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Home > Archives > Volume 20, No 11 (2022) > Article

DOI: 10.14704/NQ.2022.20.11.NQ66020

Clinico-etiological profile of surgical site infections at a tertiary care center: A cross sectional study

Page S, Pande R, Pusdekar V, d, Javalekar P, Gupta D

Abstract

Introduction: “Surgical Site Infections” (SSI) are reported to be the third most common hospital acquired infectionsleading to an adverse effect on the patient`s recovery from a surgical intervention. They may lead to several post-surgical complications affecting the quality of life. Objective: The objective of the study is to assess the incidence of surgical site infections (SSIs) in our center and to delineate the microbial profile of these infections and to study the factors associated with SSIs as well as their outcomes. Materials and Methodology: This cross-sectional analytical study was conducted on 1000 post operative cases admitted at the Surgical inpatient unit of the “Mahatma Gandhi Institute of Medical Sciences”, Sewagram, Wardha which is a teaching tertiary care rural hospital in Central India. The study was conducted from November 2018 to September 2020. Results: The overall incidence of SSI was 8.9%. The commonest organism isolated from the cases was staphylococcus aureus in 32 (39.5%) of the cases, followed by Methicillin resistant Staphylococcus aureus (MRSA) in 17 (19.1%) of the cases with SSI, E coli in 15 (16.6%) and Pseudomonas aeruginosa in 11 (12.3%) of the cases with SSIs. Among the less common organisms that were isolated from the SSIs were Klebsiella in 6 (6.7%), Enterococci in 5 (5.6%) and coagulase negative staphylococci in 3 (3.3%) of the cases with SSIs. The factors associated with SSIs were increased age (p=0.0328), those undergoing emergency surgery (p<0.001), those with a contaminated surgical wound (p<0.001) and those who were hospitalized more than 7 days prior to the surgery (p=0.047). Conclusion: The SSI incidence was found within an acceptable range of the international limits. The commonest isolated microbes were staphylococcus aureus as well as the Methicillin Resistant Staphylococcus aureus. Therefore, strict protocols for surveillance of SSIs and its etiological factors are needed for preventing SSIs.

Keywords

“Surgical site infection”, “Microbial etiology”, “Risk factors”, “Incidence”,“post operative cases”

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