Abstract
Objectives: To study the incidence, type of infective organisms, possible risk factor and sources of infectious in relation to emergency and elective abdominal surgery.
Methodology: During two years study period of postoperative wound infection admitted in Basaveshwar Teaching & General Hospital attached to Mahadevappa Rampure Medical College, Gulbarga, 80 operations including elective and emergency surgical procedures, done in major OT were studied. As a routine patients were investigated to rule out preexisting comorbidities.
Results: A total number of 80 cases during 2 years period were studied. The various factors responsible for wound infection and their response to antibiotics were studied, the results were analyzed and discussed. The post operative wound infection in relation to age (highest incidence in above 60 years age group – 62.5%), sex (male sex), nutritional status (poor status of the patient – 36.36%), anaemia (severe-33.33%).
Conclusion: Thus from the above findings the incidence of wound infection, simple attention to technical details.
References
- Richard J Howard. Surgical Infections. Principles of Surgery, Schwartz. 7th Edition, P. 123-154.
- Meleny FL. Infection in clear operative wounds. Surg Gynecol Obstet. 1935; 60: 264-276.
- Agarwal SL. Study of postoperative wound infection. Indian Journal of Surgery. 1972; 34: 314.
- Rao AS and Harsha M. Postoperative wound infection. Ind Med Asso. 1975; 64: 90-93.
- Venkatraman MS, Bhaskaran KS and Sunderaman S. Personal factors in wound sepsis. Ind J Surg. 1978; 40: 618-623.
- Wongesteen OH, Wargeskin SD, Kriger CF. Some pre-cisterian and post-cisterian antiseptic wound, Practice and Emergence of Asepsis. Surg Gynecol Obstet. 1973; 137: 677.
- Nicholas RL, Smith JW. Intragastric bacterial colonization in common disease states of the stomach and duodenum. Ann Surg. 1975; 182(5): 557-61.
- Shaw D, Doig CM and Douglas D. As airborne infection in the operating theatre an important cause of wound infection in general surgery. The Lancet. 1973; 1: 17-21.
- Shrivastava SP, Atal PR and Singh RP. Studies on hospital infection. Ind J Surg. 1969; 31: 612-621.
- Cruse PJE and Foord R. Epidemiology of wound infection. Clin of North America. 1980; Vol. 601: 27-40.
- Kowli SS, Nayak MH, Mehta AP, Bhalerao KA. Hospital infection. Indian J Surgery. 1985; 48: 475-86.
- Anvikar Ar, Deshmukh AB, Karyakarte RP, Damle AS, Patwardhan NS, Malik AK. A one year prospective study of 3280 surgical wound. Ind J Med Microbiol. 1999; 17: 129-32.
- Barner BJ and Others. Ann Surg. 1961; 154: 583.
- Dissertation submitted to mysore university.1972.
- Cerise EJ. Abdominal drains: Their role as a source of infection following splenectomy. Ann Surg. 1970; 171: 764.
- Subramanian CA, Prakash A, Srinivas and Bhujawala. Indian Journal of Surgery. 1973; 35(2): 57.
- Windsor JA, Hill GL. Weight loss with physiological impairement. A basic for surgical risk. Ann Surg. 1988; 290-296.
- Forse RA, Karan B, Maclean LD. Antibiotic prophylaxis for surgery in morbidity obese patients. 1989; 106: 750-757.
- Nystrom PO, Jonstans A, Hojer H. Incisional infection after colorectal surgery in obese patients. Acta Chir Scand. 1987; 106: 750-757.
- Codon RE. Effectiveness of a surgical wound surveillance program. Arch Surg. 1983; 118: 303-307.
Corresponding Author
Sanjeev M Patil
Assistant Professor, Department of General Surgery, MRMC, Gulbarga, Karnataka
DOI: https://dx.doi.org/10.18535/jmscr/v6i6.13
