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Category: Volume 05 Issue 08 August 2017
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Title: Prevalence of Surgical Site Infection in Orthopedics Department: Study of 40 cases at Tertiary Care Institute

Authors: Dr Neetin P Mahajan, Dr E D Pawar, Dr Amit Supe, Dr Hitesh J Mangukiya, Dr Nikhil Palange, Dr Mrugank Narvekar

 DOI:  https://dx.doi.org/10.18535/jmscr/v5i8.32

Abstract

Background: Surgical site infection (SSI) has been ongoingly proven to be disastrous after orthopaedic surgeries. This study was aimed to assess the prevalence of SSI following surgeries in orthopaedic Department and to identify risk factors associated with surgical site infections. And plan their preventive measures.

Materials and Methods: All patients admitted to the orthopedic male and female wards between January 2012 and December 2016 were included in the study group. The data, which were collected from the medical records and hospital digitalised storage system and from the HMIS patient filing systems. Analyses were made to find out the association between infection and risk factors, the 2 test and variables was estimated using Relative Risk, with a 95% confidence interval and P,0.05.

Results: A total of 40 patients of 4167 patients (0. 96 %) were included: 22 males and 18 females with the average age of 36.23 for males The most common infective organism was Staphylococcus species including Methicillin Resistant Staphylococcus aureus (MRSA), 11 patients (27.50%); Acinitbacter species, 8 patients (20.0%); Pseudomonas species, 7 patients (17.5%); and E coli, 5 patients (12.5%), Proteus 2 patients (5%) , Others commensals/ contaminants 2 patients (5 %). KLeibsiella, 1 patient (2.5%).No death is reported after any uncontrolled septicemia.

Conclusions: SSI was found to be common in Orthopaedic surgeries even at our institute. Planned Elective surgical procedures have been found to have lesser risk of infection than Emergency surgical procedures. Infection can be well controlled using proper operative protocols

Key Words: surgical site infection, Orthopaedic surgeries, bones and joint, prevalence.

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Corresponding Author

Dr Neetin Pralhad Mahajan

Associate Professor, (Orthopaedics)

Flat No. 12, Panchsheel Building, Sir J J Hospital Compound, Bycuula, Mumbai 400008

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