Stepwise implementation of vaginal cleansing and azithromycin at cesarean: a quality improvement study.
Quist-Nelson JohannaJulie GomezLaura FelderDaniele Di MascioRebecca EcklerAmanda PaternostroJason BaxterVincenzo BerghellaMichael PosenchegPublished in: The journal of maternal-fetal & neonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians (2021)
In this quality improvement study, implementation of vaginal cleansing decreased the SSI rate by 33%, from 22.8% to 15.2%. The addition of azithromycin did not result in any additional change in SSI rate.