Perception of Surgical Teams Towards Surgical Site Infections in Tertiary Care Hospital Islamabad, Pakistan

Background: Antimicrobials are used for prophylaxis and treatment of infections which occur following surgical procedures, to reduce the morbidity and mortality associated with surgical site infections (SSIs). A surgical site infection is an infection that occurs after surgery in the part of the body where the surgery took place. These are infections of the tissues, organs, or spaces exposed by surgeons during performance of an invasive procedure.Methods: A prospective, non-interventional, observational study in tertiary care hospital for duration of 9 months. Sample size was 330.Results: The prescription pattern shows that nitroimidazoles were the most commonly prescribed group of antimicrobials in 72% of patients followed by penicillins (58%) and cephalosporins (42%). Metronidazole (72%), amoxicillin and clavulanic acid (51.21%) ceftriaxone (20.90%) were most commonly prescribed antimicrobials in these groups. Two antimicrobials were prescribed in 47% patients with nitroimidazole and penicillins being the most commonly prescribed combination of antimicrobial. Three antimicrobials were prescribed in 25% patients and four antimicrobials in 8% patients. This shows trend towards polypharmacy. About 82% of antimicrobials were prescribed by brand names and 64% of total antimicrobials prescribed from outside the hospital pharmacy source. About 12.42% of patients changed antimicrobial therapy after culture and sensitivity report.Conclusions: Total duration, number of anti-microbial used was more in clean-contaminated, contaminated, dirty wound surgeries as compare to clean wound surgeries. Our study provides a framework for continuous prescription audit of antimicrobials in a hospital setting and thus can help in rational use of antimicrobials in post-operative surgical patients.

Download Full-text

Experience of the surgical team in COVID-19 in a tertiary care hospital in Pakistan.

The Professional Medical Journal ◽

10.29309/tpmj/2022.29.01.6392 ◽

2021 ◽

Vol 29 (01) ◽

pp. 1-6

Author(s):

Atta Ur Rehman ◽

Muhammad Afzal Chowhan

Keyword(s):

Tertiary Care Hospital ◽

Tertiary Care ◽

Ethical Review ◽

Care Hospital ◽

Surgical Team ◽

Team Members ◽

Life Threatening ◽

Related Stress ◽

Surgical Teams ◽

Study Setting

Objective: To analyse experience of the surgical team in COVID-19 in a tertiary care hospital in Pakistan. Study Design: Analytical Observational study. Setting: Department of Surgery, Tertiary Care Hospital Sialkot, Pakistan. Period: March to September 2020. Material & Methods: After the permission of ethical review committee (ERC/12/2020), data was collected by all four groups surgeons, Resident and internees, paramedical staff and other staff of surgical teams. A simple, 6 question-questionnaire, manually typed, was distributed to all members willing to complete and return the questionnaire. Data was analyzed by using SPSS-23. Results: Majority (91.27%) of the surgical team members got satisfactory training to handle with Covid-19 Cases. The 80 % was in fear to contract the disease while working in isolation and COVID-19 wards and about (76%) were well adjusted to their newly assigned duties. About 85% of surgical team members experienced prolong duty hours (12 hours a day) related stress and similar percentage participated in the management of surgeries done during this period. Conclusion: Surgical Team participated and adapted to meet the newly assigned duties to lookafter the isolation and COVID-19 wards. Team members experienced stress and fear of contracting disease was a matter of concern. However, it has taken care of all trauma, life-threatening emergencies and oncological cases adhering to use of principles of use of PPEs.

Download Full-text

Frequency and risk factors of surgical site infections in general surgery ward of a tertiary care hospital of Karachi, Pakistan

International Journal of Infection Control ◽

10.3396/ijic.v7i3.019.11 ◽

2011 ◽

Vol 7 (3) ◽

Cited By ~ 9

Author(s):

Safia Bibi ◽

Ghulam Asghar Channa ◽

Taranum Ruba Siddiqui ◽

Waquaruddin Ahmed

Keyword(s):

Risk Factors ◽

General Surgery ◽

Tertiary Care Hospital ◽

Tertiary Care ◽

Surgical Site Infections ◽

Care Hospital

Download Full-text

A study of surgical site infections in a tertiary care hospital

International Surgery Journal ◽

10.18203/2349-2902.isj20194577 ◽

2019 ◽

Vol 6 (11) ◽

pp. 3911 ◽

Cited By ~ 1

Author(s):

Ayush Jain ◽

Anuradha Tolpadi ◽

Bhupendra Chaudhary ◽

Ansh Chaudhary ◽

Ankita Misra

Keyword(s):

Nosocomial Infections ◽

Antimicrobial Agents ◽

Tertiary Care Hospital ◽

Tertiary Care ◽

Laboratory Data ◽

Surgical Site Infections ◽

Health Concern ◽

Care Hospital ◽

Duration Of Surgery ◽

Common Causes

Background: Health care-associated infections remain as an important public health concern. Surgical site infections (SSIs) are known to be one of the most common causes of nosocomial infections worldwide.Methods: A prospective observational study was conducted across 12 months (May 2018-April 2019) in a tertiary care hospital. The present study includes 223 patients who were undergoing clean and clean contaminated surgery in the hospital. Contaminated and dirty surgeries were excluded. The demographic data of the patient, diagnostic criteria used, associated risk factors, use of prophylactic antimicrobial agents, the type and duration of surgery, clinical evaluation of wound and laboratory data was collected. All the pus samples or wound swabs of clinically suspects of SSI cases received in the Department of Microbiology were inoculated and interpreted according to Centre for Disease Control and Infection guidelines.Results: The study included 223 patients who underwent surgery in the hospital. Amongst them 9 (4%) developed SSI. The incidence of SSI was 4.03%. There was a direct relationship observed between the occurrence of SSI and certain co-morbid conditions such as diabetes. It was also observed that prolonged surgeries above two hours and females were more predisposed to develop a surgical site infection.Conclusions: SSIs being one of the most common causes of nosocomial infections. It was also the most important factor responsible for significant morbidity, mortality, unwanted prolonged hospitalization and additional cost of treatment in surgical patients which can be reduced by strictly following the guidelines of infection control along with judicious and rational use of antibiotics.

Download Full-text