A CLINICAL STUDY OF ABDOMINAL SURGICAL SITE INFECTION
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2019, Vol 8, Issue 2
Abstract
BACKGROUND Infections which develop at or near surgical site within 30 days of surgery if no prosthesis is used, and within one year if prosthesis is used are defined as ‘Surgical Site Infections’. This study was conducted to find out incidence, associated risk factors and microbial profile of surgical site infections after abdominal surgeries. MATERIALS AND METHODS It was an observational descriptive study which included 102 patients who got admitted for routine and emergency surgeries. Preoperatively, routine investigations were done, and patients were operated and followed for signs of surgical site infections. Surgical wound was examined on 3rd, 5th and 10th post-operative day, pus was collected on swab sticks and sent for culture and antibiotic sensitivity. Results were calculated as p value, and statistical significance was determined. RESULTS Overall incidence of SSI was 22.5% which was more in emergency surgeries (35.2%) as compared to routine surgeries (9.2%). SSI rate was more in patients with diabetes (p<.05), pre-obese and obese patients (p<.05), hypo proteinaemic patients (p<.05), surgeries which lasted more than 2 hours, dirty procedures and in GI surgeries. Most common organism was E. coli, followed by S. aureus, Klebsiella and pseudomonas. All these microorganisms were 100% sensitive to imipenem. CONCLUSION With this study we can conclude that microorganisms which are normal inhabitants of human body are responsible for SSI. Host factor, treatment factor and environmental factor are equally responsible for SSI. Quality of surgical care, resuscitation, patient preparation, aseptic environment and proper antibiotic coverage are important for the control of SSI.
Authors and Affiliations
Sandeep Chandrakar, Amit Agrawal, Anirudh Gupta
Keywords
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- EP ID EP553091
- DOI 10.14260/jemds/2019/34
- Views 97
- Downloads 0
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