical Site Infections (SSI) are the most common complication following Cesarean section. This leads to greater patient dissatisfaction, longer hospital stays, and higher treatment costs. The aim of this retrospective study is to determine the prevalence of wound infection and the prevalence of bacterial isolates in post-Cesarean section and its sensitivity to variant antibiotics.
Material and methods: Samples were collected from patients who had developed wound infection following cesarean section and cultured on blood, chocolate and chromatic agar. The isolated bacteria was identified by ordinary microbiology techniques.
Results: Among 4,482 Cesarean section patients in Albaraa Hospital, the surgical site infections (SSI) rate was 2.94 %. Microorganisms isolated from these cases included Candida albicans at a rate of 0.11%. The remaining 2.83% were bacterial isolates, with 70.1% being gram-positive bacteria significantly higher than the 29.9% attributed to gram-negative bacteria (P = 0.01). The main bacteria isolates were Staphylococcus aureus (37.8%), Staphylococcus epidermidis (23.6%), Pseudomonas aeruginosa (11.4%), Klebsiella pneumonia (8.3%), Escherichia coli (5.3%) and Alpha hemolytic Streptococcus (3.8%)
Conclusions: The SSI rate in this study was at the lower limit of the WHO predicted infection rate and the bacterial isolates were sensitive to many antibiotics. This result may be due to the pre, intra and postoperative prophylactic antibiotics administered to patients and other factors such as short hospital stay and staff training in aseptic techniques. This study recommends further assessment of SSI in alternative surgical procedures, and assess the efficiency of prophylactic antibiotics in alternative surgeries in Libya. |
| format | Article |
| id | doaj-art-5e2b259818fb461182878e14e3aa6a49 |
| institution | Kabale University |
| issn | 2695-5075 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Emergency Department of Hospital San Pedro (Logroño, Spain) |
| record_format | Article |
| series | Iberoamerican Journal of Medicine |
| spelling | doaj-art-5e2b259818fb461182878e14e3aa6a492025-01-16T09:21:52ZengEmergency Department of Hospital San Pedro (Logroño, Spain)Iberoamerican Journal of Medicine2695-50752024-12-0171111610.53986/ibjm.2025.0005Surgical site infections prevalence among caesarean section patientsTasneem Alkout0Abdulhamid M. Alkout1Esraa Rasheed2Osama Etekbali3Fathi Abousnina 4Alhadi Araibi5 Faculty of Medicine, University of Tripoli, Tripoli, LibyaAlbarra Hospital, Ben Ashour street, Tripoli, LibyaAlbarra Hospital, Ben Ashour street, Tripoli, LibyaAlbarra Hospital, Ben Ashour street, Tripoli, Libya Faculty of Medicine, University of Tripoli, Tripoli, Libya Faculty of Medicine, University of Tripoli, Tripoli, LibyaIntroduction: Cesarean section is one of the most prevalent surgical procedures in the world and Surgical Site Infections (SSI) are the most common complication following Cesarean section. This leads to greater patient dissatisfaction, longer hospital stays, and higher treatment costs. The aim of this retrospective study is to determine the prevalence of wound infection and the prevalence of bacterial isolates in post-Cesarean section and its sensitivity to variant antibiotics. Material and methods: Samples were collected from patients who had developed wound infection following cesarean section and cultured on blood, chocolate and chromatic agar. The isolated bacteria was identified by ordinary microbiology techniques. Results: Among 4,482 Cesarean section patients in Albaraa Hospital, the surgical site infections (SSI) rate was 2.94 %. Microorganisms isolated from these cases included Candida albicans at a rate of 0.11%. The remaining 2.83% were bacterial isolates, with 70.1% being gram-positive bacteria significantly higher than the 29.9% attributed to gram-negative bacteria (P = 0.01). The main bacteria isolates were Staphylococcus aureus (37.8%), Staphylococcus epidermidis (23.6%), Pseudomonas aeruginosa (11.4%), Klebsiella pneumonia (8.3%), Escherichia coli (5.3%) and Alpha hemolytic Streptococcus (3.8%) Conclusions: The SSI rate in this study was at the lower limit of the WHO predicted infection rate and the bacterial isolates were sensitive to many antibiotics. This result may be due to the pre, intra and postoperative prophylactic antibiotics administered to patients and other factors such as short hospital stay and staff training in aseptic techniques. This study recommends further assessment of SSI in alternative surgical procedures, and assess the efficiency of prophylactic antibiotics in alternative surgeries in Libya.https://doi.org/10.53986/ibjm.2025.0005surgical site infectionscaesarean sectionantibiotic resistance |
| spellingShingle | Tasneem Alkout Abdulhamid M. Alkout Esraa Rasheed Osama Etekbali Fathi Abousnina Alhadi Araibi Surgical site infections prevalence among caesarean section patients Iberoamerican Journal of Medicine surgical site infections caesarean section antibiotic resistance |
| title | Surgical site infections prevalence among caesarean section patients |
| title_full | Surgical site infections prevalence among caesarean section patients |
| title_fullStr | Surgical site infections prevalence among caesarean section patients |
| title_full_unstemmed | Surgical site infections prevalence among caesarean section patients |
| title_short | Surgical site infections prevalence among caesarean section patients |
| title_sort | surgical site infections prevalence among caesarean section patients |
| topic | surgical site infections caesarean section antibiotic resistance |
| url | https://doi.org/10.53986/ibjm.2025.0005 |
| work_keys_str_mv | AT tasneemalkout surgicalsiteinfectionsprevalenceamongcaesareansectionpatients AT abdulhamidmalkout surgicalsiteinfectionsprevalenceamongcaesareansectionpatients AT esraarasheed surgicalsiteinfectionsprevalenceamongcaesareansectionpatients AT osamaetekbali surgicalsiteinfectionsprevalenceamongcaesareansectionpatients AT fathiabousnina surgicalsiteinfectionsprevalenceamongcaesareansectionpatients AT alhadiaraibi surgicalsiteinfectionsprevalenceamongcaesareansectionpatients |