{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,9]],"date-time":"2025-10-09T06:27:10Z","timestamp":1759991230659},"reference-count":35,"publisher":"Cambridge University Press (CUP)","issue":"3","license":[{"start":{"date-parts":[[2015,1,2]],"date-time":"2015-01-02T00:00:00Z","timestamp":1420156800000},"content-version":"unspecified","delay-in-days":2498,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Infect. Control Hosp. Epidemiol."],"published-print":{"date-parts":[[2008,3]]},"abstract":"<jats:sec id=\"S0195941700047998_abs1\"><jats:title>Objective.<\/jats:title><jats:p>To evaluate whether the adjusted rates of surgical site infection (SSI) and urinary tract infection (UTI) after cesarean delivery decrease in maternity units that perform active healthcare-associated infection surveillance.<\/jats:p><\/jats:sec><jats:sec id=\"S0195941700047998_abs2\"><jats:title>Design.<\/jats:title><jats:p>Trend analysis by means of multiple logistic regression.<\/jats:p><\/jats:sec><jats:sec id=\"S0195941700047998_abs3\"><jats:title>Setting.<\/jats:title><jats:p>A total of 80 maternity units participating in the Mater Sud-Est surveillance network.<\/jats:p><\/jats:sec><jats:sec id=\"S0195941700047998_abs4\"><jats:title>Patients.<\/jats:title><jats:p>A total of 37,074 cesarean deliveries were included in the surveillance from January 1, 1997, through December 31, 2003.<\/jats:p><\/jats:sec><jats:sec id=\"S0195941700047998_abs5\"><jats:title>Methods.<\/jats:title><jats:p>We used a logistic regression model to estimate risk-adjusted post\u2013cesarean delivery infection odds ratios. The variables included were the maternity units' annual rate of operative procedures, the level of dispensed neonatal care, the year of delivery, maternal risk factors, and the characteristics of cesarean delivery. The trend of risk-adjusted odds ratios for SSI and UTI during the study period was studied by linear regression.<\/jats:p><\/jats:sec><jats:sec id=\"S0195941700047998_abs6\"><jats:title>Results.<\/jats:title><jats:p>The crude rates of SSI and UTI after cesarean delivery were 1.5% (571 of 37,074 patients) and 1.8% (685 of 37,074 patients), respectively. During the study period, the decrease in SSI and UTI adjusted odds ratios was statistically significant (<jats:italic>R<\/jats:italic> = \u22120.823 [<jats:italic>P<\/jats:italic> = .023] and <jats:italic>R<\/jats:italic> = \u22120.906 [<jats:italic>P<\/jats:italic> = .005], respectively).<\/jats:p><\/jats:sec><jats:sec id=\"S0195941700047998_abs7\"><jats:title>Conclusion.<\/jats:title><jats:p>Reductions of 48% in the SSI rate and 52% in the UTI rate were observed in the maternity units. These unbiased trends could be related to progress in preventive practices as a result of the increased dissemination of national standards and a collaborative surveillance with benchmarking of rates.<\/jats:p><\/jats:sec>","DOI":"10.1086\/527512","type":"journal-article","created":{"date-parts":[[2008,2,1]],"date-time":"2008-02-01T19:09:25Z","timestamp":1201892965000},"page":"227-233","source":"Crossref","is-referenced-by-count":15,"title":["Downward Trends in Surgical Site and Urinary Tract Infections After Cesarean Delivery in a French Surveillance Network, 1997\u20132003"],"prefix":"10.1017","volume":"29","author":[{"given":"Agn\u00e8s","family":"Vincent","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Louis","family":"Ayzac","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rapha\u00eble","family":"Girard","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Emmanuelle","family":"Caillat-Vallet","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Catherine","family":"Chapuis","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Florence","family":"Depaix","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anne-Marie","family":"Dumas","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chantal","family":"Gignoux","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Catherine","family":"Haond","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jo\u00eblle","family":"Lafarge-Leboucher","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Carine","family":"Launay","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fran\u00e7oise","family":"Tissot-Guerraz","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jacques","family":"Fabry","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"name":"Mater Sud-Est Study Group","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"56","published-online":{"date-parts":[[2015,1,2]]},"reference":[{"volume-title":"100 recommandations pour la surveillance et la pr\u00e9vention des infections nosocomiales","year":"1999","key":"S0195941700047998_ref014"},{"key":"S0195941700047998_ref019","doi-asserted-by":"publisher","DOI":"10.1086\/502566"},{"key":"S0195941700047998_ref004","first-page":"169","article-title":"Determination of nosocomial infection incidence in mothers and new-borns during the early postpartum period [in French]","volume":"32","author":"Malavaud","year":"2003","journal-title":"J Gynecol Obstet Biol Reprod (Paris)"},{"key":"S0195941700047998_ref029","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9378(99)70491-6"},{"key":"S0195941700047998_ref031","doi-asserted-by":"publisher","DOI":"10.2307\/30145247"},{"key":"S0195941700047998_ref017","doi-asserted-by":"publisher","DOI":"10.1016\/S0020-7292(98)00047-2"},{"key":"S0195941700047998_ref008","first-page":"1864","article-title":"Diminution de l'incidence des infections nosocomiales au cours d'une surveillance en obst\u00e9trique","volume":"56","author":"Girard","year":"1998","journal-title":"Med Hyg"},{"key":"S0195941700047998_ref023","doi-asserted-by":"publisher","DOI":"10.1016\/S0368-2315(04)96561-1"},{"key":"S0195941700047998_ref033","doi-asserted-by":"publisher","DOI":"10.1093\/oxfordjournals.aje.a113990"},{"key":"S0195941700047998_ref007","first-page":"19","article-title":"Hospital infection in the maternity department: 3 years of surveillance in 9,204 deliveries of which 1,333 were cesarean sections [in French]","volume":"19","author":"Tissot-Guerraz","year":"1990","journal-title":"J Gynecol Obstet Biol Reprod (Paris)"},{"key":"S0195941700047998_ref027","doi-asserted-by":"publisher","DOI":"10.1097\/01.ogx.0000166603.43959.aa"},{"key":"S0195941700047998_ref034","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhin.2006.04.017"},{"key":"S0195941700047998_ref032","doi-asserted-by":"publisher","DOI":"10.1067\/mic.2001.119952"},{"key":"S0195941700047998_ref009","unstructured":"Minist\u00e8re de la Sant\u00e9 et de la Solidarit\u00e9. 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