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Surgical Site Infection among Women Post Cesarean Section: An Integrative Review

Nurse Media Journal of Nursing · Vol. 7 No. 1 (2017) · hlm. 46–55

DOI
10.14710/nmjn.v7i1.15127
ISSN
2406-8799, 2087-7811
Terbit
2017-06-30
Penerbit
Department of Nursing, Faculty of Medicine, Universitas Diponegoro
Bahasa
eng

Abstrak

Background: Surgical site infection (SSI) in cesarean section (CS) is a major cause of prolonged hospital stay and resource consumption, and causes morbidity and mortality for the mother and the baby.Purpose: This literature review aimed to assess and identify risk factors, interventions, and prevention strategies of SSI for women post CS especially the obese women.Methods: An integrative literature review was conducted by employing the databases of PubMed, ProQuest, Science Direct, Wiley online library, and Google scholar from 1999 to 2015. This review identified the studies conducted either in women post-CS or obese women post CS.Results: A total of 58 articles were found, and 14 articles met the criteria. The risk factors of CS-SSI were classified into extrinsic and intrinsic factors. The intrinsic factors include limited mobility, poor nutrition, and comorbidity (diabetes) while the extrinsic factors include surgical technique, skin closure methods, prophylactic antibiotic, and the use of drains. Poor nutrition, diabetes, and limited mobility were the common factors found in obese women undergoing CS. Maintaining nutritional status and controlling blood glucose were proposed to prevent CS-SSI among obese women post-CS.Conclusions: Nurses should have adequate knowledge about the risk factors of CS-SSI to assess the risk factors of CS-SSI especially in obese women. The intervention of CS-SSI might need a bundle of interventions which consist of pre-operative and post-operative prevention strategies.

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21 penulis · 35 tautan kepenulisan bersama · 17 lintas organisasi

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  • Prince of Songkla University
  • Nasional University
  • Jenderal Soedirman University
  • Universitas Kadiri
  • Universitas Muhammadiyah Semarang
  • Padjadjaran University
  • University of Brawijaya
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Rekan penulisOrganisasiArtikel bersama
Wongchan PetpichetchianPrince of Songkla University3
Anda KamalPrince of Songkla University3
Mardiyono MardiyonoJenderal Soedirman University2
Nury SukraenyUniversitas Muhammadiyah Semarang2
Kirana PhakdeechanuanPrince of Songkla University2
Yeni Lufiana Novita AgnesUniversitas Kadiri1
Pajongsil PerngmarkPrince of Songkla University1
Afnita YuliantiAfiliasi tidak diketahui1
Tantri Wenny SitanggangAfiliasi tidak diketahui1
Wipa SaeSiaAfiliasi tidak diketahui1
Titis KurniwawanPadjadjaran University1
Khomapak ManeewatPrince of Songkla University1
Mukhamad FathoniUniversity of Brawijaya1
Hathairat SangchanPrince of Songkla University1
Suhartini IsmailDiponegoro University1
Urai HatthakitPrince of Songkla University1
Erfin FirmawatiMuhammadiyah University of Yogyakarta1
Luppana KitrungrotePrince of Songkla University1

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Sumber metadata: OAI-PMH (metadata jurnal) https://ejournal.undip.ac.id/index.php/medianers/oai, pertama di-harvest 10 Nov 2026, terakhir terlihat 10 Nov 2026.
Metadata asli (oai_dc) 
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	<dc:title xml:lang="en-US">Surgical Site Infection among Women Post Cesarean Section: An Integrative Review</dc:title>
	<dc:creator>Novelia, Shinta</dc:creator>
	<dc:creator>Sae Sia, Wipa</dc:creator>
	<dc:creator>Songwathana, Praneed</dc:creator>
	<dc:subject xml:lang="en-US">Obese women; wound infection; surgical site infection; cesarean section</dc:subject>
	<dc:description xml:lang="en-US">Background: Surgical site infection (SSI) in cesarean section (CS) is a major cause of prolonged hospital stay and resource consumption, and causes morbidity and mortality for the mother and the baby.Purpose: This literature review aimed to assess and identify risk factors, interventions, and prevention strategies of SSI for women post CS especially the obese women.Methods: An integrative literature review was conducted by employing the databases of PubMed, ProQuest, Science Direct, Wiley online library, and Google scholar from 1999 to 2015. This review identified the studies conducted either in women post-CS or obese women post CS.Results: A total of 58 articles were found, and 14 articles met the criteria. The risk factors of CS-SSI were classified into extrinsic and intrinsic factors. The intrinsic factors include limited mobility, poor nutrition, and comorbidity (diabetes) while the extrinsic factors include surgical technique, skin closure methods, prophylactic antibiotic, and the use of drains. Poor nutrition, diabetes, and limited mobility were the common factors found in obese women undergoing CS. Maintaining nutritional status and controlling blood glucose were proposed to prevent CS-SSI among obese women post-CS.Conclusions: Nurses should have adequate knowledge about the risk factors of CS-SSI to assess the risk factors of CS-SSI especially in obese women. The intervention of CS-SSI might need a bundle of interventions which consist of pre-operative and post-operative prevention strategies.</dc:description>
	<dc:publisher xml:lang="en-US">Department of Nursing, Faculty of Medicine, Universitas Diponegoro</dc:publisher>
	<dc:contributor xml:lang="en-US"></dc:contributor>
	<dc:date>2017-06-30</dc:date>
	<dc:type>info:eu-repo/semantics/article</dc:type>
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	<dc:format>application/pdf</dc:format>
	<dc:identifier>https://ejournal.undip.ac.id/index.php/medianers/article/view/15127</dc:identifier>
	<dc:identifier>10.14710/nmjn.v7i1.15127</dc:identifier>
	<dc:source xml:lang="en-US">Nurse Media Journal of Nursing; Vol 7, No 1 (2017): (JUNE 2017); 46-55</dc:source>
	<dc:source>2406-8799</dc:source>
	<dc:source>2087-7811</dc:source>
	<dc:language>eng</dc:language>
	<dc:relation>https://ejournal.undip.ac.id/index.php/medianers/article/view/15127/11492</dc:relation>
	<dc:rights xml:lang="en-US">Copyright (c) 2017 Nurse Media Journal of Nursing</dc:rights>
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