PMID: 11903215Mar 21, 2002Paper

Postdischarge surveillance after cesarean section

Birth
D K Creedy, D L Noy

Abstract

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. 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 participant's responses, or to confirm the diagnosis of infection. If follow-up was not completed, a chart audit was undertaken. 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. Postdischarge surveillance is necessary to determine accurate surgical site infection rates after cesarean...Continue Reading

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Citations

Nov 11, 2009·MCN. the American Journal of Maternal Child Nursing·Hila J Spear
Mar 13, 2003·International Journal of Nursing Terminologies and Classifications : the Official Journal of NANDA International·Doris Schoneman
Apr 2, 2009·Tidsskrift for den Norske lægeforening : tidsskrift for praktisk medicin, ny række·Hanne-Merete EriksenPreben Aavitsland
Dec 12, 2012·American Journal of Infection Control·Aida BiancoMaria Pavia
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Aug 22, 2014·TheScientificWorldJournal·Cristiane M Moreira, Eliana Amaral
Feb 20, 2004·The Cochrane Database of Systematic Reviews·D HoreyH Russell

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