Postdischarge surveillance after cesarean section

被引:17
作者
Creedy, DK
Noy, DL
机构
[1] Griffith Univ, Fac Nursing & Hlth, Brisbane, Qld 4111, Australia
[2] W Morton Dist, Ipswich, Suffolk, England
来源
BIRTH-ISSUES IN PERINATAL CARE | 2001年 / 28卷 / 04期
关键词
D O I
10.1046/j.1523-536X.2001.00264.x
中图分类号
R47 [护理学];
学科分类号
1011 ;
摘要
Background: Cesarean section is a major surgical procedure with a relatively short hospital stay. A significant rate of surgical site infection after this procedure is missed by standard inpatient surveillance. This study aimed to evaluate a method of postdischarge surveillance and compare results with the incidence of infection before discharge. Method: A postdischarge survey was sent on day 30 to 277 women who had delivered by cesarean section during the 12-month study period, A follow-up telephone interview was conducted if the questionnaire had not been returned within 2 weeks, if a diagnosis of infection could not be clearly determined from the participants responses, or to confirm the diagnosis of infection. If follow-up was not completed, a chart audit was undertaken. Results: A total response rate of 89 percent (247/277) was obtained, and 28 women with a surgical site infection were identified from the survey. Telephone follow-up and chart review of patients with possible infection and of nonresponders identified 32 percent more postdischarge infections (14/42). The overall infection rate was 17 percent compared with 2.8 percent at discharge. Conclusions: Postdischarge surveillance is necessary to determine accurate surgical site infection rates after cesarean section, increase awareness of caregivers about infection control problems, and indicate the need for appropriate follow-up care. Women undergoing a cesarean delivery should be informed of the risk of postdischarge infection and educated about the signs and symptoms of infection.
引用
收藏
页码:264 / 269
页数:6
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