A STUDY OF SURGICAL SITE INFECTIONS IN ABDOMINAL SURGERIES
Journal Title: Journal of Evidence Based Medicine and Healthcare - Year 2019, Vol 6, Issue 32
Abstract
BACKGROUND Infections that occur in the wound created by an invasive surgical procedure are generally referred to as surgical site infections (SSIs). Abdominal surgical site infections are among the most common infectious complications in hospitalized patients and are associated with serious consequences for outcomes and costs. They account for up to 14% of SSIs in studies conducted in developing countries. The present study aims to determine the frequency of surgical site infections in patients undergoing various abdominal surgical procedures and the associated risk factors, the organisms implicated and their sensitivity patterns, and the outcomes observed after treatment. METHODS Details of the patients who developed SSI following abdominal surgeries were recorded in a proforma which included relevant information with regard to history, clinical examination and perioperative management. A cross-sectional study was performed on 100 patients who developed SSI following abdominal surgeries. The type of SSI, the risk factors encountered, the causative organisms isolated and their sensitivity patterns and the outcomes following treatment were studied. RESULTS 100 out of 867 patients who underwent abdominal surgeries, both elective and emergency, over a period of 24 months, developed SSI at the rate of 11.53% (7.05% elective and 19.42% emergency). Surgery for duodenal ulcer perforation was the most common abdominal procedure to develop SSI. Smoking, anaemia and blood transfusions were the most frequent risk factors. Majority of the cultures yielded E.coli, Klebsiella and Staphylococcus aureus species. Most were superficial incisional SSIs and resolved after drainage of pus, mostly by the removal of a stitch. CONCLUSIONS The incidence of SSIs following abdominal surgeries was 11.53%. Emergency abdominal surgeries were statistically more likely to develop SSI than elective abdominal surgeries. Anaemia, smoking, increased hospital stay and perioperative blood transfusions were the most common risk factors identified. The most common organism implicated in the development of abdominal SSI was E.coli. Signs of systemic inflammation may be masked by the prolonged use of antibiotics. Most were superficial incisional infections which were recognized early and managed appropriately.
Authors and Affiliations
Vayalapalli Manmadha Raoc, Gorle Nagabhushana Rao, Dogga Hemanth Sai Kumar, Nivetha Kandan, Vankudavath Tagore
Keywords
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- EP ID EP670434
- DOI 10.18410/jebmh/2019/447
- Views 92
- Downloads 0
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