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Impact of a surgical site infection bundle on cesarean delivery infection rates

American Journal of Infection Control Nov 19, 2019

Davidson C, et al. - Researchers performed an investigation on how the implementation of an infection prevention bundle influences cesarean delivery surgical site infection (SSI) rates. They introduced an SSI bundle for cesareans in their hospital in April 2014. They included women who had a gestational age of at least 23 0/7 weeks and delivered a liveborn neonate(s) between 2012 and 2015. Among these women, two study groups (pre-bundle and post-bundle) were formed. The investigators identified the occurrence of 76 SSIs in 4,014 cesarean deliveries during the study time period, indicating a cesarean SSI incidence of 1.89. Following the implementation of an infection prevention bundle, SSI rates in cesarean deliveries significantly reduced. Superficial SSIs, which were also the most common SSI type, were most significantly affected. Over time, sustained rate reduction was noted.

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