Risk factors in surgical wound infection after cesarean section.

Emperatriz Mimbela Otiniano J.; Mejía Lancheros C.; Bertha Gutarra Vilchez R. · Ginecologia y Obstetricia de Mexico (2024) · DOI: 10.24245/gom.v92i12.32

Resumen

OBJECTIVE: To identify risk factors for surgical wound infection after cesarean section. MATERIALS AND METHODS: Retrospective case-control study nested in a cohort of patients terminating pregnancy by cesarean section performed between 2019 and 2023 at Hospital Vitarte, Lima, Peru. Bivariate and multivariate logistic regression analyses were performed; a value of p < 0.05 and 95% CI was considered significant. RESULTS: During the study period, 17,637 obstetric attendances were recorded, of which 6812 (38.62%) were cesarean deliveries. Twenty-nine cases of surgical wound infection were identified and analyzed along with 91 controls. There was no statistically significant difference in anthropometric variables. The OR of each variable was calculated to determine the association: absence of antibiotic prophylaxis 5.22 (1.51-18.04), preterm delivery 7.3 (1.70-31.47), multiple vaginal lacerations 6.60 (1.77-24.60), premature rupture of membranes 17.92 (1.99-160.7), anemia 3.80 (1.57-9.22). The remaining variables had a p-value greater than 0.005. CONCLUSIONS: Prolonged labor, lack of antibiotic prophylaxis, multiple vaginal tactus, preterm delivery, premature rupture of membranes, and anemia significantly increase the risk of surgical site infection after cesarean section.

Instituciones: Universidad de San Martín de Porres