THE RATE OF SURGICAL SITE INFECTION WITH CHANGING GLOVE DURING CEASREAN SECTION

Hoàng Thị Diễm Tuyết1, Nguyễn Bảo Trị1,, Nguyễn Thị Kim Hà1, Phạm Thị Ngọc Tuyền1, Huỳnh Thị Ngọc Bích1, Nguyễn Thị Thu Thủy1, Phan Thanh Sơn1, Phan Thanh Tuyền1, Nguyễn Thị Kiều Oanh1
1 Hùng Vương Hospital in HCM City

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Abstract

Introduction: Many clinical trials explored the implication of various intervention strategies to reduce SSI rate following cesarean section. Several studies have showed that glove changing during a procedure decrease wound related complications. Purpose: To compare the rates of wound related complications among women undergoing a cesarean section when the surgical team used intra-operative glove changing versus usual care. Methods: In Hung Vuong Hospital, From Dec 2020 to Mar 2021, 319 women were randomized to usual care and 310 women were randomized to intra-operative glove changing.All women undergoing a cesarean section were randomized to usual care or intra-operative glove-changing prior to abdominal closure. The primary outcome was any wound related complication, including seroma, wound infection. Results: Intra-operative glove changing led to a significant decrease in composite wound complications from 7.8 % in the control group to 2.6% in the intervention group (p=0.005). Conclusion: Changing gloves during cesarean prior to abdominal wall closure may decrease the incidence of wound complications following cesarean section.

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References

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