Objectives
Current surveillance for cesarean section (CS) surgical site infection (SSI) at our institution is performed only on inpatients and yields a rate of 0.5%. Given that the majority of CS SSI occurs post-discharge, we sought to develop a surveillance protocol that accounted for CDC definitions of SSI, with 30 day post-surgical follow-up. The goal of this study was to evaluate the ability to collect enhanced CS SSI data from geographically dispersed patients following discharge in order to inform patient care improvements.
Methods
In this prospective observational cohort study, all women delivering by CS from February 2014-July 2014 at British Columbia Women’s Hospital who were available for contact on postpartum wards were approached within 48 hrs of their surgery and asked to participate in a CS follow-up study by email. At 30 days post delivery, women were emailed an online survey, to screen for SSI. Where responses suggested infection, a phone call to the patient was made and their care provider completed an assessment form.
Methods
In this prospective observational cohort study, all women delivering by CS from February 2014-July 2014 at British Columbia Women’s Hospital who were available for contact on postpartum wards were approached within 48 hrs of their surgery and asked to participate in a CS follow-up study by email. At 30 days post delivery, women were emailed an online survey, to screen for SSI. Where responses suggested infection, a phone call to the patient was made and their care provider completed an assessment form.
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