Clinicopathological And Bacteriological Profile Of Surgical Site Infections In Emergency Laparotomies
Journal Title: National Journal of Medical and Dental Research - Year 2017, Vol 6, Issue 1
Abstract
Context: SSIs are the third most frequently reported nosocomial infection accounting for 14% to 16% of all nosocomial infections among hospitalized patients. Aims:To find the incidence of surgical site infections and factors influencing. To find the most common bacterial pathogen and its sensitivity pattern causing SSI. Methods and Material:A prospective study was conducted in a tertiary care hospital in central India over a period of 2 year and included 200 patients (82% male & 18% female), who underwent emergency laparotomy. These cases were followed for 1 month after surgery to know the incidence of SSI and factors influencing SSI. Parameters studied were preoperative diagnosis, age of patients, haemoglobin, blood sugar profile, duration of surgery, bacteriological profile of infected cases and antibiotic sensitivity pattern of the cultured organism. Statistical analysis used:SPSS version 11.5 was for statistical analysis. Results: The overall incidence of SSI was 37%. The higher incidence was associated with increasing age, anaemia (Hb< 10 gm %) and preoperative blood sugar level (RBS > 140 mg/dL). Staph. Aureus and E. Coli were most commonly associated with SSI in this region. Emerging resistance to common antibiotics such as amoxicillin, class I and II cephalosporin and aminoglicosides was noted. Conclusions: There is a higher incidence of SSI in developing countries in contrast to western studies, which is multifactorial. SSI surveillance is recommended for institutes to identify the common pathogens and antibiotics to be used accordingly.
Authors and Affiliations
Yogeshwar P Shukla, Ramabhilash Dubey, Achal Gupta, Chandrakala Dutta
Keywords
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