DOI: 10.36347/sjams.2021.v09i01.024

Pages: 117-127

Background: Post Caesarean wound infection is not only a leading cause of prolonged hospital stay but a major cause of the widespread avoid to Caesarean delivery in developing countries. In order to control and prevent post Caesarean wound infection in our environment there is the need to know the relative contribution of each aetiologic factor, the causative organism and sensitivity of the organisms to different antibiotics. Objective: To identify the risk factors and bacteriological study of postoperative wound infection following Caesarean section. Methods: A case control study was conducted in the department of Obstetrics and Gynaecology of Shaheed Tazuddin Ahmad Medical College & Hospital, Gazipur, Bangladesh from November 2019 to March 2020 to find out the risk factors and bacteriological study of postoperative wound infection following Caesarean section. Fifty patients with post Caesarean wound infection were selected as cases. Fifty cases of Caesarean section during the study period without any infection during the study period and Caesarean section done in the same day of the cases were selected as control. Informed consent was taken from each patient. Data was collected by using a preferred set of questionnaire by analyzing the patient profile and management pattern of wound infection patients with caesarean section. Results: Most frequently isolated organism was E.coli 15(30.00%) followed by Staph. aureus 7(14.0%). Pseudomonas 6(12.0%). Citobacter 1(2.0%) and klebsiella 1(2.0%) while 20(40.0%) were sterile. Body max index >25(kg/m2), anaemia (p=0.001), prolonged rupture of membrane (p=0.005), prolonged operation time (p=0.019), were found to be the risk factors for post Caesarean wound infection. Conclusions: Common indentified risk factors were increased body weight, diabetes, anaemia, irregular antenatal check-up, prolonged rupture of membrane. Effort should be given towards the prevention of prolonged rupture of fetal membrane, reduction of ........