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

The hospital protocol for prevention of surgical site infection includes; 1) Strict glycemic control in diabetic women before the cesarean delivery. 2) Preoperative antiseptic showering with 4% chlorhexidine gluconate the night before surgery. 3) Administration of prophylactic intravenous antibiotics within 60 minutes before the skin incision. 4) Higher dose of preoperative antibiotics in obese women. 5) Use of clippers for hair removal pre-operatively. 6) Use of chlorhexidine-alcohol for skin preparation immediately before surgery. 7) Use of an alcohol-based hand rub for preoperative antisepsis. 8) Closure of the skin using sub-cuticular sutures. 9) Closure of the subcutaneous tissue if the subcutaneous tissue thickness is more than or equal 2 cm . 10) Avoid unproven techniques. Follow–up of the studied women for one month after the cesarean delivery to check the primary outcome. The primary outcome measures; the incidence of surgical site infection after application of the hospital protocol for prevention of the surgical site infection, compared by incidence of the surgical site infection for one year before application of the hospital protocol. Surgical site infection defined as infection, and invasion of the incision made by the surgeon during the delivery by the micro-organisms.