STUDY OF POST CAESERIAN SECTION WOUND INFECTION AND MICROBIOLOGICAL EPIDEOMOLOGY IN TERTIARY CARE CENTRE, WESTERN RAJASTHAN.

To determine the incidence, risk factors and common bacterial pathogens in surgical site infection (SSI) following C-section in a tertiary care centre. A hospital based prospective study conducted for a period of 6 months. 62 women were studied whose C-section was complicated by SSI within 5 days postoperatively; Risk factors for SSI were identified and microbiological pattern was studied. During this study period post caesarian SSI incidence was 0.34%. In this study post C-section SSI found as high as 43.55%, in lower socio economic status; Among all patients, un-booked were 62.90% , Referred patients were as high as 67.74%. SSI developed in 69.35% patients without preoperative antibiotic prophylaxis. C-section done in PROM in 64.50% and as an elective emergency 79.03%, blood transfusion needed in 59.68% and type of incision being transverse(Pfannenstiel) in 88.71%. subcutaneous suture technique used in 75.81% and secondary healing occurred in 67.74%. Most common organism grown was CoNS(coagulase negative staphylococcus) 29.03% in SSI.