PMID- 27196552 OWN - NLM STAT- MEDLINE DCOM- 20160721 LR - 20160912 IS - 1121-7138 (Print) IS - 1121-7138 (Linking) VI - 39 IP - 2 DP - 2016 Apr TI - Surgical site infection after caesarean section: space for post-discharge surveillance improvements and reliable comparisons. PG - 134-8 AB - Surgical site infections (SSI) after caesarean section (CS) represent a substantial health system concern. Surveying SSI has been associated with a reduction in SSI incidence. We report the findings of three (2008, 2011 and 2013) regional active SSI surveillances after CS in community hospital of the Latium region determining the incidence of SSI. Each CS was surveyed for SSI occurrence by trained staff up to 30 post-operative days, and association of SSI with relevant characteristics was assessed using binomial logistic regression. A total of 3,685 CS were included in the study. A complete 30 day post-operation follow-up was achieved in over 94% of procedures. Overall 145 SSI were observed (3.9% cumulative incidence) of which 131 (90.3%) were superficial and 14 (9.7%) complex (deep or organ/space) SSI; overall 129 SSI (of which 89.9% superficial) were diagnosed post-discharge. Only higher NNIS score was significantly associated with SSI occurrence in the regression analysis. Our work provides the first regional data on CS-associated SSI incidence, highlighting the need for a post-discharge surveillance which should assure 30 days post-operation to not miss data on complex SSI, as well as being less labour intensive. FAU - Ferraro, Federica AU - Ferraro F AD - Epidemiology Department, National Institute for Infectious Diseases "Lazzaro Spallanzani" Rome, Italy. FAU - Piselli, Pierluca AU - Piselli P AD - Epidemiology Department, National Institute for Infectious Diseases "Lazzaro Spallanzani" Rome, Italy. FAU - Pittalis, Silvia AU - Pittalis S AD - Epidemiology Department, National Institute for Infectious Diseases "Lazzaro Spallanzani" Rome, Italy. FAU - Ruscitti, Luca E AU - Ruscitti LE AD - Epidemiology Department, National Institute for Infectious Diseases "Lazzaro Spallanzani" Rome, Italy. FAU - Cimaglia, Claudia AU - Cimaglia C AD - Epidemiology Department, National Institute for Infectious Diseases "Lazzaro Spallanzani" Rome, Italy. FAU - Ippolito, Giuseppe AU - Ippolito G AD - National Institute for Infectious Diseases "Lazzaro Spallanzani", Rome, Italy. FAU - Puro, Vincenzo AU - Puro V AD - Epidemiology Department, National Institute for Infectious Diseases "Lazzaro Spallanzani" Rome, Italy. AD - Centro di Riferimento per le Infezioni associate alle Pratiche Assistenziali Latium Region Gro. CN - Centro di Riferimento per le Infezioni associate alle Pratiche Assistenziali Latium Region Group LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - Italy TA - New Microbiol JT - The new microbiologica JID - 9516291 RN - 0 (Anti-Bacterial Agents) SB - IM MH - Anti-Bacterial Agents/pharmacology MH - Cesarean Section/*adverse effects MH - Female MH - Humans MH - Incidence MH - *Patient Discharge MH - *Population Surveillance MH - Pregnancy MH - Risk Factors MH - Surgical Wound Infection/*prevention & control MH - Time Factors OTO - NOTNLM OT - Caesarean section OT - Post-discharge surveillance OT - Surgical site infection FIR - Allocca, A IR - Allocca A FIR - Conti, E IR - Conti E FIR - Marzuillo, C IR - Marzuillo C FIR - Villari, P IR - Villari P FIR - Vullo, V IR - Vullo V FIR - Zaino, P IR - Zaino P FIR - Fioriello, C IR - Fioriello C FIR - Farino, F IR - Farino F FIR - Orazi, D IR - Orazi D FIR - Mondillo, V IR - Mondillo V FIR - Baccaro, G IR - Baccaro G FIR - Pignataro, R IR - Pignataro R FIR - Fiore, R IR - Fiore R FIR - Primave, A IR - Primave A FIR - Verginelli, F IR - Verginelli F FIR - Raponi, R IR - Raponi R FIR - Renda, V IR - Renda V FIR - Barboni, P IR - Barboni P FIR - Belvisi, V IR - Belvisi V FIR - Colazingari, G IR - Colazingari G FIR - Del Borgo, C IR - Del Borgo C FIR - Mastroianni, C IR - Mastroianni C FIR - Parrocchia, S IR - Parrocchia S FIR - Soscia, F IR - Soscia F FIR - Marrone, R IR - Marrone R FIR - Serafini, G IR - Serafini G FIR - Spaziani, C IR - Spaziani C FIR - Clerici Bagozzi, F IR - Clerici Bagozzi F FIR - La Mura, A IR - La Mura A FIR - Montesano, P IR - Montesano P FIR - Saccoccio, O IR - Saccoccio O FIR - Saviano, R IR - Saviano R FIR - Ullucci, M IR - Ullucci M FIR - Dalla Vecchia, D IR - Dalla Vecchia D FIR - Manzi, P IR - Manzi P FIR - Morgante, A S IR - Morgante AS FIR - Moscardini, M L IR - Moscardini ML FIR - Natalini Raponi, G IR - Natalini Raponi G FIR - Pitorri, A IR - Pitorri A FIR - Masala, P IR - Masala P FIR - Pallozzi, L IR - Pallozzi L FIR - Silvestri, A IR - Silvestri A FIR - Vagni, V IR - Vagni V FIR - Zarelli, L IR - Zarelli L FIR - Caterini, A IR - Caterini A FIR - Curzi, M IR - Curzi M FIR - Beggiato, S IR - Beggiato S FIR - Moscatelli, M M IR - Moscatelli MM FIR - Sguazzini, G IR - Sguazzini G FIR - Panepuccia, L IR - Panepuccia L FIR - Pizziconi, G IR - Pizziconi G FIR - Salvati, O IR - Salvati O FIR - Bianchi, U IR - Bianchi U FIR - Lucarelli, B IR - Lucarelli B FIR - Bianchini, C IR - Bianchini C FIR - Cava, M C IR - Cava MC FIR - Piscioneri, C IR - Piscioneri C FIR - Tana, M IR - Tana M FIR - Ascenzi, M P IR - Ascenzi MP FIR - Cicogna, V A IR - Cicogna VA FIR - Colantuono, G IR - Colantuono G FIR - Cammarota, M IR - Cammarota M FIR - Salera, E IR - Salera E FIR - Ascenzi, M P IR - Ascenzi MP FIR - Cicogna, V A IR - Cicogna VA FIR - Colantuono, G IR - Colantuono G FIR - Salera, E IR - Salera E FIR - Celiberti, A IR - Celiberti A FIR - Carbone, A IR - Carbone A FIR - Ciavarella, M IR - Ciavarella M FIR - Ciccotosto, N IR - Ciccotosto N FIR - Quintavalle, G IR - Quintavalle G FIR - Riccioni, C IR - Riccioni C FIR - Squarcione, S IR - Squarcione S FIR - Lanini, S IR - Lanini S FIR - Grilli, E IR - Grilli E FIR - Agresta, A IR - Agresta A EDAT- 2016/05/20 06:00 MHDA- 2016/07/22 06:00 CRDT- 2016/05/20 06:00 PHST- 2015/04/09 00:00 [received] PHST- 2015/12/12 00:00 [accepted] PHST- 2016/05/20 06:00 [entrez] PHST- 2016/05/20 06:00 [pubmed] PHST- 2016/07/22 06:00 [medline] PST - ppublish SO - New Microbiol. 2016 Apr;39(2):134-8.