title: [Postoperative surveillance of wound infection after cesarean section at Kenézy Hospital, Debrecen, Hungary].
abstract: Wound infection is a typical, partly preventable complication of cesarean sections. We started extended recording of cesarean section data in October, 2008 as part of our general wound infection surveillance program.
  
  
  OBJECTIVE
  To describe the circumstances and outcomes of the sections and analyze associations between them.
  
  
  METHODS
  We analyzed 523 cases over the period October 1, 2008 to September 30, 2009. Variables were assessed using descriptive statistics. Associations between explanatory factors and wound infection were evaluated using logistic regression.
  
  
  RESULTS
  Infections (overall rate: 3.6%) were more frequent in younger subjects, those with anemia, subcutaneous hematoma, in pregnancies with meconium stained or purulent amniotic fluid, and decreased to about a third after infection control was tightened.
  
  
  CONCLUSIONS
  by being a proxy variable of factors with which wound infection is associated, age is a clinically valuable predictive variable. Good infection control practice is effective in preventing wound infections. The results are consistent with appropriate prescription practices of prophylactic antibiotic use, and with prophylactic measures being effective.
authors.affiliation: Kenézy Kórház-Rendelőintézet Egészségügyi Szolgáltató Nonprofit Kft., Klinikai Farmakológiai, Infektológiai és Allergológiai Intézet, Higiénés és Infekciókontroll Szolgálat, Bartók B. út 2-26, Debrecen.
authors.forename: István
authors.initials: I
authors.lastname: Várkonyi
authors.forename: Ildikó
authors.initials: I
authors.lastname: Makai
authors.forename: Gyöngyi
authors.initials: G
authors.lastname: Papdiné Nyíri
authors.forename: György
authors.initials: G
authors.lastname: Bacskó
authors.forename: László
authors.initials: L
authors.lastname: Kardos
mesh_terms: D000293:Adolescent; D000328:Adult; D000367:Age Factors; D019072:Antibiotic Prophylaxis; D002585:Cesarean Section / Q000009:adverse effects*; D005260:Female; D006801:Humans; D006814:Hungary / Q000453:epidemiology; D011159:Population Surveillance; D011247:Pregnancy; D011322:Primary Prevention / Q000379:methods; D012189:Retrospective Studies; D012307:Risk Factors; D013530:Surgical Wound Infection / Q000453:epidemiology* / Q000209:etiology / Q000517:prevention & control*; D013997:Time Factors