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Evolution of microbial ecology: A rare multidrug-resistant (Enterobacter Cloacae) surgical wound infection after cesarean delivery: Our experience of 5946 cesarean deliveries

Zeynep Bayramoglu, Erhan Okuyan, Hayrettin Tay, Adem Yoldas.

Abstract
To demonstrate the rapidly changing multidrug-resistant microbial environment and its challenges from the viewpoint of microbiologists, pathologists, and obstetricians.In our research; upon our encounter with a rare multidrug resistance wound infection following a cesarean section; we retrospectively analyzed 5946 cesarean sections performed in our clinic between 2017-2019. Of the 5946 patients, 978 (16.44%) were literate and 4968 (%83.56) were illiterate. The average age of our patients is 23.44 and their average weight is 78.35 kg. The number of patients taken to emergency cesarean was 954, and 4992 of our patients were operated due to recurrent cesarean section. The number of patients operated under general anesthesia was 347, and 5599 patients received spinal anesthesia. In 2 years, 5946 patients had surgical site infection in 23 (0.39%) patients. Only one of our patients had multidrug-resistant Enterobacter Cloacae. None of our patients with surgical site infection had maternal mortality. Drug-resistant bacterial infection increases hospital stay, healthcare costs, and mortality, and for all nations, this problem is growing exponentially. Nowadays, understanding the multifactorial genetic basis of multidrug resistance should investigate genetic signatures in invasive infection.

Key words: Evolution of microbial ecology; multidrug-resistant Enterobacter Cloacae; surgical wound infection


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