Abstract
Surgical site infection is a type of health care-associated infection, in which a wound infection occurs after an invasive procedure. SSI has been shown to compose up to 20% of all health care -associated infection. SSI are among the most common complications of inpatient admission but majority are preventable.
This study was carried out at NMCH, Patna, Bihar on 500 patients during April 2016 to September 2017.The objective of the study was to determine the incidence of SSI among different type of surgeries and their relation to the type of wound and to identify the various pathogens causing SSI in our setting and to study their antibiotics sensitivity and resistance pattern and also to assess the various risk factors contributing to SSI in our hospital.
In this study the overall incidence is 9% with no significant difference between both Genders.SSI in emergency surgery (13.33%) was significantly higher than that of elective surgery (8.88%) and incidence was significantly higher in which duration of surgery was more than two hours. E.coli and klebsiella infection were significantly higher.
Keywords: SSI, Surgical site infection.
References
- Kulyat MN, Dayton MT: Surgical complications. In kennedy F.John editor. Sabiston’s textbook of surgery, 19th Philadelphia: Elsevier:2012. P.284-88.
- Satyanaryana V, Prashant H.V,Basavaraj B,Kayashree AN.Study of surgical site infections in abdominal surgeries Journal of clinical and diagnostic research 2011;5:935-39.
- Mahesh C B,Shivkumar S,Suresh BS, Chidnand S P,Vishwanath Y. A prospective study of surgical site infection in a teaching hospital.Journal of clinical and diagnostic research 2010;4:3114-119.
- Son JI et al. Single incision laproscopy cholecystectomy using Konyang standard method.Ann Surg Treat Res.2014 Apr;86(4):177-83.
- Mizrahi I et al.Otcomes of laproscopic Sleeve Gastrectomy in patients older than 60 years.Obes Surg.2014 Jan 19.
- Lilani SP, Jangle N, Chowdry A,Davs GB. Surgical site infection in clean and contaminated cases.Indian J Med Microbiol2005;23:249-52.
- Fischer JP, Wink JD, Nelson JA, Kovach SJ 3rd among 1,706 cases of abdominal waal reconstruction, what factors influence the occurrence of major operative complications? Surgery.2014 Feb;155(2):311-9.
- Neuman D,Grebieniak z.Surgical site infection –the authors’own prospective research .Pol Przegl Chir.2014 Jan 1;86(1):26-32.
- Kataki B,Kumar A ,Gupta P,Sachan PK, Thakuria B.Surgical site wound infection :Experience at a north Indian tertiary care hospital.JIACM2013;14:13-9.
- George DL et al,Vaughn Surgical Site infection :Incidence and impact on hospital utilization and treatment costs AJIC: American Journal Of Infection Control-June 2009(Vol 37,Issue 5,Pages 387-397).
- Healy B, Freedman A.ABC of wound healing:Infections.BMJ.2006;332:838.
- Arslan A, Naqvi SB, Sahab A,Bano R,Ali SI. Resistance pattern of clinical isolates involved in surgical site infection.
- Wang ZX, Jiang CP,Cao Y et al(2013) Systematic Review and Meta-analysis of tricosan-coated suture for the prevention of surgical site infection. British Journal Of Surgery 100:465-73.
- Pathakk UR,Pedroza C,Millas SG et al.(2012)Revisiting the effectiveness of interventions to decrease surgical site infection in colorectal surgery:a Bayesian perspective .Surgery152:202-11.
- Golia Saroj ,S Asha,Kamath B,Nirmala AR.A study of superficial surgical site infection in a tertiary care hospital at Banglore.Int J Res Med Sci.2014 May;2(2):647-52.
Corresponding Author
Dr Tushar Singh
Senior Resident, General Surgery, IGIMS, Patna, India