Comment je préviens les infections de paroi après césarienne chez des patientes obèses en 2017 ? [How do I prevent caesarean wound infections in obese patients in 2017?]

Details

Serval ID
serval:BIB_8FC5BE6AC467
Type
Article: article from journal or magazin.
Publication sub-type
Review (review): journal as complete as possible of one specific subject, written based on exhaustive analyses from published work.
Collection
Publications
Institution
Title
Comment je préviens les infections de paroi après césarienne chez des patientes obèses en 2017 ? [How do I prevent caesarean wound infections in obese patients in 2017?]
Journal
Gynecologie, obstetrique, fertilite & senologie
Author(s)
Ripamonti B., Raia-Barjat T., Chauleur C., Mathevet P.
ISSN
2468-7189 (Electronic)
ISSN-L
2468-7189
Publication state
Published
Issued date
11/2017
Peer-reviewed
Oui
Volume
45
Number
11
Pages
619-622
Language
french
Notes
Publication types: Journal Article ; Review
Publication Status: ppublish
Abstract
Obesity is an important risk factor of cesarean section and is associated with an increased risk of wound complications such as infections. This review focuses on the available strategies to limit complications in this population. Choice of antiseptic solution, appropriate dose and type of antibiotic prophylaxy, suture closure of subcutaneous fat, suture skin closure and closed incision negative pressure wound therapy may reduce the risk of wound infections associated with cesarean section in obese patients. Vaginal desinfection, plastic adhesive draps, high-concentration supplemental perioperative oxygen, use of a barrier retractor, wound drainage and type of skin incision are discussed in this review. Clinical trials of good quality are needed to improve our clinical practice.
Keywords
Antibiotic Prophylaxis/methods, Antisepsis/methods, Cesarean Section/adverse effects, Disinfection, Female, Humans, Obesity/complications, Pregnancy, Pregnancy Complications, Surgical Wound Infection/prevention & control, Suture Techniques, Vagina, Cesarean section, Césarienne, Grossesse, Infection de paroi, Obesity, Obésité, Wound infections
Pubmed
Web of science
Create date
09/10/2017 15:15
Last modification date
20/08/2019 14:53
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