Farhat Nasreen Safi, Perveen Azam.
Surgical site infections, pathogens and sensitivity after emergency caesarian sections.
J Med Sci Jan ;21(3):141-4.

Objective: To determine the frequency and antibiotic susceptibility pattern of pathogens involved in surgical site infections (SSI) after emergency C-sections. Material and Methods: In this cross-sectional study, all women undergoing Emergency C-Section from April 2012 to September 2012 who fulfilled the inclusion criteria were included. Pus culture and sensitivity reports were collected prospectively from hospitalized patients who developed post-operative surgical site infection SSI. Result: Out of the 241 women enrolled, 29(12%) patients had SSI. Staph aureus (24%) and Staph epidermis (20%) were the most frequent pathogens involved. All pathogen isolates were sensitive to Gentamicine, except the least frequent pathogens take Group B Streptococcus and Enterobacter. Penicillin derivatives were found to be effective as well. Cephalosporin and Quinolones were ineffective against most of the frequent isolates in our study. Conclusion: The selection of antimicrobial agents for empirical and prophylactic use should take into account the expected flora and bacterial resistance patterns.

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