Preoperative and postoperative complete blood cell counts and prediction of surgical site infection after cesarean delivery: a retrospective case-control study.

IF 1 4区医学 Q4 DERMATOLOGY Wound management & prevention Pub Date : 2022-09-01

Fatih Aktoz, Can Tercan, Busra Cigdem, Eren Vurgun

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Abstract

Background: Cesarean delivery (CD) is the most frequently performed surgery. Surgical site infection (SSI) is a common complication after CD.

Purpose: To evaluate the role of complete blood count parameters in predicting the development of SSI after CD.

Methods: Patients who were hospitalized because of SSI after CD were included in the SSI group (n = 48). A control group (n = 45) was formed with healthy postpartum women who had also undergone CD. Preoperative and postoperative hemoglobin (Hb), white blood cell count (WBC), neutrophil count, lymphocyte count, platelet count (PLT), neutrophil-to-lymphocyte ratio (NLR), platelet-lymphocyte ratio (PLR), mean platelet volume (MPV), and platelet-large cell ratio (P-LCR) were recorded.

Results: WBC, neutrophil count, and NLR levels increased while Hb, PLT, and lymphocyte count levels decreased after CD in both the SSI and control groups. PLR increased after CD in the SSI group but remained stable in the control group. However, the difference in PLR could not predict SSI after CD.

Conclusion: Complete blood count parameters were not useful to predict SSI after CD. Larger prospective studies are needed.

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剖宫产术后全血细胞计数与手术部位感染的预测:一项回顾性病例对照研究

背景:剖宫产(CD)是最常见的手术。手术部位感染(SSI)是CD术后常见的并发症。目的:评价全血细胞计数参数在预测CD术后SSI发生中的作用。方法:将CD术后因SSI住院的患者纳入SSI组(n = 48)。对照组(n = 45)为健康产后同时行CD的妇女，记录术前、术后血红蛋白(Hb)、白细胞计数(WBC)、中性粒细胞计数、淋巴细胞计数、血小板计数(PLT)、中性粒细胞与淋巴细胞比值(NLR)、血小板与淋巴细胞比值(PLR)、平均血小板体积(MPV)、血小板与大细胞比值(P-LCR)。结果:在SSI组和对照组中，CD后WBC、中性粒细胞计数和NLR水平升高，而Hb、PLT和淋巴细胞计数水平下降。SSI组的PLR在CD后升高，而对照组保持稳定。结论:全血细胞计数参数不能预测CD后的SSI，需要更大规模的前瞻性研究。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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