Post-operative Wound Infection in Cases operated in a Tertiary Level Hospital Jaipur (Rajasthan) India
Abstract
Wound infection is the second commonest nosocomial infection and most troublesome disorder of wound healing. This study was carried out on 100 post-operative cases of Surgical Unit 1st of General Surgery Department of Sawai Man Singh Hospital, Jaipur (Rajasthan) India in years 2014. After interview of these, swab from post-operative wound was taken and sent for culture and sensitivity test in Microbiology. Results were inferred by Chi-square test and unpaired‘t’ test. Among all operative cases 21% were found infected. Cases, who were operated in emergency have significantly more post-operative wound infection. Mean age and mean postoperative stay of cases with post-operative infected wound was significantly higher than in cases without post-operative infected wound. But mean pre-operative stay, mean duration of operation and type of operation was not associated with postoperative wound infection. Pre-operative antibiotics lowered the occurrence of post-operative wound infection. Maximum proportion of causative agent found in post-operative infected wound was Staphylococci (90.48%) followed with Streptococci, E. Coli, Klebsella and Pseudomonas.
Keywords
Download Options
Introduction
Wound infection is the commonest and most troublesome disorder of wound healing1 . The discovery of the antimicrobial agents also enables us to perform surgery in many conditions that were previously thought to be impossible in the preantibiotic era due to the risk of infection2 . Infection in a wound is a manifestation of disturbed host-bacteria equilibrium that is in favour of bacteria. The absolute prevention of surgical wound infection seems to be an impossible goal.
It is the second commonest nosocomial infection3 and causes patient discomfort, prolonged hospital stay, more days off work, increased cost of therapy and the cost of an operation increase by 300% to 400%4 . An important requirement in the prevention of SSI is the availability of correct and recent data i.e. surgical audit and wound surveillance.
Conclusion
It was revealed from the study that operative cases 21% was found infected. Mean age and mean postoperative stay of cases with post-operative infected wound was significantly higher than in cases without post-operative infected wound. But mean pre-operative stay, mean duration of operation and type of operation was not associated with post-operative wound infection. Pre-operative antibiotics lowered the occurrence of post-operative wound infection. Maximum proportion of causative agent found in post-operative infected wound was Staphylococci followed with Streptococci, E. Coli, Klebsella and Pseudomonas.