Caesarean Section Surgical Site Infection and Associated Personal Patient Risk Factors: An Integrative Review
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Date
1/06/2019
DOI
Open Access Location
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Publisher
Sigma Theta Tau International Honour Society of Nursing
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Abstract
Post-operative caesarean section surgical site infection (SSI) are associated with various complications, cost, extended hospital stay and can negatively impact on the life of new mothers, their babies and their families (Berríos-Torres et al., 2017; Mangram et al.,1999). A substantial number of literature on the prevention of SSI addressing various risk factors identified in these phases exist globally. However, it is not known whether extensive high quality evidence on the association of personal patient risk factors to SSI development exist. Thus, an integrative review was conducted to critically evaluate published research material on caesarean section surgical site infection and associated personal patient risk factors and to provide nursing recommendations that relate to this area of practice.
Forty-six peer-reviewed publications met the inclusion criteria for full-text review. Twenty out of the 46 studies scored highly on quality. These studies supported an association between caesarean section surgical site infection and at least one of the following identified risk factors - age, obesity, smoking and diabetes mellitus. However, only one of the researches studied cultural practices and its association with caesarean section SSI.
In conclusion, evidence regarding the association of personal patient risk factors such as age, obesity, smoking and diabetes mellitus to caesarean section surgical site infection is inadequate. Even more scarce are studies that evaluate the association of cultural practices to caesarean section surgical site infection.
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Keywords
Caesarean Section Surgical Site Infection,, Personal patient risk factors
Citation
2019