Decreasing Wound Infection Clinical Trial
Official title:
The Impact of Changing Gloves During Cesarean Section on Post-operative Wound Complication. A Single Blind Randomized Controlled Trial
The investigators aim to compare the effect of changing their outer surgical gloves with a new pair of sterile gloves just prior to abdominal closure versus no intervention in the incidence of postoperative wound infections in pregnant women undergoing Caesarean section. The primary outcome is the incidence of any post cesarean wound related complication, including wound seroma, skin separation of at least 1cm, wound infection, or other incisional abnormality requiring treatment within 8 weeks of surgery, while the secondary outcomes are Postoperative fever: defined as greater than 38 degrees Celsius or post cesarean endometritis: defined as a clinical diagnosis, usually involving fever, uterine fundal tenderness, or purulent lochia requiring antibiotic therapy or Combined wound complications and endometritis.
The investigators conduct a prospective randomized study at Department of Obstetrics and
Gynecology, AFHSR since April 2019 till October 2019, after approval of the study protocol by
the Local Ethical Committee.
Patients undergoing Both elective and emergency cesarean sections and Patients received
standard antibiotic prophylaxis within two hours from the procedure or during the procedure
in emergency case. All patients received appropriate pre-operative antibiotics,
chlorohexidine skin prep except where allergies prohibited, and hair clipping as indicated.
The patients (600) are divided into two groups, Group A (300) during CS the surgical team
change their outer surgical gloves with a new pair of sterile gloves just prior to abdominal
closure, while in Group B (300) no intervention
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