Research Article

Documented β-Lactam Allergy and Risk for Cesarean Surgical Site Infection

Table 1

Maternal demographics and obstetric characteristics for women with and without β-lactam allergy.

CharacteristicNo β-lactam allergyβ-lactam allergy value
(92.83) (7.17)

Age (mean, SD)<0.001
Gravidity (mean, SD)0.084
Nulliparous (, %)3,983 (33.12)352 (37.89)0.003
Prepregnancy BMI (mean, SD)0.507
Delivery BMI (mean, SD)0.794
Race (, %)0.017
 White8,700 (77.35)716 (77.07)
 African American2,422 (20.14)156 (16.79)
 Asian596 (4.96)38 (4.09)
 Other244 (2.03)12 (1.29)
 Multiracial63 (0.52)7 (0.75)
 Hispanic ethnicity (, %)6,361 (52.92)296 (31.86)<0.001
Insurance (, %)<0.001
 Public7,206 (60.95)365 (39.93)
 Private4,062 (34.36)531 (58.10)
 None/other/unknown555 (4.69)18 (1.97)
Cesarean indication (, %)0.046
 Scheduled
  Repeat CD4,665 (38.91)358 (38.70)
  Other (breech, previa, etc.)1,574 (13.13)134 (14.49)
 Unscheduled
  Labor-related865 (7.22)78 (8.43)
  Fetal well-being-related2,333 (19.46)146 (15.78)
  Other2,551 (21.28)209 (22.59)
Duration of membrane rupture, median [IQR]1 [0-528]1 [0-543]0.391
Cesarean in labor (, %)3,198 (26.68)224 (24.22)0.238
Medical and obstetric comorbidities (, %)
 Hypertension2,769 (23.0)229 (24.65)0.258
 Diabetes
  Pregestational diabetes540 (4.51)37 (4.00)0.467
  Gestational diabetes1,378 (11.51)82 (8.84)0.013
 Smoking during pregnancy239 (1.99)25 (2.69)0.144
Obstetric characteristics
 GA at delivery (mean, SD)0.106
 Preterm birth (, %)2,075 (17.26)154 (16.58)0.597
 Cesarean hysterectomy performed (, %)37 (0.31)4 (0.43)0.521
 Length of stay (postoperatively) (days, mean, SD)0.316
Infections or colonizations (, %)
 Group B Streptococcus colonization2,697 (22.43)233 (25.08)0.063
 Infections (any)
  Chorioamnionitis765 (6.36)47 (5.06)0.115
  Endometritis prior to discharge3 (0.02)0 (0.00)0.630
  Sexually transmitted disease (ex: Chlamydia and gonorrhea)419 (3.48)22 (2.37)0.071
Antibiotics received (, %)<0.001
 At least one β-lactam antibiotics (includes penicillins and cephalosporins)9,862 (82.01)334 (35.95)
 Non-β-lactam antibiotic137 (1.14)495 (53.28)
 No antibiotics documented in the database2,026 (16.85)100 (10.76)

Bold indicates statistical significance. Student’s -test, Wilcoxon rank sum test, and chi-square test were used as appropriate.