Surgical Site Infection in Clean, Clean-Contaminated and Contaminated Cases
Journal Title: Journal of Medical Science And clinical Research - Year 2016, Vol 4, Issue 12
Abstract
Objective- To study the incidence, risk factors, most common organisms encountered and its antibiotic sensitivity and resistance in Surgical Site Infection cases of Clean, Clean-Contaminated and Contaminated cases. Material and Methods- Study was carried out in the Department of General Surgery, from November 2014 to April 2016 on 200 admitted patients who underwent various surgical procedures (clean, clean-contaminated and contaminated cases) and were assessed pre-operatively, intra-operatively and post-operatively. Patients were followed up to 30 days post-operatively. Infected wounds were studied bacteriologically and clinically. Results- The overall infection rate was 5.50%. Surgical site infection rate was 0.0% in clean surgeries, 4.82% in clean-contaminated surgeries, 23.33% in contaminated surgeries. Surgical site infection rate was higher (9.52%) in emergency surgeries than in elective surgeries (3.65%). The most common isolate was Klebsiella spp. followed by Pseudomonas and E.coli. Conclusion- Incidence of General Surgical Site Infection is 5.5%. Emergency cases have high infection rate. Longer the duration of surgery more is the Surgical Site Infection rate. Gram -ve bacilli were more common isolates detected. Most of the bacterial isolates were multidrug resistant
Authors and Affiliations
Dr Karan Kumar
Keywords
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