Surgical site infections (SSIs) are the most common type of
nosocomial infection, accounting for up to 20% of all hospitalacquired infections in Europe (European Centre for Disease
Prevention and Control [ECDPC], 2013). There are varying SSI rates
reported across the UK. In 2016, Public Health Wales reported an
overall 14-day SSI rate for women undergoing caesarean section of
4.35% — 83% of which were superficial infections and 92.5% were
detected after discharge (PHW, 2016). From 2015–2016, Aneurin
Bevan University Health Board (ABUHB) services experienced an
increase in the SSI rate for women birthing by caesarean section from
3.07% to 5.86% respectively. Therefore, a multifaceted approach to
quality improvement (ABUHB organisational method) was adopted
throughout the duration of 2017, with a view to implement by 2018.
The aim was to reduce SSIs for women birthing by caesarean section
in ABUHB. Interventions included the use of evidence-based practice
and guidelines, education and engagement among clinicians,
patients and staff, and the gradual implementation of Leukomed®
Sorbact® (Essity) post-operative dressings
