Factors and Common Bacterial Pathogens Associated with Post-Caesarean Wound Sepsis at MLBMC Jhansi

Introduction: Cesarean section is the single most important risk factor for postpartum infection. Where the rest of the world shows increasing trends, the cesarean section rates are low in Norway and risk factors for infection after cesarean section may differ in high and low cesarean section settings. The goal of this study was to examine risk factors for surgical site infection after cesarean delivery. Material and Methods: A prospective study conducted in the department of obstetrics & gynecology of M.L.B. Medical College, Jhansi during the period of 1st January 2023 and 31st December 2023. All women who are developing any form of wound infection within 30 days from the date of caesarean section using the criteria for CDC5 1991. . Surgical wound was inspected at the time of first dressing and daily thereafter till discharge of the patient and then all patients were followed up in postnatal clinic till the 30th postoperative day. Main outcome measures were anticipated risk factors for surgical site infection. Results: During study period there were a total of 3257 births in the tertiary care hospital, out of them 1498 (45.99%) had cesarean section. One hundred sixteen cases of surgical site infections were identified. The incidence rate of surgical site infection among cesarean section was calculated to be 7.74%. Most of the cases were diagnosed within 10th postoperative day. In this study common bacterial pathogen was Staphylococcus aureus found in 22 (18.97%) cases followed by E. coli in 17.24% of cases. Conclusion: Risk factors like BMI, comorbidity, emergency caesarian delivery, Duration of membrane rupture, blood loss during surgery significantly associated with the development of SSI. Predominantly staphylococcus aureus, E. coli and Staphylococcus spp was isolated from SSI. Early identification of micro-organisms might decrease maternal morbidity & mortality.