Suture Line Infection
Conditions
Brief summary
A comparison of the rate of surgical site infections after cesarean section depending on the type of suture used for subcutaneous closure-continuous versus interrupted.
Detailed description
Patients at term that are candidates for elective cesarean section will receive an explanation regarding the study and sign informed consent. Patients will then be divided randomly to one of 2 treatment groups based on the type of subcutaneous tissue closure: 1. Interrupted sutures. 2. Continuous sutures. Information regarding medical and obstetric history will be collected for each patient.
Interventions
PROCEDURESubcutaneous tissue closure
Subcutaneous tissue closure with 2-0 vicryl suture.
Sponsors
Rambam Health Care Campus
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Subject)
Eligibility
Sex/Gender
FEMALE
Age
18 Years to 45 Years
Healthy volunteers
No
Inclusion criteria
* Pregnant women undergoing elective cesarean section. * Subcutaneous tissue layer\>2 centimeter according to ultrasound.
Exclusion criteria
* Non-elective CS. * Fever during the 48 hours prior to surgery. * Antibiotic treatment during the 48 hours prior to surgery. * Inability to give informed consent. * Preterm delivery (\< 37 weeks' gestation). * Fetal death. * Known fetal anomalies or placental abnormalities. * Immunosuppressive conditions.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Surgical site infection rate. | From admission up to 6 weeks postpartum. | Surgical site infection rate. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Rate of admission to intensive care unit. | From admission up to 6 weeks postpartum. | Rates of admission to intensive care unit |
| Maternal death rate | From admission up to 6 weeks postpartum. | Maternal death rate. |
| Rate of re-admission due to surgical site infection. | From admission up to 6 weeks postpartum. | rate of re-admission within 6 weeks postpartum due to surgical site infection. |
| Rate of postoperative febrile morbidity. | From admission up to 6 weeks postpartum. | Rate of maternal body temperature \> 38°C. |
| Rate of maternal fever. | From admission up to 6 weeks postpartum. | Rate of maternal fever in degrees celsius. |
| Duration of maternal fever. | From admission up to 6 weeks postpartum. | Duration of maternal fever in days. |
| Rate of antibiotic use for the treatment of surgical site infection. | From admission up to 6 weeks postpartum. | Rate of antibiotic use for the treatment of surgical site infection. |
| Cesraean section-to-surgical site infection time interval. | From admission up to 6 weeks postpartum. | Cesraean section-to-surgical site infection time interval in days. |
| Venous thromboembolism rates. | From admission up to 6 weeks postpartum. | Venous thromboembolism rates. |
| Rate of sepsis. | From admission up to 6 weeks postpartum. | Rate of sepsis. |
| Post-operative duration of hospitalization. | From admission up to 6 weeks postpartum. | Post-operative duration of hospitalization in days. |
| Postoperative pain. | From admission up to 6 weeks postpartum. | Postoperative pain based on the visual analogue scale score ranging from 0-10. |
| Rate of postoperative anemia. | From admission up to 6 weeks postpartum. | Rate of a hemoglobin level of under 10 gr/dL |
| Blood transfusion rates. | From admission up to 6 weeks postpartum. | Blood transfusion rates (recommended to patients with a postpartum hemoglobin level of under 7 gr/dL or between 7-8 gr/dL if anemia related symptoms are present) |
| Breastfeeding rates. | From admission up to 6 weeks postpartum. | Breastfeeding rates. |
| rate of voiding problems. | From admission up to 6 weeks postpartum. | Rate of need for either intermittent catheterization or 24-hour foley insertion to void |
| Rate of bacteremia. | From admission up to 6 weeks postpartum. | Rate of bacteremia. |
Countries
Israel
Outcome results
None listed