GORM:Gynecology Obstetrics & Reproductive Medicine, cilt.24, sa.1, ss.37-41, 2018 (Hakemli Dergi)
OBJECTIVE: The present study aimed to define characteristics of the patients who were readmitted withthe diagnosis of surgical site infections after gynecologic or obstetric procedures and management ofthese patients. We also reviewed the literature in this context.STUDY DESIGN: We examined 120 patients with surgical site infections that had been hospitalized andmanaged medically and/or surgically between April 2014 and April 2015. Characteristics of the patientswere recorded and analyzed.RESULTS: The mean age of the patients was 33.4±11.8 years. The patients were readmitted for surgicalsite infections on the mean of 9.6±5.4 days after the first operation. The most frequent procedures resultedwith SSI were cesarean delivery, abdominal hysterectomy and vaginal birth. When patients were comparedaccording to these procedures, there were statistically significant differences regarding age, gravida,parity, preoperative white blood cell count, postoperative white blood cell count and antibiotics usage.CONCLUSION: Combining evidence-based surgical site infections prevention practices and clinicianand patient cooperation will result in reduction in surgical site infections incidence following obstetric andgynecologic procedures. Because of economic burden and threat to the physical and psychologicalhealth of the patients, these modifiable risks should be recognized and surgical site infections should beminimized. After surgical site infections occurred, diagnosis and proper management with antibiotics andwound care with debridement and secondary suturing is important.