Surgeons nightmare-wound infection following abdominal operations-our experience
International Journal of Development Research
Surgeons nightmare-wound infection following abdominal operations-our experience
Received 09th January, 2017; Received in revised form 21st February, 2017; Accepted 22nd March, 2017; Published online 30th April, 2017
Copyright©2017, Bharathidasan et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Wound infection at operated site called as surgical Site Infections (SSIs), is a nightmare for a surgeon. It results from bacterial contamination during or after a surgical procedure. A descriptive type of cross sectional study was done in Vinayaka Mission medical college to study the factors responsible for SSI. 140 patients belonging to different age groups and both sexes who were admitted for non traumatic abdominal surgery from july 2013 – September 2015, were included in the study. Data collected and analysed . The incidence of Surgical site infections (SSI) was noted to be 17.14%. It was noted that age, sex did not cause a statistically significant effect on risk of SSI. Among preoperative factors responsible for SSI – risk for SSI is high in presence of co morbidities like malnutrition (45.12%), COPD (28.5%), higher degree of wound contamination, delay in surgery, longer duration of surgery. The risk of SSI is increased with the type of surgery – higher in colonic surgeries 1 in 2 (50%) and least with obstructed hernia. The presentation of SSI was with features like fever, excessive pain, tenderness or wound discharge. The most common organism isolated was E. coli (48%), followed by staph. Aureus, klebsiella and pseudomonas. All the organisms were sensitive to imipenum.
