ABSTRACT
Background: Surgical Site Infection (SSI) is the 3rd most commonly reported infection accounting for 14-16% of all Health care associated infections among hospitalized patients. Surgical Site Infections are responsible for an increased economic burden to healthcare systems, including additional postoperative hospital stay and costs. The present study was conducted in a tertiary care hospital to study the incidence, risk factors and associated pathogens of Surgical Site Infection.Methods: A total of 100 patients operated of clean and clean-contaminated surgeries from Orthopaedics, Surgery and Obstetrics and Gynaecology Department of AVBRH, Sawangi were included.Results: Overall infection rate was 6%. Patients in the age of above 71 years showed maximum rate of infection (14.28%) followed by 61 to 70 years (10%) and 51-60 years (10%). Surgical site infection rate was 4.65% (2/43) in clean operative wounds and 7.02% (4/57) in clean contaminated operative wounds. Escherichia coli and Klebsiella pneumonia were the most common organisms causing SSI. None of the risk factor was found significantly associated with the development of SSI.Conclusions: This study gave a better understanding of microbial pathogens of our institute which may have epidemiological and therapeutic implications. It will act as a pilot study to conduct further such larger research.
ABSTRACT
Background: A surgical site infection occurs when micro-organisms get into the part of the body that has been operated on and multiply in the tissues. Surgical site infections can sometimes be superficial infections involving the skin only. Other surgical site infections are more serious and can involve tissues under the skin, organs, or implanted material. CDC provides guidelines and tools to the healthcare community to help end surgical site infections and resources to help the public understand these infections and take measures to safeguard their own health when possible. In this study, a sincere effort has been put to understand and thus help the practising surgeons to help them manage the post – operative complications in infective wounds. Materials and methods: The study was conducted in the Department of General Surgery, Nimra Institute of Medical Sciences (NIMS), Vijayawada on two hundred patients who were admitted for various surgeries were selected for the study randomly. The study was conducted between November 2015 and July 2016. Two hundred patients were included in the study. Results: The overall infection rate was found to be 25 percent. In the case of clean surgical site of infection is found to be nil where as in the case of contaminated surgeries the rate infection rate was high. It was found the statistically significant. The complications faced during the surgery involved failing to see the proper field of vision at the surgical site, difficulty in approaching the site involved, bleeding and a significance higher level of surgery time involved. The post - operative complications were delayed wound healing at the surgical site, pain at the operated site, wound gaping and increased hospital stay. Conclusion: The study concluded that the pre-operative wound management is a necessity in cases where the wounds or the parts of the body to be operated are infected in order to minimize the complications faced during the operative and post-operative periods.