Evidence map›Paper›PMID 28255256›Full record

ReviewInternational journal of women's health2017

Postcesarean wound infection: prevalence, impact, prevention, and management challenges.

Sivan Zuarez-Easton, Noah Zafran, Gali Garmi, Raed Salim

7 registry-linked trialsOpen access · goldAbstract readReview
In one paragraph

Review in International journal of women's health, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 7 registered trials, which are not on this map. Cited by 73 papers, 11 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
73citing papers in PubMed, 11 pooled it
12.6field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04163679 naterminatednot on this mapstarted 2019, after this paper: background citation

Combining Vaginal Preparation and Azithromycin in Reduction of Post Cesarean Infections: A Randomized Controlled Trial

TypeinterventionalSponsorWomack Army Medical CenterRan2019 to 2021Enrolled84ConditionsInfection, Obstetric Labor Complications, Endometritis, Cesarean Delivery Affecting FetusArmsVaginal Preparation
NCT04385680 phase1 / phase2completednot on this mapstarted 2020, after this paper: background citation

The Impact of Chlorhexidine Preoperative Vaginal Preparation in Reducing the Post-cesarean Endometritis and Sepsis for Cases in Labor. A Randomized Controlled Trial

TypeinterventionalSponsorZagazig UniversityRan2020 to 2022Enrolled840ConditionsPostpartum Endometritis, Wound Infection, Chlorhexidine Adverse Reaction, Postoperative FeverArmsChlorhexidine Gluconate vaginal solution 0.05%
NCT04434820 nacompletednot on this mapstarted 2020, after this paper: background citation

External Negative Pressure Dressing System (ENPDS) vs. Traditional Wound Dressing for Cesarean Section Incision in Obese Women.

TypeinterventionalSponsorAin Shams Maternity HospitalRan2020 to 2021Enrolled260ConditionsWound DehiscenceArmsExternal negative pressure dressing system (Yuwell 7E-A portable suction unit)
NCT05392400 phase2unknown statusnot on this mapstarted 2023, after this paper: background citation

The Use of Steri3X for Prevention of Post-operative Wound Infections in Cesarean Sections

TypeinterventionalSponsorUniversity of TennesseeRan2023 to 2024Enrolled1,000ConditionsSurgical Site Infection, Cesarean Section, Complications, Wound, Infection (Following Delivery), Postpartum ComplicationArmsSteri3X, Control
NCT05856968 nanot yet recruitingnot on this mapstarted 2025, after this paper: background citation

To Investigate the Effect of Continuous Versus Interrupted Subcutaneous Fat Closure in Reducing Surgical Site Infection Among Over-weight or Obese Women Who Are Undergoing Elective Caesarean Section

TypeinterventionalSponsorThe University of The West IndiesRan2025 to 2026Enrolled266ConditionsPregnancy, ObesityArmscontinuous subcutaneous tissue closure, Interrupted subcutaneous tissue closure
NCT05920122 phase4completednot on this mapstarted 2023, after this paper: background citation

A Randomized Control Trial of Chlorhexidine Gluconate Aqueous Solution vs Chlorhexidine Gluconate With Isopropyl Alcohol Skin Preparations for Prevention of Cesarean Section Wound Infections

TypeinterventionalSponsorHyagriv SimhanRan2023 to 2025Enrolled1,398ConditionsSurgical Site Infection, Cesarean Section, InfectionArms2% Chlorhexidine gluconate with 70% alcohol, 4% Chlorhexidine Gluconate aqueous solution
NCT07730060 nanot yet recruitingnot on this mapstarted 2026, after this paper: background citation

Intraperitoneal Saline Irrigation in Cesarean Section: Effect on Postoperative Infectious Morbidity and Paralytic Ileus ,Randomized Controlled Study.

TypeinterventionalSponsorAssiut UniversityRan2026 to 2027Enrolled150ConditionsCesarean SectionArmsIntraperitoneal Saline Irrigation
3 · Its place in the literature

Who cites it

73 citing papers in PubMed, 11 syntheses or guidelines pooled it, 194 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Pooled it
  6. Pooled it
  7. Pooled it
  8. Pooled it
  9. Pooled it
  10. Pooled it
  11. Pooled it
  12. Trial
  13. Trial
  14. Trial
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Review

13 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 2 institutions in 1 country.

Sivan Zuarez-EastonDepartment of Obstetrics and Gynecology, Emek Medical Center, Afula.
Noah ZafranDepartment of Obstetrics and Gynecology, Emek Medical Center, Afula; Rappaport Faculty of Medicine, Technion-Israel Institute of Technology, Haifa, Israel.
Gali GarmiDepartment of Obstetrics and Gynecology, Emek Medical Center, Afula; Rappaport Faculty of Medicine, Technion-Israel Institute of Technology, Haifa, Israel.
Raed SalimDepartment of Obstetrics and Gynecology, Emek Medical Center, Afula; Rappaport Faculty of Medicine, Technion-Israel Institute of Technology, Haifa, Israel.
Technion – Israel Institute of Technology · ILEmek Medical Center · IL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Surgical site infection (SSI) is one of the most common complications following cesarean section, and has an incidence of 3%-15%. It places physical and emotional burdens on the mother herself and a significant financial burden on the health care system. Moreover, SSI is associated with a maternal mortality rate of up to 3%. With the global increase in cesarean section rate, it is expected that the occurrence of SSI will increase in parallel, hence its clinical significance. Given its substantial implications, recognizing the consequences and developing strategies to diagnose, prevent, and treat SSI are essential for reducing postcesarean morbidity and mortality. Optimization of maternal comorbidities, appropriate antibiotic prophylaxis, and evidence-based surgical techniques are some of the practices proven to be effective in reducing the incidence of SSI. In this review, we describe the biological mechanism of SSI and risk factors for its occurrence and summarize recent key clinical trials investigating preoperative, intraoperative, and postoperative practices to reduce SSI incidence. It is prudent that the surgical team who perform cesarean sections be familiar with these practices and apply them as needed to minimize maternal morbidity and mortality related to SSI.

Indexed as

cesarean sectionmanagementsurgical site infection

Identifiers

PMID28255256
PMCPMC5322852
OpenAlexW2588475053

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

and 1 more above

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.