{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,30]],"date-time":"2025-10-30T16:57:06Z","timestamp":1761843426389},"reference-count":0,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2000,1,1]],"date-time":"2000-01-01T00:00:00Z","timestamp":946684800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/3.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Infectious Diseases in Obstetrics and Gynecology"],"published-print":{"date-parts":[[2003,1]]},"abstract":"<jats:p><jats:italic>Objective:<\/jats:italic> To determine whether hypothermia during Cesarean delivery is a risk factor for postoperative\ninfection.<\/jats:p><jats:p><jats:italic>Methods:<\/jats:italic> An historical cohort investigation was conducted on all women delivered by Cesarean at our center\nduring 2001. Initial recovery\u2010room temperature, taken via the oral or axillary route, was used as a surrogate\nfor intraoperative temperature. Adding 0.5<jats:sub>\u2009<\/jats:sub><jats:sup>\u00b0<\/jats:sup>Cto axillary temperatures generated oral temperature equivalents.\nWomen with chorioamnionitis were excluded, as were those with an initial recovery\u2010room temperature that\nexceeded 37.9<jats:sub>\u2009<\/jats:sub><jats:sup>\u00b0<\/jats:sup>C or was recorded more than 20 minutes after the end of surgery. Prophylactic antibiotics\n(cefazolin, 1 g) were given during Cesarean delivery.<\/jats:p><jats:p><jats:italic>Results:<\/jats:italic> A total of 42 women (7.6%) were diagnosed with postoperative infections. Infections included\nendometritis (<jats:italic>n<\/jats:italic>= 25), wound abscess (<jats:italic>n<\/jats:italic> = 7), wound cellulitis (<jats:italic>n<\/jats:italic> = 7) and urinary tract infection (UTI) (<jats:italic>n<\/jats:italic> = 4).\nNo cases of septic pelvic thrombophlebitis or pelvic abscess occurred. One woman had both endometritis and a\nUTI. Mean temperatures were higher, rather than lower, for women who subsequently had postoperative\ninfections compared with those who did not (36.4 \u00b1 0.8<jats:sub>\u2009<\/jats:sub><jats:sup>\u00b0<\/jats:sup>Cvs. 35.9 \u00b1 0.7<jats:sub>\u2009<\/jats:sub><jats:sup>\u00b0<\/jats:sup>C; <jats:italic>p<\/jats:italic> &lt; 0.001). Mean temperatures\nfor the various postoperative infections were as follows: endometritis, 36.5 \u00b1 0.8<jats:sub>\u2009<\/jats:sub><jats:sup>\u00b0<\/jats:sup>C (<jats:italic>p<\/jats:italic>  &lt; 0.001 vs. uninfected\ngroup); wound abscess 36.0 \u00b1 0.8<jats:sub>\u2009<\/jats:sub><jats:sup>\u00b0<\/jats:sup>C (<jats:italic>p<\/jats:italic> = 0.63); wound cellulitis, 36.3 \u00b1 0.6<jats:sub>\u2009<\/jats:sub><jats:sup>\u00b0<\/jats:sup>C (<jats:italic>p<\/jats:italic> = 0.14); UTI, 36.7 \u00b1 0.9<jats:sub>\u2009<\/jats:sub><jats:sup>\u00b0<\/jats:sup>C\n(<jats:italic>p<\/jats:italic> = 0.04).<\/jats:p><jats:p><jats:italic>Conclusions:<\/jats:italic>  Women who develop post\u2010Cesarean infections have higher initial recovery\u2010room temperatures\nthan those who do not develop such infections. This suggests the presence of subclinical infection at the time\nof Cesarean. Evaluating whether intraoperative warming has any role during Cesarean delivery requires a\nrandomized clinical trial.<\/jats:p>","DOI":"10.1080\/10647440300025502","type":"journal-article","created":{"date-parts":[[2005,9,7]],"date-time":"2005-09-07T05:29:38Z","timestamp":1126070978000},"page":"75-80","update-policy":"http:\/\/dx.doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Is Perioperative Hypothermia a Risk Factor for Post\u2010CesareanInfection?"],"prefix":"10.1155","volume":"11","author":[{"given":"Rodney K.","family":"Edwards","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kaivou","family":"Madani","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Patrick","family":"Duff","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2003,3,17]]},"container-title":["Infectious Diseases in Obstetrics and Gynecology"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/downloads.hindawi.com\/journals\/idog\/2003\/812854.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1080\/10647440300025502","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,8,7]],"date-time":"2024-08-07T21:13:34Z","timestamp":1723065214000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1080\/10647440300025502"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2003,1]]},"references-count":0,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2003,1]]}},"alternative-id":["10.1080\/10647440300025502"],"URL":"https:\/\/doi.org\/10.1080\/10647440300025502","archive":["Portico"],"relation":{},"ISSN":["1064-7449"],"issn-type":[{"type":"print","value":"1064-7449"}],"subject":[],"published":{"date-parts":[[2003,1]]},"assertion":[{"value":"2002-10-10","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2003-03-17","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2003-03-17","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}