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Surgical care bundle: effect on post-caesarean wound infection
Faten Mabrouk Nouh1,2, Hasan Abualruz3, Roqaya F Mohamed4
1Faculty of Nursing, Menoufia University, Menoufia, Egypt. faten.mabrouk@nursing.menofia.edu.eg.
BMC Women'S Health
|May 26, 2025
Summary
Implementing a surgical care bundle significantly reduces post-cesarean wound infections. This intervention ensures healthier wound status for women undergoing cesarean sections, improving patient outcomes.
Area of Science:
- Obstetrics and Gynecology
- Infectious Disease Prevention
- Surgical Patient Care
Background:
- Surgical site infections (SSIs) pose significant risks to patients and healthcare systems.
- Effective strategies are needed to reduce the incidence of SSIs, particularly following cesarean sections.
- Surgical care bundles offer a promising approach to infection control.
Purpose of the Study:
- To evaluate the impact of a surgical care bundle on preventing wound infections after cesarean delivery.
- To assess the effectiveness of a standardized protocol in improving post-cesarean wound healing.
Main Methods:
- A quasi-experimental research design was employed.
- The study included 100 women undergoing cesarean sections at University Hospital and Shebin El-Kom Teaching Hospitals in Egypt.
- Data were collected using a structured interview questionnaire and a surgical checklist.
Main Results:
- 100% of women in the intervention group exhibited healthy wound status at 48 hours post-cesarean.
- This contrasts with 80.0% of women in the control group showing healthy wound status within the same timeframe.
- The surgical care bundle demonstrated a significant positive effect on wound healing.
Conclusions:
- Application of the surgical care bundle before, during, and after cesarean section effectively lowers the risk of wound infection.
- Integrating these surgical care bundles into quality improvement programs is recommended for cesarean delivery care.
- This approach enhances patient safety and reduces complication rates.
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