Rifamycin SV Application to Subcutanous Tissue for Prevention of Post-Cesarean Surgical Site Infection
Aydın Köşüş 1 * , Nermin Köşüş 1, Ayşe Güler 2, Metin Çapar 3
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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
* Corresponding Author

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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This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Article Type: Original Article

https://doi.org/10.29333/ejgm/82867

Eur J Gen Med, 2010 - Volume 7 Issue 3, pp. 269-276

Publication date: 12 Jul 2010

Article Views: 55

Article Downloads: 15

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