Risk factors for cesarean surgical site infections at a Thai-Myanmar border hospital

© 2016 Association for Professionals in Infection Control and Epidemiology, Inc. Background Cesarean surgical site infections (SSIs) are a major challenge in Thai-Myanmar border hospital settings. This study aimed to examine risk factors for SSIs after cesarean section. Methods This was a prospecti...

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Main Authors: Assawapalanggool S., Kasatpibal N., Sirichotiyakul S., Arora R., Suntornlimsiri W.
Format: Journal
Published: 2017
Online Access:https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=84960171892&origin=inward
http://cmuir.cmu.ac.th/jspui/handle/6653943832/41609
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spelling th-cmuir.6653943832-416092017-09-28T04:22:22Z Risk factors for cesarean surgical site infections at a Thai-Myanmar border hospital Assawapalanggool S. Kasatpibal N. Sirichotiyakul S. Arora R. Suntornlimsiri W. © 2016 Association for Professionals in Infection Control and Epidemiology, Inc. Background Cesarean surgical site infections (SSIs) are a major challenge in Thai-Myanmar border hospital settings. This study aimed to examine risk factors for SSIs after cesarean section. Methods This was a prospective cohort study conducted in a Thai-Myanmar border hospital between January 2007 and December 2012. Data were collected from the medical record database by trained infection control nurses. Stepwise multivariable logistic regression was used for risk factor analysis and expressed as a risk ratio (RR). Results The cesarean SSI rate was 5.9% (293 SSIs in 4,988 cases). Of these, 17.1% were incisional SSIs (10.9% superficial and 6.2% deep incisional SSIs), and 82.9% were organ or space SSIs. Risk factors for cesarean organ-space SSIs included a wound class ≥3 (RR, 4.82; 95% confidence interval [CI], 3.41-6.83), ethnic minority (RR, 2.51; 95% CI, 1.61-3.92), hemoglobin  < 11 g/dL (RR, 2.19; 95% CI, 1.57-3.04), pelvic examination before delivery on ≥5 occasions (RR, 4.16; 95% CI, 2.89-5.99), preterm (RR, 1.98; 95% CI, 1.33-2.95), being a local referral (RR, 3.37; 95% CI, 2.29-4.97), and foul-smelling amniotic fluid (RR, 21.08; 95% CI, 10.23-43.41). Conclusions Most cesarean SSIs in this study seem to have a high severity. Their risk factors reflected delayed appropriate perinatal maternal care that resulted in late cesarean delivery. Early prenatal care may help reduce cesarean SSIs among this population. 2017-09-28T04:22:22Z 2017-09-28T04:22:22Z 2016-09-01 Journal 01966553 2-s2.0-84960171892 10.1016/j.ajic.2016.01.031 https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=84960171892&origin=inward http://cmuir.cmu.ac.th/jspui/handle/6653943832/41609
institution Chiang Mai University
building Chiang Mai University Library
country Thailand
collection CMU Intellectual Repository
description © 2016 Association for Professionals in Infection Control and Epidemiology, Inc. Background Cesarean surgical site infections (SSIs) are a major challenge in Thai-Myanmar border hospital settings. This study aimed to examine risk factors for SSIs after cesarean section. Methods This was a prospective cohort study conducted in a Thai-Myanmar border hospital between January 2007 and December 2012. Data were collected from the medical record database by trained infection control nurses. Stepwise multivariable logistic regression was used for risk factor analysis and expressed as a risk ratio (RR). Results The cesarean SSI rate was 5.9% (293 SSIs in 4,988 cases). Of these, 17.1% were incisional SSIs (10.9% superficial and 6.2% deep incisional SSIs), and 82.9% were organ or space SSIs. Risk factors for cesarean organ-space SSIs included a wound class ≥3 (RR, 4.82; 95% confidence interval [CI], 3.41-6.83), ethnic minority (RR, 2.51; 95% CI, 1.61-3.92), hemoglobin  < 11 g/dL (RR, 2.19; 95% CI, 1.57-3.04), pelvic examination before delivery on ≥5 occasions (RR, 4.16; 95% CI, 2.89-5.99), preterm (RR, 1.98; 95% CI, 1.33-2.95), being a local referral (RR, 3.37; 95% CI, 2.29-4.97), and foul-smelling amniotic fluid (RR, 21.08; 95% CI, 10.23-43.41). Conclusions Most cesarean SSIs in this study seem to have a high severity. Their risk factors reflected delayed appropriate perinatal maternal care that resulted in late cesarean delivery. Early prenatal care may help reduce cesarean SSIs among this population.
format Journal
author Assawapalanggool S.
Kasatpibal N.
Sirichotiyakul S.
Arora R.
Suntornlimsiri W.
spellingShingle Assawapalanggool S.
Kasatpibal N.
Sirichotiyakul S.
Arora R.
Suntornlimsiri W.
Risk factors for cesarean surgical site infections at a Thai-Myanmar border hospital
author_facet Assawapalanggool S.
Kasatpibal N.
Sirichotiyakul S.
Arora R.
Suntornlimsiri W.
author_sort Assawapalanggool S.
title Risk factors for cesarean surgical site infections at a Thai-Myanmar border hospital
title_short Risk factors for cesarean surgical site infections at a Thai-Myanmar border hospital
title_full Risk factors for cesarean surgical site infections at a Thai-Myanmar border hospital
title_fullStr Risk factors for cesarean surgical site infections at a Thai-Myanmar border hospital
title_full_unstemmed Risk factors for cesarean surgical site infections at a Thai-Myanmar border hospital
title_sort risk factors for cesarean surgical site infections at a thai-myanmar border hospital
publishDate 2017
url https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=84960171892&origin=inward
http://cmuir.cmu.ac.th/jspui/handle/6653943832/41609
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