Study of Post-operative Surgical Site Infection in Patients of Emergency Laparotomy in Teaching Hospital of Central India

ABSTRACT

Introduction: Emergency laparotomy is a common intra-abdominal emergency procedure. The incidence of surgical site infection (SSI) generally recognized more as compared to the routine. SSI is associated with significant precipitating factors related to patient, surgeon, and hospital. Related multiple comorbidities are also a major factor. Early identification and management of SSI are related early recovery. Materials and Methods: A total of 250 cases were selected out of 271 patients who got admitted in the surgical ward, and underwent emergency laparotomy during the period of study were included in the study irrespective of the age and sex. Postoperatively patients were regularly monitored and treated accordingly. Post-operative SSI was recorded, and incidence was calculated. Results: SSI was noted in 66 patients out of 250, affected male was 28.1% and female 20.6%, maximum incidence noted in age group 41–50 years was 52.2%, and more number of SSI was noted in case of ileostomy for ileal perforation 43.3%. Main isolated organism was Escherichia coli. Conclusions: SSI is a major complication of emergency surgeries. An effect to reduce the rate of SSI should be our aim and for this proper surveillance regarding wound infection and its causative factors should be studied regularly and effective steps should be taken to reduce the rate of SSI