FREQUENCY OF WOUND INFECTION AND ITS COMMON BACTERIA AND ANTIBIOTIC SENSITIVITY IN PATIENTS AFTER EMERGENCY CESAREAN SECTION

Abstract

Objective: To find out the prevalence of wound infection among patients who experienced the emergency cesarean section and common causative bacteria and pattern of susceptibility to antibiotics.

Study Design and Setting: A cross-sectional study within the framework of a descriptive longitudinal research design at the Department of Gynecology and Obstetrics, District Headquarter Hospital (DHQ), Mirpur, Azad Jammu and Kashmir (AJK) from June 2025 to September 2025.

Methodology: 180 women aged between 15-45 years and having an emergency cesarean section were enrolled in the study by use of a consecutive sampling method. The patients who had the risk factors risk factors to be infected like diabetes, malignancy, greater than 29kg/m2 and recent steroid or antibiotic administration were ruled out. The participants were all observed after seven days after surgery to identify any indication of wound infection, which was considered to be the presence of pain, swelling, redness, and purulent discharge. Wound swabs were taken in case of infection and microbiological culture and sensitivity against a set of commonly used antibiotics, such as ceftriaxone, amoxicillin, gentamicin, and levofloxacin. The SPSS version 10.0 was used to analyze the data.

Results: The most important conclusion was the rate of wound infection. Further examination found the abundance of certain microorganisms such as staphylococcus aureus, enterococcus faecalis, pseudomonas and E. coli. The sensitivity and resistance patterns of these isolates were recorded as regards to their sensitivity to antibiotics. Data stratification was done in terms of age, parity, and BMI to determine modification of effects.

Conclusion: The study presents important data on the local bacteria profile of post-emergency cesarean wound infections. The results will be used to inform the formulation of evidence-based guidelines on the empirical use of antibiotics and reduce patient morbidity and can be used to inform surgical prophylaxis plans.