Prevalence of SSI in Post Operative Patients in Tertiary Health Care Hospital
Prevalence of SSI in Post Operative Patients in Tertiary Health Care Hospital
DOI:
https://doi.org/10.70284/njirm.v8i2.1210Keywords:
SSI, Nosocomial infectionAbstract
Aim & Objective: To find out the prevalence of SSI in patients post operatively in tertiary health care hospital. Methods: This study was conducted from June 2016 to October 2016. 891 samples of Surgical site swab were evaluated for bacterial growth. As a part of active surveillance of health care associated infection all the post operative cases are clinically evaluated for the diagnosis of SSI by the Infection Control Team, Civil Hospital Ahmedabad. For the suspected case of SSI, the swab specimen were send to bacteriological section Microbiology Department BJMC, Civil Hospital Ahmedabad . Methods used for bacterial identification were Grams stain, culture media and biochemical reactions. Antibiotic susceptibility using modified Kirby Bauer disc diffusion as per current CLSI guidelines. Result: Out of 891 samples Tested 675 were culture positive. Pseudomonas being the most common isolate (32%) followed by E.coli (25%) and Klebsiella pneumonia(19%). The rate of SSI is 4.4.The rate is high in emergency cases & higher among contaminated surgeries. Conclusion: This study provides information regarding prevalence and microbiological profile in patients with SSI post operatively in tertiary health care hospital. With increasing resistance to available antibiotics in microbes causing nosocomial infections, identification of pathogen and susceptibility pattern are the need of hour and thus very important. [Binda P NJIRM 2017; 8(2):84-87]
References
2. Klevens, R. M. et al. Estimating health care-associated infections and deaths in U.S. hospitals, 2002. Public Health Rep 122, 160–166 (2007).
3. Magill, S. S. et al. Prevalence of healthcare-associated infections in acute care hospitals in Jacksonville, Florida. Infect Control Hosp Epidemiol 33, 283–291
4. Amoran, O. E., Sogebi, A. O. & Fatugase, O. M. Rates and Risk Factors Associated with Surgical Site Infections in a Tertiary Care Center in South-Western Nigeria. Int J Trop Dis Health 1, 25–36 (2013).
5. Awad, S. S. Adherence to surgical care improvement project measures and postoperative surgical site infections. Surg Infect (Larchmt) 13, 234–237 (2012).
6. Allegranzi, B. et al. Burden of endemic health-care-associated infection in developing countries: systematic review and meta-analysis. Lancet 377, 228–241(2011).
7. Bates, D. W., Larizgoitia, I., Prasopa-Plaizier, N. & Jha, A. K. Global priorities for patient safety research. BMJ 338, b1775 (2009).
8. Burke, J. P. Infection control - a problem for patient safety. N Engl J Med 348, 651–656 (2003).
9. Dr. Varsha Shahane, Dr. Saikat Bhawal, Mr. Upendra Lele Int J Health Sci (Qassim) 2012 Jan; 6(1): 79–84.
10. Lilani S P, Jangale N, Chowdhary A, Daver G B. Surgical site infection in clean and clean-contaminated cases. Indian J Med Microbiol 2005;23:249-52
11. Dr. Sachin Patel, Dr.Sumeeta Soni Dr.M M Vegad. Incidence And Risk Factors In A Tertiary Care Hospital, Western India.National Journal of Community Medicine Vol 3 Issue 2 April-June 2012
