A STUDY ON POST OPERATIVE WOUND INFECTION FOLLOWING EMERGENCY SURGERIES AND ANTIMICROBIAL SENSITIVITY PATTERN

Dr Shabeeb rahman thurky; Dr A.V Purushothaman

Volume : V, Issue : V, May - 2016

A STUDY ON POST OPERATIVE WOUND INFECTION FOLLOWING EMERGENCY SURGERIES AND ANTIMICROBIAL SENSITIVITY PATTERN

Dr Shabeeb Rahman Thurky, Dr A. V Purushothaman

Abstract :

Objectives: To study the incidence of post operative wound infection following emergency surgeries, various factors influencing the postoperative wound infection, to isolate and identify the bacterial agents of post operative wound infection as well as to determine their antibiotic sensitivity pattern. Methods:. The prospective study on 150 emergency surgeries over a period of 18 months. Infected samples from patients were collected by following all aseptic precautions and were processed without delay by the standard microbiological techniques. Results and Conclusion: The overall infection rate was 10 %. The SSI rate was 5.88% in clean surgeries, 7.14% in clean contaminated ones, and 33.33% in contaminated surgeries. The SSI rate increased with increasing age and it also increased significantly with the increasing duration of pre–operative hospitalization. The infection rate was significantly higher as the duration of the surgery increased. The most commonly isolated organism from surgical site infections was E–coli (34.8%), followed by staphylococci (21.7%), klebseilla (17.4), pseudomonas (13%),MRSA(8.7%) and proteus (4.4%). Most of the organisms which were isolated were multidrug resistant. The high rate of resistance to many antibiotics underscored the need for a policy that could promote a more rational use of antibiotics