医学
体质指数
回顾性队列研究
怀孕
贫血
产科
多元分析
病例对照研究
风险因素
单变量分析
心理干预
肥胖
儿科
外科
内科学
精神科
生物
遗传学
作者
Suna Yıldırım Karaca,Mehmet Adıyeke,Alper İleri,Hande İleri,Tayfun Vural,Doğay Nurtaç Özmüş,Ecem Şimşek,Mehmet Özeren
标识
DOI:10.1016/j.jpag.2021.12.021
摘要
Study Objective This study aimed to determine the modifiable risk factors associated with surgical site infection (SSI) after cesarean section in adolescent pregnant patients. Design Retrospective case-control study Setting Department of Obstetrics and Gynecology, Tepecik Education and Research Hospital, Izmir, Turkey Participants Pregnant adolescents (≤ 19 years) who underwent cesarean section at our institution between January 2014 and March 2021 Interventions and Main Outcome Measures To determine the modifiable and nonmodifiable risk factors associated with SSI following cesarean section in adolescents. The diagnosis of SSI was made according to the criteria defined by the Centers for Disease Control and Prevention (CDC). Results SSI was diagnosed in 62 (2.9%) of 2105 adolescent mothers who underwent cesarean section. Univariate and multivariate analyses confirmed that body mass index (BMI) (OR = 2.35; 95% CI, 1.3-4.78), induction of labor (OR = 1.9; 95% CI, 1.2-3.71), and preoperative hemoglobin values less than 10 g/dl (OR = 2.1; 95% CI, 1.2-4.46) were risk factors for SSI in adolescent mothers. Patient- and operation-related risk factors did not reach the level of statistical significance. Conclusions BMI, labor induction, and antenatal anemia were independent risk factors for SSI in adolescents. Among these, BMI and anemia were modifiable patient-related risk factors. Addressing obesity in adolescents and treating prenatal anemia could be the first steps toward preventing SSI. This study aimed to determine the modifiable risk factors associated with surgical site infection (SSI) after cesarean section in adolescent pregnant patients. Retrospective case-control study Department of Obstetrics and Gynecology, Tepecik Education and Research Hospital, Izmir, Turkey Pregnant adolescents (≤ 19 years) who underwent cesarean section at our institution between January 2014 and March 2021 To determine the modifiable and nonmodifiable risk factors associated with SSI following cesarean section in adolescents. The diagnosis of SSI was made according to the criteria defined by the Centers for Disease Control and Prevention (CDC). SSI was diagnosed in 62 (2.9%) of 2105 adolescent mothers who underwent cesarean section. Univariate and multivariate analyses confirmed that body mass index (BMI) (OR = 2.35; 95% CI, 1.3-4.78), induction of labor (OR = 1.9; 95% CI, 1.2-3.71), and preoperative hemoglobin values less than 10 g/dl (OR = 2.1; 95% CI, 1.2-4.46) were risk factors for SSI in adolescent mothers. Patient- and operation-related risk factors did not reach the level of statistical significance. BMI, labor induction, and antenatal anemia were independent risk factors for SSI in adolescents. Among these, BMI and anemia were modifiable patient-related risk factors. Addressing obesity in adolescents and treating prenatal anemia could be the first steps toward preventing SSI.
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