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Am J Infect Control. 2013 Jun;41(6):549-53. doi: 10.1016/j.ajic.2012.06.011. Epub 2012 Dec 7.

Postdischarge surveillance following delivery: the incidence of infections and associated factors.

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1
Department of Health Sciences, Medical School, University of Catanzaro Magna Græcia, Catanzaro, Italy.

Abstract

BACKGROUND:

To assess the effectiveness of a postdischarge surveillance system to reveal cases of postpartum infections that could be missed by the current in-hospital routine surveillance and to identify predictors of postpartum infections.

METHODS:

The prospective surveillance included obstetrics patients. The information recorded included sociodemographic characteristics, infection-predisposing conditions, documentation of extrinsic risk factors, variables related to pregnancy and delivery, and variables related to each patient's newborn. A telephone interview on Day 30 after hospital discharge was performed to retrieve information related to signs and symptoms of infection.

RESULTS:

One thousand seven hundred five patients agreed to participate for a response rate of 93%. One hundred forty-nine (8.9%) patients contacted by telephone reported at least 1 episode of infection within 30 days of discharge. There were 24 infections occurring during hospitalization, representing only 16.1% of all infections. There was an increased risk of postpartum infections in women with complications during labor, in those who had a caesarean delivery, and in those who reported alcohol consumption during pregnancy.

CONCLUSION:

Our study demonstrated the need for implementing postdischarge surveillance programs for obstetrics patients that also identify infections following vaginal delivery. Postdischarge surveillance by telephone contact proved to be a feasible and effective method.

PMID:
23219668
DOI:
10.1016/j.ajic.2012.06.011
[Indexed for MEDLINE]
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