WOUND INFECTION

WOUND INFECTION IN EMERGENCY CESAREAN SECTION TWO-YEAR EXPERIENCE AT (LGH) LAHORE GENERAL HOSPITAL LAHORE

Abstract

Objectives: To determine the frequency of surgical site infection in emergency
cesarean section and to detect the most common causative organism. Study Design:
Prospective Study. Place & Duration: Department of Gynae unit-1 Lahore General Hospital
Lahore two year study extending from 20-03-2010 to 19-03-2012. Methodology: 600 patients
undergoing emergency cesarean section were included in the study. The outcome of interest
was frequency of wound infection, which was classified as being superficial, deep or organ/
space. Data was collected on a specially designed Performa. Demographic details, signs and
symptoms at presentation, details of wound infection and results of culture/sensitivity testing
were noted. Results: A total of 600 patients were included. Wound infection was noted in 150
patients (25%), of which 78 (52%) were superficial, 48 (32%) were deep and 28 (16%) were
organ/space infection. Out of 150 wound infection, organisms were isolated in 102 (68%)
patients. Staphylococcus Aureus was the most common organism detected in the specimens
of 60 (40%) patients followed by E. coli in 30(20%) patients. Conclusions: The study revealed
that incidence of wound infection was higher in emergency cesarean section as compared
to developed countries. The routine reporting of wound infection rates stratified by most
common organism and potential risk factors associated with increased risk of infection is highly
recommended.