A Study of Incidence of Postoperative Wound Infection in Orthopaedics Surgery at a Tertiary Care Centre
Journal Title: Journal of Pharmaceutical and Biomedical Sciences - Year 2016, Vol 6, Issue 1
Abstract
Background Surgical site infections are one of the most common nosocomial infections globally resulting in high morbidity and mortality. Aim To determine the incidence and causing factors of surgical site infections at a tertiary care centre. Materials and Methods This is a prospective study, which was conducted in the Department of Orthopaedics, Dr. D.Y. Patil Medical College, Pimpri, Pune, Maharashtra from October 2014 to October 2015. A total of 100 patients who underwent elective orthopaedic surgeries were included in this study. The aim of the study was to study the incidence of post-operative wound infections and its effect on orthopaedic surgeries by evaluating the effectiveness of usage of pre-operative and post-operative intravenous antibiotics, the role of sterile measures such as gowns, scrub, masks, sterile gloves, drapes and operation theatre environments, in reducing the surgical site infection and in assessing the efficacy of surgical asepsis (that is surgeons hand scrub, antibiotics used prior to surgery, shaving prior to surgery and use of antibiotics prior to surgery) in orthopaedic surgeries. Results Out of 100 patients in this study, the overall incidence of infection was 4%. Sex incidence, marginal though, but statistically significantly higher in female sex. Significant correlation was noted between antibiotic administration and timing of surgery. Correlation between duration of surgery and incidence of infection in major surgeries was found to be statistically significant with p value 0.028. Conclusion This study did not show any statistically significant correlation between age, scrub time, spirit used with respect to incidence of infection. The incidence of infection by gram –ve bacteria was higher than that of gram +ve bacteria. Pathogens isolated are often resistant to commonly used antimicrobials.
Authors and Affiliations
Krishan Yadav
Keywords
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