Volume : VIII, Issue : III, March - 2018

Preventing Post-Operative Infections: A Surgeon's Perspective.

Seth Mujtaba, Nandkishore Singh, Neha Nehra

Abstract :

Objective: Keeping in view the prevent infections in post–surgery; this study was designed to evaluate the frequency, Common risk factors and different organisms. Wound site infections are a major source of postoperative illness, accounting for approximately a quarter of all nosocomial infections. National studies have defined the patients at highest risk for infection in general and in many specific operative procedures. Advances in risk assessment comparison may involve use of the standardized infection ratio, procedure–specific risk factor collection, and logistic regression models. Adherence to recommendations in the 1999 Centers for Disease Control and Prevention guidelines should reduce the incidence of infection in surgical patients

  Study Type: Observational descriptive Study.

Study Hospital: SHKM Govt.Medical College.

Sample Size:  Z²XPQ/E²      =  84x5x95/25=72.96–=74

Results: Out of the 74 patients (54 males and 20 females) in the study. The overall incidence of surgical site infection in the study was 3%; 2.16 cases in the clean surgical Patients in the age group 51–60 years were infected more than those in the younger age groups. The incidence of wound infection was more in male patients (11.5%) as compared to female patients (10.4%). Obesity was also a main cause of SSI as evident from the fact that patients with more than 60kg/m²were infected more (20%) as compared to 30–40kg/m² (7.1%). Surgical site infection was found more in patients with extended pre–operative hospital stay. Anaemia, smoking, diabetes mellitus, prolonged surgery, operations by junior surgeons and operations late in the list were also associated with more surgical site infection. The usual time of presentation of SSI was within three weeks following surgery and most patients presented with wound abscess and cellulitis, while two patients had wound dehiscence. The common organisms involved in the SSI were Staphylococcus aureus, coli, Streptococcus pyogenes and Pseudomonas group. Conclusion: Meticulous surgical technique, proper sterilization, judicious use of antibiotics, improvement of operation theatre and ward environments, control of malnutrition and obesity, treatment of infective foci and diseases like diabetes, and avoidance of smoking helps control the morbidity of surgical wound infections.

Keywords :

Article: Download PDF   DOI : 10.36106/ijar  

Cite This Article:

Seth Mujtaba, NandKishore Singh, Neha Nehra, Preventing Post-Operative Infections: A Surgeon's Perspective., INDIAN JOURNAL OF APPLIED RESEARCH : Volume-8 | Issue-3 | March-2018

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