Surgical Site Infection
Conditions
Interventions
Same glove during skin closure
Changing glove before skin closure
Sponsors
Ain Shams University Maternity Hospital and Adam International Hospital
Eligibility
Sex/Gender
Female
Inclusion criteria
Inclusion criteria: 1-pregnant women aged 20-35 years; non-obese with body mass index (BMI) < 30 kg/m2 with term pregnancy = 37 weeks +0 days; singleton and viable fetuses were enrolled.
Exclusion criteria
Exclusion criteria: 1-obese women with body mass index (BMI) = 30 kg/m2. 2-anemic women with hemoglobin level < 10.5 g/dl 3-immuno-compromised women with medical disorders with pregnancy as diabetes mellitus, hypertension, cardiac, hepatic or renal disorders. 4- Women with anticipated pelvic adhesions as cases with history of endometriosis, pelvic inflammatory diseases or more than previous 3 CSs. 4- multifetal pregnancy 5- emergency CS, with antepartum hemorrhage (placenta previa or placenta accrete spectrum disorder). 6-obstetric cases with increased risk of infection as premature rapture of membranes (PROMs). 7- woman who refused to participate in the study or write consent
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The primary outcome was the incidence of SSSI, which included wound seroma, wound hematoma wound infection, and skin separation. | — |
Secondary
| Measure | Time frame |
|---|---|
| The secondary outcomes were febrile morbidity, cellulitis, the prescription of antibiotics, period of hospital stay, and cost. Sample Size Justification: Using the EPI Info 7 software for sample size calculation, with a power of 80% and an alpha error of 0.05, and based on the study by Hameed et al. in 2020, the anticipated incidence of wound infection in the intervention group is 5% and in the control group is 18.8% [13]. A sample size of 100 women per group was necessary to detect the difference between the two groups. To account for an expected 10% loss of follow-up, the sample size was increased to 110 women per group. Group A, the intra-operative glove changing group, involves the surgeon replacing their outer surgical gloves with a new pair of sterile gloves just before abdominal closure. Meanwhile, Group B, the usual care group, entails the surgeon not changing their gloves before abdominal closure. | — |
Countries
Egypt
Contacts
Public ContactAlaa ElDin;Ahmed ElFeky ;Sherif
lecturer obestatrics and gynecology Ain Shams University;Lecturer Obestatrics and Gynecology Ain Shams University
Outcome results
None listed