The outcome of the hospital protocol for prevention of surgical site infection during cesarean deliveries

Not Applicable

Completed

• Conditions: Surgical site infection during cesarean deliveries; Infection - Other infectious diseases; Reproductive Health and Childbirth - Childbirth and postnatal care

• Registration Number: ACTRN12618000483257
• Lead Sponsor: Ahmadi Hospital, Kuwait Oil Company (KOC), Kuwait.

Brief Summary

This study was designed to evaluate the outcome of the implemented post-cesarean section (CS) surgical site infection (SSI) prevention protocol in Ahmadi Hospital, Kuwait. A total of 229 women who delivered by elective repeat cesarean section (ERCS) were included in this comparative study: 112 women who delivered by ERCS after the implemented protocol (study group) compared to 117 controls (who delivered by ERCS before the implemented protocol). The outcome includes the incidence of post-CS SSI after and before the implemented protocol and the risk factors which may predispose to post-CS SSI. The incidence of post-CS SSI after ERCS significantly reduced following the post-CS SSI prevention protocol. Obesity, pregestational diabetes, prolonged ROM, duration of ERCS (more than 1 h), and surgical difficulties/adhesions during the ERCS were definite risks for post-CS SSI.

Detailed Description

Not available

Study Timeline

• Results First Posted: 1900-01-01
• Study Start: 2018-04-03
• Study Completion: 2020-04-15
• Last Update Posted: 21 February 2022

Recruitment & Eligibility

• Status: Completed
• Sex: Female
• Target Recruitment: 220

Inclusion Criteria

Women between 20-40 years old, attending the Obstetrics, and Gynecology department of Ahmadi, Kuwait Oil Company (KOC) hospital for elective cesarean delivery during the period from January 2018 till December 2018 after informed consent (study group), and approval of the department.

Exclusion Criteria

Exclusion criteria includes; emergency cesarean sections, and/or women refused to participate or to give consent.

Study & Design

• Study Type: Observational
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
The outcome measures; the incidence of surgical site infection during cesarean deliveries after application of the hospital protocol [during 2018] compared with the incidence of surgical site infection during cesarean deliveries before application of the hospital protocol [during 2017]. <br>Surgical site infection defined as infection, and invasion of the incision made by the surgeon during the delivery by the micro-organisms.<br>Time point for assessment of outcome in each woman 4 weeks after the delivery by CS [one month] [Primary outcome assessed in each woman within 4 weeks [one month] after the CS.<br>]