DOI: http://dx.doi.org/10.18203/2349-2902.isj20195982

A study of pattern of pathogen and their sensitivity isolated from surgical site infections in abdominal surgeries

Anilkumar M. S., Deepakraj K. R.

Abstract


Background: Surgical site infection (SSI) is defined as those infections presenting up to 30 days after a surgical procedure if no prosthetic is placed and up to 1 year if prosthesis is implanted in the patient. SSI contributes to increasing morbidity, mortality and cost related to surgeries and continues to be a major problem even in tertiary care modern hospitals following standard protocols of peri operative preparation and antibiotics prophylaxis. Objective of this study was to study and analyse the pattern of pathogen causing SSI in abdominal surgeries in a tertiary care hospital.

Methods: Descriptive study on patients undergoing abdominal surgery in the department of surgery. Patients satisfying inclusion criteria will be assessed on 2nd postoperative day and then daily for surgical site pain, redness, warmth, discharge and swelling of surgical site till the patient gets discharged and followed up after discharge every 7 days up to 1 month. If SSI is detected, swab will be taken and sent for culture and sensitivity.

Results: At the end of the study, after analysing the pattern of pathogens and antibiotic susceptibility, we intend to conclude the safe usage of empirical antibiotic prophylaxis to prevent the incidence of SSI’s in our hospital.

Conclusions: Appropriate prophylactic therapy for any open abdomen surgeries reduces incidence of surgical site infection thereby reducing morbidity, mortality and cost burden in patients undergoing abdominal surgeries.


Keywords


Abdominal surgeries, Antibioctic sensitivity, Common organisms from abdominal surgeries, Surgical site infections

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References


Gottrup F, Melling A, Hollander DA. An overview of surgical site infections: etiology, incidence and risk factors. EWMA J. 2005;5(2):11-5.

Horan TC, Gaynes RP, Martone WJ, Jarvis WR, Emori TG. CDC definitions of nosocomial surgical site infections, 1992; A modification of CDC definitions of surgical wound infections. Infection Control Hosp Epidemiol. 1992;13:606-8.

Gregory L, Kathy F, Valerie H, Denise M, David S, Brian BV. Surgical site infection: Incidence and impact on hospital utilization and treatment costs. Am J Infect Control. 2009;37(5):387-97.

Hafez S, Saied T, Hasan E, Elnawasany M, Ahmad E, Lloyd L, et al. Incidence and modifiable risk factors of surveillance of surgical site infections in Egypt: a prospective study. Am J Infect Control. 2012;40(5):426-30.

Bagnall NM, Vig S, Trivedi P. Surgical site infection. Surg. 2009;27(10):426-30.

Leaper DJ. Surgical-site infection. Br J Surg. 2010;97:1601-2.

Surgical site infections orthopedic and trauma nurses views on causes and prevention of surgical site infection ssi’s-Author(s) Zainab Kangau & Eunice Odhiambo. 2009: 13.

Reichman DE, Greenberg JA. Reducing surgical site infections: a review. Rev Obstet Gynecol. 2009;2(4):212.

Kamat US, Fereirra AMA, Kulkarni MS, Motghare DD. A prospective study of surgical site infections in a teaching hospital in Goa. Indian J Surg. 2008;70(3):120-4.

Fiorio M, Marvaso A, Viganò F, Marchetti F. Incidence of surgical site infections in general surgery in Italy. Infect. 2006;34(6):310-4.

Anvikar AR, Deshmukh AB, Karyakarte RP, Damle AS, Patwardhan NS, Malik AK, et al. A one-year prospective study of 3,280 surgical wounds. Indian J Med Microbiol. 1999;17:129-32.

Mofikoya BO, Niemogha MT, Ogunsola FT, Atoyebi OA. Predictors of surgical site infections of the abdomen in Lagos, Nigeria. Nig Q J Hosp Med. 2011;21(2):124-8.