WOUND INFECTION

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

  • Zareen Amjad Allama Iqbal Medical College, Lahore.
  • Zahid Sattar Sahiwal Medical College/ DHQTeaching Hospital, Sahiwal.
  • M Lateef Khawaja Safdar Medical College Sialkot.
  • Zafar Ali Chaudhary Khawaja Safdar Medical College Sialkot.
  • Ramzan Rasheed Allama Iqbal Medical College, Lahore.
  • Shahzad Afzal Sahiwal Medical College, Sahiwal.
  • Shahid Rafique Allama Iqbal Medical College, Lahore.
  • Rafay Saeed Allama Iqbal Medical College, Lahore.
Keywords: Emergency Cesarean Section Surgical Site Infection, E.Coli, Staphylococcus Aureus, Organ space infection

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.

Author Biographies

Zareen Amjad, Allama Iqbal Medical College, Lahore.

MBBS, FCPS, CMT
Assistant Professor
Department of Obstetrics and
Gynaecology.

Zahid Sattar, Sahiwal Medical College/ DHQTeaching Hospital, Sahiwal.

MBBS, FCPS, CMT
Associate Professor Surgery.

M Lateef, Khawaja Safdar Medical College Sialkot.

MBBS, FCPS, CMT
Assistant Professor of Surgery.

Zafar Ali Chaudhary, Khawaja Safdar Medical College Sialkot.

MBBS, FCPS, FRCS
Professor of Surgery.

Ramzan Rasheed, Allama Iqbal Medical College, Lahore.

MBBS, IMM
PGR
Department of Surgery.

Shahzad Afzal, Sahiwal Medical College, Sahiwal.

MBBS
PGR
Department of Surgery.

Shahid Rafique, Allama Iqbal Medical College, Lahore.

MBBS
PGR

Rafay Saeed, Allama Iqbal Medical College, Lahore.

MBBS
PGR

Published
2018-09-10