Assessment of Surgical Site Infection Prevention Strategies in Obstetric Nursing Practice: A Retrospective Analysis.
Qianwen Guo, Ling Lan, Ruoshi Wu
PMID 40341327WHAT IT FOUND
Cesarean patients cared for by nurses trained in a comprehensive prevention package had fewer infections (3.0% vs 10.0%), less pain on days 1 and 2, fewer complications, and better wound healing than standard care.
Key findings
01The infection rate was 3.0% in the nurse-trained prevention group and 10.0% in the standard-care group.
02The prevention group also had fewer complications (1.0% vs 7.0%), fewer adverse events (4.0% vs 13.0%), and a higher total healing rate (98.0% vs 91.0%).
03Pain scores were not different on postoperative day 0 (2.63 vs 2.61) but were lower on days 1 and 2.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
The study was small, with 200 patients, and single-center, so results may not generalize. The paper calls the design retrospective, and patients were assigned to nurses who had or had not received training, so the effect of the training and the prevention package cannot be isolated. The prevention group received many strategies at once, so the study cannot identify which component reduced infection. The authors note no subgroup analyses for maternal age, gestational age, or education level.
Declared interests
The authors declared no conflicts of interest.
The easy way to misread this
Do not read the lower infection rate as proof that one component, such as targeted antibiotics or nutrition, caused the benefit. The observation group received several strategies together, so the study cannot separate their contributions.