Reduction of adverse outcomes from caesarean section by surgical site infection prevention care bundles in maternity

Matthew Erritty, Joann Hale, James Thomas, Anna Thompson, Ria Wright, Anna Low, Richard George, Lisa Williams, Alexandra Dumitrescu, Jacqui Rees, Shashi Irukulla, Chris H Fry, David Fluck, Thang S Han*

*Corresponding author for this work

Research output: Contribution to journalArticle (Academic Journal)peer-review

5 Citations (Scopus)

Abstract

Objective
To reduce average surgical-site infection (SSI) rates to less than 7.5%, as well as other complications by incrementally implementing an SSI prevention care bundle in maternity: (1) ChloraPrep; (2) PICO dressings, performing elective cesarean sections in a main theater rather than a labor ward and warming blankets; (3) vaginal cleansing; and (4) Hibiscrub.

Methods
In this prospective cohort study, the association between categorical variables was assessed by χ2 tests, temporal trends in the monthly percentage change of SSI were measured using the Joinpoint Regression Program v4.7.0.0.

Results
In all, 1682 women (mean age 33.1 ± 5.2 years) underwent either elective (53.9%) or emergency (46.1%) cesarean section. After a small initial increase (10.0%–11.8%), SSI progressively declined to 4.4% (χ2 = 22.1, P
Conclusion
The maternal SSI prevention care bundle is simple and inexpensive; it effectively reduces SSI after a cesarean section and should be offered routinely to women undergoing cesarean section.
Original languageEnglish
Number of pages6
JournalInternational Journal of Gynecology and Obstetrics
Early online date30 Nov 2022
DOIs
Publication statusE-pub ahead of print - 30 Nov 2022

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