Early Post-operative Wound Infection in Patients Undergoing Orthopaedic Surgery with Implant
Journal Title: INTERNATIONAL JOURNAL OF SCIENTIFIC STUDY - Year 2017, Vol 5, Issue 8
Abstract
Introduction: Surgical site infections (SSIs) are important complications of orthopaedic procedures involving prosthetic implants. Purpose: The aim of this study was to find out the different type of microorganisms causing early post-operative infection in case of implant surgery along with their antimicrobial susceptibility pattern. Material and Methods: The study was conducted in Medical College, Kolkata, for a period of 1 year (February 2014–January 2015). Cases were selected in the Department of Orthopaedics, who had undergone surgery with an implant for close fracture and developed early post-operative wound infection (POWI). The wound was examined on day 3, day 7, and day 14 at discharge and subsequent follow-up visits. The criteria for the diagnosis of POWI were those used by the National Research Council of USA. Wound swabs were taken from the patient who presented with early post-operative SSI and was sent to the Department of Microbiology for isolation, identification, and antimicrobial susceptibility of the causative microorganisms. Results: A total number of 80 patients were included in this study during the period of 1 year. Most cases presented within 8–21 days postoperatively. The most common organism isolated from early infection in the post-operative surgical site was Staphylococcus aureus 39% followed by Klebsiella spp. 17% and Pseudomonas spp. 15%. All S. aureus were sensitive to linezolid, vancomycin, and all Klebsiella spp. were sensitive to imipenem and polymyxin B. Conclusion: Judicial use antibiotic in POWI is required only after proper culture and sensitivity report to prevent the emergence of more resistant strains of pathogens.
Authors and Affiliations
Sanjay Kumar, Mallika Sengupta, Vivek Hada, Soma Sarkar, Ranajit Bhatta, Manideepa Sengupta
Keywords
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