Predictive factors of post-caesarean infection. a prospective cohort study
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2024-04-11 12:15
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. Predictive factors of post-caesarean infection. a prospective cohort study. In: Perspectives of the Balkan medicine in the post COVID-19 era: The 37th Balkan Medical Week. The 8th congress on urology, dialysis and kidney transplant from the Republic of Moldova “New Horizons in Urology”, Ed. 37, 7-9 iunie 2023, Chişinău. București: Balkan Medical Union, 2023, Ediția 37, p. 184. ISSN Print: ISSN 1584-9244 ISSN-L 1584-9244 Online: ISSN 2558-815X.
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Perspectives of the Balkan medicine in the post COVID-19 era
Ediția 37, 2023
Congresul "Perspectives of the Balkan medicine in the post COVID-19 era"
37, Chişinău, Moldova, 7-9 iunie 2023

Predictive factors of post-caesarean infection. a prospective cohort study


Pag. 184-184

, ,
 
”Nicolae Testemițanu” State University of Medicine and Pharmacy
 
 
Disponibil în IBN: 24 decembrie 2023


Rezumat

Introduction. Cesarean section (CS) is the most common surgical intervention. Like any surgery the risk of infection is present. Infectious complications represent a socio-economic burden on the health system, prolong the duration of hospitalization, increase the costs of medical assistance. Lately, there is considerable interest in the clinical application of pro-inflammatory biomarkers to predict infection, with particular attention to the neutrophil-to-lymphocyte ratio (NLR) and platelet-to-lymphocyte ratio (PLR) as biomarkers or predictors of infection. NLR has been identified as an additional marker of infection and a potential parameter for predicting bacterial infection. NLR and PLR was significantly higher among postoperative patients in the first 24 hours. NLR and PLR were found to be independently associated with post-cesarean infection control for the duration of surgery. Material and methods. A prospective cohort study was developed within the IMSP SCM No. 1. The following blood variables were analyzed: hemoglobin, erythrocytes, leukocytes, neutrophils, lymphocytes, platelets. Results. NLR and PLR taken shortly after surgery, may be associated with the development of postoperative infections. The application of this test is readily available and easy interpretation can help in its context of early identification of infection. Conclusions. The analysis of research articles and the results presented by their authors allows us to conclude that NLR and PLR, taken shortly after CS can be associated as independent predictive factor for the development of postoperative infections, data supported by meta-analyses and primary studies. Awareness of this readily available tool and interpretation of its results in the correct context can help in timely detection of postoperative infections.