Advertisement
Table 3 Surgical site infection bundle at MedStar Washington Hospital Center
From: Surgical site infections after cesarean delivery: epidemiology, prevention and treatment
| Perioperative elements |
| Preoperative standard antibiotics |
| Preoperative intravenous azithromycin 500 mg |
| Chlorhexidine alcohol skin preparation |
| Use of clippers instead of razor |
| Vaginal cleansing by povidone-iodine |
| Intraoperative elements |
| Removal of placenta by traction of umbilical cord |
| Suture closure of subcutaneous tissue if wound thickness greater than 2 cm |
| Suture skin closure instead of staple closure |
| Postoperative elements |
| Dressing removal between 24 and 48 h |
| Daily use of chlorhexidine gluconate soap after removal of dressing |
