AN ANALYSIS OF SURGICAL SITE INFECTION IN CLEAN GENERAL SURGICAL OPERATIONS IN PO WARDS
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2017, Vol 6, Issue 94
Abstract
BACKGROUND Surgical site infections represent a significant burden in terms of patient morbidity and mortality and cost to health services around the world. 1 Surgical site infection (SSI) is a potentially preventable complication. Hence, an observational study was done to determine possible modifiable risk factors, incidence rates and clinical patterns of surgical site infections (SSI) in our institution. MATERIALS AND METHODS This is an observational study on 650 patients who underwent various clean General Surgical operations from 01/01/2008 to 30/09/2009, who were analysed from 1st post-operative day to the day of suture removal for SSI in the post-operative wards. Study standards such as pre-operative shower, preoperative antibiotics, operating room environment, operating time for a particular surgery, post-op wound care and other sterility techniques were set similar for all patients who underwent the surgeries. The statistical significance of the risk factors studied is done by X2 test and the strength of association is determined by Odds Ratio. RESULTS The incidence rate of SSI was 6.2%, which is close to the acceptable rate (1% - 5%) for clean surgeries. Diabetes, anaemia, obesity and duration of surgery have a statistically significant correlation with the development of surgical site infections with odds ratio of each being 19.20, 7.33, 4.75 and 3.14 respectively. Increase in number of risk factors probably further increases the chance of SSI. Staphylococcus aureus was the commonest organism isolated; 76.2% were due to Gram positive organisms and rest 23.8% due to Gram negative organisms. CONCLUSION The incidence rate of SSI was within the acceptable limit for all clean surgeries. The strength of association of risk factors studieddiabetes, anaemia, obesity and duration of surgery is well established with the development of SSI. Increase in number of risk factors further compounds the chance of SSI. Staphylococcus aureus was the commonest organism isolated.
Authors and Affiliations
Shantha Kumar Kuzhanthaivelu
Keywords
Related Articles
- EP ID EP279923
- DOI 10.14260/jemds/2017/1485
- Views 90
- Downloads 0
INTRAVENOUS MIDAZOLAM - ROLE IN THE TREATMENT OF HYPERVENTILATION SYNDROME
[b]BACKGROUND[/b]: Hyperventilation syndrome (HVS) also known as irritable Heart, Da Costas syndrome or soldier’s heart is induced by stress. It comprises various symptoms like hyperventilation, breathlessness,...
EVALUATION OF ROLE OF FAST VS CECT ABDOMEN IN DETECTING ORGAN INJURY IN BLUNT ABDOMEN TRAUMA PATIENTS
BACKGROUND There is rapid increase in the number of blunt abdomen injury patients, mainly due to road traffic accidents. The physical signs are often masked in these patients and usually there is delay in the diagnosis o...
MAGNITUDE OF AUTONOMIC NEUROPATHY IN TYPE 2 DIABETES MELLITUS PATIENTS OF MORE THAN 5 YEARS DURATION IN A TERTIARY CARE HOSPITAL OF ODISHA
BACKGROUND Autonomic neuropathy in type 2 diabetes mellitus patient is a serious and common complication of diabetes that is most often ignored by most of the clinicians. Diabetic autonomic neuropathy is among the least...
COMPARISON OF SERUM LIPOPROTEIN (A) LEVEL IN TYPE 2 DM AND NON-DIABETIC PATIENTS WITH ACUTE CORONARY SYNDROME
BACKGROUND Coronary artery disease has multifactorial origin including hereditary and acquired risk factors. Newer risk factors which are elevated in Indian population include Lp (a), CRP and homocysteine levels. Lipopro...
INFECTION CONTROL IN ISOLATION UNITS/HDUS/ICUS- A COMPARATIVE STUDY USING THREE DIFFERENT DISINFECTANTS WITH FOGGER FOR ENVIRONMENTAL DECONTAMINATION
BACKGROUND Intensive care units (ICUS), High dependency units (HDUS) and Isolation units or wards carry high risk of nosocomial infection, morbidity, mortality and health care cost. To limit the nosocomial infection, hea...