ORIGINAL ARTICLE
Rifamycin SV Application to Subcutanous Tissue for Prevention of Post-Cesarean Surgical Site Infection
 
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1
Fatih University, Faculty of Medicine, Department of Obstetrics and Jynecology, Ankara, Turkey
2
Yüzüncü Yıl University, Faculty of Medicine, Department of Obstetrics and Jynecology, Van, Turkey
3
Selçuk University, Meram Medical Faculty, Department of Obstetrics and Jynecology, Konya, Turkey
Publish date: 2010-07-12
 
Electron J Gen Med 2010;7(3):269–276
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ABSTRACT:
Aim: The aim of this study was to compare the effect of Rifamycin SV application to subcutaneous tissue for prevention of post-caesarean wound infection with a traditional method used for preoperative antisepsis of skin; povidone-iodine and also to calculate cost of the treatment. Method: In this randomized prospective study, 1272 women were divided into two groups. Povidone-iodine was used for preoperative antisepsis and after closure of the skin in the first group. In the second group povidone-iodine was used in the same way but also subcutaneous tissue was irrigated with Rifamycin SV before closure of subcutaneous tissue. Result: Surgical site infection (SSI) was developed in 12 of 600 patients in the first group. All of them were superficial incisional SSI. In 2 cases wound was opened up to fascia. The overall rate of wound infection with pus was 2%. Total cost of 12 patients with SSI was $5386.In the 2nd group, SSI wasn’t develop in any of the 596 patients. Total cost of the rifamycin SV used for washing of subcutaneous tissue was $876.12. Conclusion: Rifamycin SV application to subcutaneous tissue during cesarian effectively prevents SSI. It decreases both cost and morbidity caused by wound infection.
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Aydın Köşüş   
Fatih Üniversitesi Tıp Fakültesi Kadın Hast. ve Doğum AD, Hoşdere cad. No: 145 Y. Ayrancı, Ankara / Türkiye
eISSN:2516-3507