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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