Prevalencia de infección de herida quirúrgica en pacientes con profilaxis antimicrobiana en cesárea programada

Resumen

Objective: To determine the prevalence of surgical wound infections in scheduled HRAEV
cesarean sections.
Materials and method: Retrospective, descriptive, observational cross-sectional study to
determine the prevalence of IHC in patients undergoing scheduled cesarean section with
antibiotic prophylaxis in HRAEV.
Results: 185 records of patients undergoing scheduled cesarean section were evaluated,
aged between 28 to 37 years (48.1%) with an average weight of 81 kg (SD = 10.1) with
an average body mass index (BMI) of 30 (SD = 4.24) that is, a BMI between 25.76 and
34.24. Of these, 4 patients (2.16%) presented surgical wound infection during scheduled
cesarean section, who received ceftriaxone as PA greater than 120 minutes prior to skin
incision, these patients are classified as ASA II and had a BMI greater than 30 kg/m2 and
without recorded comorbidities. The most frequent antibiotic prophylaxis time in patients
undergoing scheduled cesarean section was >120 minutes (34.08%) and ceftriaxone was
administered in 84.86% of the population, which is mostly ASA II (97.83%). 100% of the
wounds were superficial.
Conclusions: In the present study, it was found that the prevalence of IHC in cesarean
sections scheduled in HRAEV was 2.16%, a figure that is below the worldwide prevalence,
given that the selected patients did not have some of the risk factors. added risk that increased
the risk of SSI compared to other studies.
Keywords: Surgical wound, Infection, Antibiotic prophylaxis, Cesarean section