DOI: 10.36347/sjams.2015.v03i08.013

Pages: 2794-2801

This particular study was conducted with the aims to find out the incidence, risk factors and commonly associated bacteria in cases of surgical site infection (SSI) following emergency caesarean section. It was an observational case control study conducted at Gauhati Medical College and Hospital (GMCH), Guwahati including all the cases of SSI developing following emergency caesarean section conducted at GMCH between 1stAugust 2014 to 31st July 2015. Two groups were taken for the study - one with SSI and the other without SSI. During the study period, out of the 6330 cases of emergency caesarean sections, 382 cases developed SSI (incidence rate 6.03%).Factors significantly contributing to the development of SSI were anaemia, high BMI, PIH, prom, repeated per vaginal examinations, prolong labour, long duration of operation, blood transfusion. Staph. aureus was the commonest organism isolated(37.96%) followed by coagulase negative staph aureus(21.73%) and klebsiella(18.32%).Most of the risk factors for SSI are either avoidable or correctible. A proper assessment of risk factors that predispose to SSI and their modifications may help in reduction of SSI rates.