Surgical Site Infections in General  Surgery & Changing Trends of Isolated  Microorganisms at Civil Hospital,  Ahmedabad

Dr Abhishek J Savalia; Dr Garima Gahlot

Volume : III, Issue : I, January - 2014

Surgical Site Infections in General Surgery & Changing Trends of Isolated Microorganisms at Civil Hospital, Ahmedabad

Dr Abhishek J Savalia, Dr Garima Gahlot

Abstract :

Background : \'Surgical Site Infection\' (SSI),which essentially means infection of a surgical incision,are the second most common healthcare-associated infection after catheter associated UTI (1,2). Objective : To calculate the incidence of SSI in General Surgery Find out the common pathogenic microorganisms causing it. Material and methods A prospective study was performed from 1 January 2012 to 26 November 2012 in Monday Surgical unit in Dept. of General Surgery, Civil Hospital, Ahmedabad. Post operatively, patients� surgical incisions were examined regularly for clinical signs of SSI. Infections were identified and swabs of discharge were sent for culture and sensitivity reporting and the causative pathogens and their sensitivity recorded. The incidence rate of SSI was also calculated every month. Results : During the study period, out of 1024 patients operated, 53 SSIs were registered. The average incidence rate of SSI was 5.17%. The most common microorganism causing SSI were Pseudomonas (35.3%), followed by E. coli (18.66%), Klebsiella (13.5%), Acinetobacter (13.5%), Staph. aureus (6.34%) and Proteus (3.96%). Thus, the Enterobactericiae, E coli, Klebsiella, Proteus together - account for maximum SSIs. Conclusion : The trend of microorganisms causing SSI has changed -In past, Staph aureus was the most commonly isolated pathogen, whereas nowadays multi drug resistant Enterobactericiae and Pseudomonas have taken over as the most commonly isolated pathogens.