title: Risk factors and microbiology of wound infections following cesarean delivery: Experience of a single institution.
abstract: OBJECTIVE
  To determine the prevalence of wound infection following cesarean delivery, risk factors, common bacterial pathogens and their antibiotic sensitivity.
  
  
  METHODS
  The study population consisted of 5787 cesarean deliveries. All of the patients received 2 g doses of cephazolin perioperatively for antibiotic prophylaxis. Patients with wound infection who had two doses of 1 g cephazolin postoperatively and who were continued on oral preparations of 500 mg of cephuroxime twice daily for 5 days after hospital discharge were included in Group A. Patients with wound infection whose postoperative antibiotics and antibiotics after discharge were omitted were included in Group B. Patient related variables, gestational age, co-morbidities, cesarean section indications, neonatal intensive care requirements were assessed. Risk factors were evaluated according to the type of the procedure (elective or emergent) and administered antibiotic protocol.
  
  
  RESULTS
  The incidence of wound infection following cesarean section was 0,37% in elective operations and 5,4% in emergency cases. On the other hand, wound infection rate was found to be 1,35% in antibiotic receiving group (Group A) and 1,12% in the group not receiving antibiotics (Group B).
  
  
  CONCLUSIONS
  Increased rate of wound infections were remarkable in emergency cases and postoperative antibiotics did not have a major impact in reducing the rate of wound infection following cesarean section.
authors: Suleymaniye Research and Education Hospital, Obstetrics and Gynecology, Istanbul, Turkey. Electronic address: gulsah.keskin.84@hotmail.com.
authors: Gülşah
authors: G
authors: Ilhan
authors: Suleymaniye Research and Education Hospital, Obstetrics and Gynecology, Istanbul, Turkey. Electronic address: fverit@gmail.com.
authors: Fatma Ferda
authors: FF
authors: Verit Atmaca
authors: Suleymaniye Research and Education Hospital, Infectious Disease, Istanbul, Turkey. Electronic address: dr.abdkaya@gmail.com.
authors: Abdurrahman
authors: A
authors: Kaya
authors: Suleymaniye Research and Education Hospital, Obstetrics and Gynecology, Istanbul, Turkey. Electronic address: drahmethasanergin@gmail.com.
authors: Ahmet Hasan
authors: AH
authors: Ergin
authors: Bezmialem Vakıf University, Obstetrics and Gynecology, Istanbul, Turkey. Electronic address: afgokmen@gmail.com.
authors: Ayşe Filiz
authors: AF
authors: Gökmen Karasu
authors: Suleymaniye Research and Education Hospital, Microbiology, Istanbul, Turkey. Electronic address: mehtapturfan@hotmail.com.
authors: Mehtap
authors: M
authors: Turfan
mesh_terms: D000005:Abdomen; D000328:Adult; D000900:Anti-Bacterial Agents / Q000008:administration & dosage / Q000627:therapeutic use; D019072:Antibiotic Prophylaxis; D002437:Cefazolin / Q000008:administration & dosage / Q000627:therapeutic use; D002444:Cefuroxime / Q000008:administration & dosage / Q000627:therapeutic use; D002585:Cesarean Section / Q000009:adverse effects; D016983:Enterococcus / Q000302:isolation & purification; D004926:Escherichia coli / Q000302:isolation & purification; D004927:Escherichia coli Infections / Q000453:epidemiology / Q000382:microbiology / Q000517:prevention & control; D005260:Female; D006801:Humans; D015994:Incidence; D011247:Pregnancy; D015995:Prevalence; D012307:Risk Factors; D013203:Staphylococcal Infections / Q000453:epidemiology / Q000382:microbiology / Q000517:prevention & control; D013210:Staphylococcus / Q000302:isolation & purification; D013530:Surgical Wound Infection / Q000453:epidemiology* / Q000382:microbiology* / Q000517:prevention & control; D016896:Treatment Outcome; D055815:Young Adult
chemical_list: D000900:Anti-Bacterial Agents; D002437:Cefazolin; D002444:Cefuroxime
keywords: Cesarean; Prophylaxis; Wound infection