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العنوان
Subcutaneous Tissue Irrigation with Povidone Iodine in Decreasing the Rate of Surgical Site Infection Following Elective Cesarean Section :
المؤلف
Azmy, Georege Adel.
هيئة الاعداد
باحث / جورج عادل عزمي
مشرف / أحمد حمدي نجيب عبد الرحمن
مشرف / محمد محمود سامي
مشرف / محمد عصمت عباس شوقي
تاريخ النشر
2019.
عدد الصفحات
147 p. :
اللغة
الإنجليزية
الدرجة
ماجستير
التخصص
أمراض النساء والتوليد
تاريخ الإجازة
1/1/2019
مكان الإجازة
جامعة عين شمس - كلية الطب - النساء والتوليد
الفهرس
Only 14 pages are availabe for public view

from 147

from 147

Abstract

Cesarean section remains to be one of the most common surgical procedures performed worldwide and available data indicate that surgical interventions constitute approximately 0.4%–40.5% of all deliveries.
Surgical site infections (SSIs) are reported to occur in up to 8.4% of women having a cesarean section (CS) with many negative effects, including pain, prolonged hospitalization or readmission, need for antibiotics, return to theatre and increasing costs.
The usefulness of povidone iodine on in¬tact skin is well established to reduce surgical site infections, but its use as a prophylac¬tic irrigation solution of subcutaneous tissue prior to skin closure is limitedly addressed against surgical site infection.
The study included any pregnant female from 20 to 35 years old of gestational age 38 week or older with viable fetus, BMI 20-30 Kg/m2.
Patient excluded were those with preoperative haemoglobin less than 10, prolonged rupture of membranes, diabetic, hypertensive or with any medical disorder including autoimmune diseases.
The study population included 200 patients that were divided into 2 groups, each containing 100 patients:
 Study group: includes patients that received povidone iodine 1% solution irrigated subcutaneously prior to skin closure
 Control group: direct skin closure with no irrigation with povidone iodine 1% solution.
An informed consent was obtained from all participants, in the current study all cesarean deliveries were done by surgeons who have at least 2 years experience, any scar of previous cesarean delivery had been removed.
Postoperative maternal temperature is measured on 2 separate occasions at least 6 hours apart with exclusion of the first 12 hours following surgery. The wound was inspected 48 hours, 7 days and 14 days after cesarean delivery for any sign of surgical site infection.
The result of our study demonstrated that the use of povidone iodine 1% solution doesn’t have an added benefit in decreasing the incidence of SSI.