A study of clinico-microbiological profile of surgical site infections in a tertiary care hospital

Authors

  • Niharika Kochhal Student, Jawaharlal Nehru Medical College, Sawangi, Wardha, Maharashtra, India
  • Gargi Dangre Mudey Department of Microbiology, Jawaharlal Nehru Medical College, Sawangi, Wardha, Maharashtra, India
  • Sonali Zadbuke Choudhari Department of Microbiology, Department of Laboratory Medicine, National Cancer Institute, Nagpur, Maharashtra, India

DOI:

https://doi.org/10.18203/2349-3933.ijam20191135

Keywords:

Clean surgery, Clean contaminated surgery, Nosocomial infection, Surgical site infection

Abstract

Background: Surgical Site Infection (SSI) is the 3rd most commonly reported infection accounting for 14-16% of all Health care associated infections among hospitalized patients. Surgical Site Infections are responsible for an increased economic burden to healthcare systems, including additional postoperative hospital stay and costs. The present study was conducted in a tertiary care hospital to study the incidence, risk factors and associated pathogens of Surgical Site Infection.

Methods: A total of 100 patients operated of clean and clean-contaminated surgeries from Orthopaedics, Surgery and Obstetrics and Gynaecology Department of AVBRH, Sawangi were included.

Results: Overall infection rate was 6%. Patients in the age of above 71 years showed maximum rate of infection (14.28%) followed by 61 to 70 years (10%) and 51-60 years (10%). Surgical site infection rate was 4.65% (2/43) in clean operative wounds and 7.02% (4/57) in clean contaminated operative wounds. Escherichia coli and Klebsiella pneumonia were the most common organisms causing SSI. None of the risk factor was found significantly associated with the development of SSI.

Conclusions: This study gave a better understanding of microbial pathogens of our institute which may have epidemiological and therapeutic implications. It will act as a pilot study to conduct further such larger research.

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References

Surgical site infection, prevention and treatment of surgical site infection, National Collaborating Centre for Women’s and Children’s Health, Clinical Guideline, funded to produce guidelines for the NHS by NICE; October 2008, ISBN 978-1-904752-69-1.

Mangram AJ, Horan TC, Pearson ML, Silver LC, Jarvis WR. The Hospital Infection Control Practices Advisory Committee, Guideline for prevention of surgical site infection. Infect Control Hosp Epidemiol. 1999;20(4): 247-78.

Anderson DJ, Kaye KS. Staphylococcal surgical site infections. Infect Dis Clin North Am. 2009;23:53-72.

Owens CD, Stoessel K. Surgical site infections: epidemiology, microbiology and prevention. J Hosp Infect. 2008;70(2):3-10.

Kaye KS, Anderson DJ, Choi Y, Link K, Thacker P, Sexton DJ. The deadly toll of invasive methicillin-resistant Staphylococcus aureus infection in community hospitals. Clin Infect Dis. 2008;46:1568-77. (PubMed: 18419491).

Kirby JP, Mazuski JE. Prevention of surgical site infection. Surg Clin N Am. 2009;89:365-89.

Lilani SP, Jangale N, Chowdhary A. Surgical site infection in clean and clean-contaminated cases. Ind J Med Microbiol. 2005;23(4):249-52.

Horan TC, Andrus M, Dudeck MA, Atlanta, Georgia, CDC/NHSN surveillance definition of health care associated infection and criteria for specific types of infections in the acute care setting. Am J Infect Control. 2008;36:309-32.

Identifying wound infection: Taking a swab, Wound Essentials, Microbiological assessment of infected wounds: when to take a swab and how to interpret the results. 2010;5:64-6.

Duncan CA, Cullen M. Wound swab, District Nursing Services, Public sector residential aged care services. Dec 2010:1-4.

Cooper R. Ten top tips for taking a wound swab. Wounds International. 2010 Oct 21;1(3):19-20.

Collee JG, Duguid JP, Fraser AG, Marmion BP, Simmons A. Laboratory strategy in the diagnosis of infective syndromes. In: Collee JG, Marmion BP, Fraser AG, Simmons A, editors. Mackie and McCartney Practical Medical Microbiology. 14th ed. London: Churchill Livingstone; 2006:53-94.

CLSI. Performance Standards for Antimicrobial Susceptibility Testing, 26th ed. CLSI supplement M100S. Wayne, PA: Clinical and Laboratory Standard Institute; 2016.

Aniruddha S. Mundhada, Tenpe S. A study of organisms causing surgical site infections and their antimicrobial susceptibility in a tertiary care Government Hospital. Ind J Patho Microbiol. 2015;58(2):195-200.

Negi V, Pal S. Bacteriological Profile of Surgical Site Infections and Their Antibiogram: A Study From Resource Constrained Rural Setting of Uttarakhand State, India. J Clin Diagnos Resea. 2015;9(10):17-20.

Kokate SB, Rahangdale V, Katkar VJ. Study of Bacteriological Profile of Post Operative Wound Infections in Surgical Wards in a Tertiary Care Hospital. Int J Contem Medi Resea. 2017;4(1):77-83.

Shah KH, Singh SP, Rathod J. Surgical site infections: incidence, bacteriological profiles and risk factors in a tertiary care teaching hospital, western India. Int J Med Scien Public Health. 2017;6(1):173-6.

Shahane V, Bhawal S. Surgical site infections: A one year prospective study in a tertiary; are center. Int J Health Sciences (Qassim University). 2012;6(1):79-84.

Singh RR, Bansal DB, Deb KS, Aggarwal A, Puar GS. Bacteriological profile and antimicrobial susceptibility in SSI in elective abdominal surgeries. Int J Res Health Sci. 2014;2(1):331-4.

More SR, Kale CD, Shrikhande SN, Rathod VS. Bacteriological Profile of surgical site infection among postoperative patients at a tertiary care centre in Nanded. Int J Advanc Resea. 2015;3(11):1060-66.

Suchitra JB, Lakshmidevi N. Surgical site infections: Assessing risk factors, outcomes and antimicrobial sensitivity patterns. African J Microbio Resea. 2009;3(4):175-9.

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Published

2019-03-25

How to Cite

Kochhal, N., Mudey, G. D., & Choudhari, S. Z. (2019). A study of clinico-microbiological profile of surgical site infections in a tertiary care hospital. International Journal of Advances in Medicine, 6(2), 324–329. https://doi.org/10.18203/2349-3933.ijam20191135

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Original Research Articles