Unusual Polymicrobial Wound Infections In Healthy Patient After Cesarean Sectio

Henny Tannady Tan, Irene Maria Elena, Ade Dharmawan, Nicolas Layanto


Cesarean delivery often complicated by surgical site infection, wound infection and endometritis. No study mention Multidrug Resistant Klebsiella pneumonia and Acinetobacter lwofii were isolated.

Here we report a rare case of polymicrobial wound infections in healthy patient after Cesarean Sectio caused by Pseudomonas aeruginosa, Multidrug Resistant Klebsiella pneumonia and Acinetobacter iwofii. A 30-year-old woman at 37 weeks gestation (G1P0A0) presented to our hospital for cesarean sectio due to oligohydroamnios and malpresentation. She came to us on the eleventh post-delivery day with discharge from her surgical wound. Intraoperative cultures revealed Pseudomonas aeruginosa, Multidrug Resistant Klebsiella pneumonia and Acinetobacter lwofii.

The greatest contribution to risk for surgical site infection was associated with maternal obesity and hypertensive disorder, but she has no risk factor.The polymicrobial combination of our patient’s is unique from previously described studies, in this case all were Gram negative bacteria (Pseudomonas aeruginosa, Multidrug Resistant Klebsiella pneumonia and Acinetobacter lwofii).


cesarean section; multidrug resistant; polymicrobial; surgical site infection

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G, Yadav R, Dutta R. Risk Factor Analysis and Microbial Etiology of Surgical Site Infections following Lower Segment Caesarean Section. 2013;2013.

Saeed KB, Paul C, O’Riordan M, A Greene R. Risk factors for surgical site infection after cesarean delivery : A case-control study. 2018;0:2-7. doi:10.1016/j.ajic.2018.07.023.

ML G. Kucer’s the Use of Antibiotics Seventh Edition Zuarez-Easton, S. & Zafran, N., 2017. Postcesarean wound infection : prevalence, impact, prevention, and management challenges. International Journal of Women's Health, Volume 9, pp. 81-88.

Kawakita, T. & Landy, H., 2017. Surgical site infections after cesarean delivery : epidemiology, prevention and treatment. Maternal Health, Neonatology, adn Perinatology, Volume 3, p. 12.

Leth, R. & Niels, U., 2011. Obesity, diabetes, and the risk of infections diagnosed in hospital and post-discharge infections after cesarean section : a prospective cohocrt study. ACTA Obstetrica et Gynecologica, Volume 90, pp. 501-509.

Malone, D. & Genuit, T., 2002. Surgical site infections : reanalysis of risk factors. Journal of Surgical Research, Volume 103, pp. 89-95.

Al Jama, F., 2012. Risk factors for wound infections after lower segment cesarean section. Qatar Medical Journal, Volume 2, p. 9.

Novelia, S., Sia, W. & Songwathana, P., 2017. Sirgical site infection among women post cesarean section : an integrative review. Nurse Media Journal of Nursing, 7(1), pp. 46-55.

Opoien, H., 2007. Post-cesarean surgical site infections according to CDC standards: rates and risk factors. A prospective cohort study. Acta Obstetrica et Gynecologica, Volume 86, pp. 1097-1102.

Olsen, M., 2008. Risk factors for surgical site infection after low transverse cesarean sectio. Infection Control and Hospital Epidemiology, Volume 29, pp. 477- 484.

Smail, F., 2014. Antibiotic prophylaxis versus no prophylaxis for preventing infection after cesarean sectio. Cochrane Database of Systematic Review, Issue 10, pp. 1-174.

De D, Saxena S, Mehta a Clinical Review of Antibacterial, Antifungal,antiparasitic, Dan Antiviral Drugs. 7th ed. U.S: Taylor and Francis Group; 2018.

DOI: https://doi.org/10.30736/md.v12i1.151


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