Health Condition 1: O860- Infection of obstetric surgical wound
Conditions
Interventions
Intervention1: ASEPSIS Bundle group: 1.No Hair removal or with clippers
2.Preoperative bath with 4% chlorhexidine.
3.Antimicrobial prophylaxis with cefazolin.
4. Skin preparation with 4% chlorhexidine
Sponsors
university college of medical sciences
Eligibility
Inclusion criteria
Inclusion criteria: 1.Pregnant women with period of gestation more than 28 weeks undergoing elective 2.repeat caesarean section not in labor. 3.History of previous one or two caesarean sections 4.Willing to follow up in UCMS & GTB Hospital.
Exclusion criteria
Exclusion criteria: 1. Patients with leaking per vaginum or chorioamnionitis 2. Patients with the following high risk factors at the time of recruitment will be excluded 2a Moderate or Severe anemia 2b Gestational or pre-gestational diabetes mellitus 2c Immunocompromised patients 2d BMI >30 kg/m2 2e Smoking 3 Patients with history of surgical site infection in the previous caesarean scar. 4 Any skin condition around surgical site 5 Patients allergic to chlorhexidine
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Numbers of patients developing surgical site infections within 30 days after caesarean delivery, defined as superficial, deep or organ space infection according to Centers for Disease Control and Prevention(CDC) and National Healthcare Safety Network (NHSN) in both the groups.Timepoint: At Day 3 At Day 14 At Day 21 At Day 30 | — |
Secondary
| Measure | Time frame |
|---|---|
| Length of hospital stay (in days) in both groupsTimepoint: at time of discharge;Number of patients having adverse effect of bundle componentsTimepoint: at baseline;Number of patients undergoing resuturing in both groupsTimepoint: within 30 days;Organism isolated in pus cultureTimepoint: at time of infection | — |
Countries
India
Contacts
Public ContactAkshita Kamboj
UCMS and GTB hospital, new delhi
Outcome results
None listed