Subcutaneous Infiltration of Gentamycin Saline Solution to Reduce Rates of Cesarean Section Surgical Site Infection in Primigravidas Scheduled for Elective Cesarean Section

Abstract

Cesarean section is a daily practice with the incidence in Egypt exceeding 40 percent, and surgical site infection is an uncommon morbidity, and efforts have been made extensively to lower the infection rate. The presented work aimed at lowering surgical site infection in cesarean section with the use of gentamycin solution pre-closure to reduce CS-SSI rates. The presented work was a controlled trial involving 200 cases of elective cesarean section done in Zinat Alhyat hospital for delivery in Benha city. Two hundred cases recruited from Zinat al-Hayat hospital in Benha were divided into two groups: group one [gentamycin group] hundred cases receiving pre-closure irrigation of the subcutaneous tissue with a gentamycin vial 40mg diluted in 10 ml syringes, then closing the wound with Prolene sutures. Group 2 hundred cases not [control non-intervention] receiving gentamycin infiltration and taken as the control group, the wound was closed with Prolene sutures without infiltration with gentamycin. Written consent was signed by all participants in the trial. The study gave the following. Cesarean section surgical site infection dropped from 8 percent in the control group to 1 percent in the trial group with gentamycin. Surgical site infection post-cesarean section can be reduced by subcutaneous infiltration with gentamicin saline solution.