Wound Infection Incidence and Obesity in Elective Cesarean Sections in Jordan

Med Arch. 2021 Apr;75(2):138-143. doi: 10.5455/medarh.2021.75.138-143.

Abstract

Background: Wound infection is a challenge that face healthcare facilities.

Objective: The aim of the study was to assess the effect of obesity on wound infection incidence.

Methods: A prospective study involved 127 patients underwent elective Cesarean section surgeries in the first ten months of 2018 with a follow up period of 90 days.

Results: The wound infection incidence was 37.8%; the suture infection was 15.7% and SSI was 22%, which divided into: the superficial SSI among 23 (82.1%) patients, and deep tissue SSI among five (17.9%) patients. Obese patients with BMI of 30 kg/m2 or more were significantly at higher risk for wound infections than those whose BMI less than 30 kg/m2 (p= 0.02, relative risk= 2.363).

Conclusion: Obese patients who underwent Cesarean sections were found to have higher risk to develop wound infections. A larger scale study is needed to determine other associated risk factors.

Keywords: incidence; obesity; surgical site infection; suture infection.

MeSH terms

  • Adult
  • Anti-Bacterial Agents / therapeutic use*
  • Cesarean Section / adverse effects*
  • Elective Surgical Procedures / adverse effects*
  • Female
  • Follow-Up Studies
  • Humans
  • Incidence
  • Jordan
  • Obesity / complications*
  • Pregnancy
  • Prospective Studies
  • Risk Factors
  • Surgical Wound Infection / drug therapy*
  • Surgical Wound Infection / etiology*
  • Young Adult

Substances

  • Anti-Bacterial Agents