scholarly journals Prevalence of surgical site infection in general surgery in a tertiary care centre in India

2017 ◽  
Vol 4 (9) ◽  
pp. 3101 ◽  
Author(s):  
Ansul Kumar ◽  
Arpita Rai
Keyword(s):  
Surgical Site Infection ◽  
General Surgery ◽  
Surgical Procedure ◽  
Health Care Systems ◽  
Tertiary Care ◽  
Retrospective Chart Review ◽  
Exploratory Laparotomy ◽  
Site Infection ◽  
Tertiary Care Centre ◽  
One Year

Background: Surgical site infection (SSI) can be defined as an infection that is present up to 30 days after a surgical procedure if no implants are placed and up to one year if an implantable device was placed in the patient. SSI is a significant problem associated with major surgeries and is the 3rd most frequently reported nosocomial infection. This study aims to study the prevalence of SSI in the Department of Surgery, Rajendra Institute of Medical Sciences (RIMS), Ranchi.Methods: A retrospective study was undertaken at the Department of General Surgery for a period of one year. Retrospective chart review was conducted from the hospital database. The rate of SSI was studied in relation to its type, the type of surgical procedure and elective vs emergency surgeries.Results: The present study revealed 12.5% prevalence of SSI in Department of General Surgery, RIMS. Among the 3 types, superficial incision SSI was most prevalent followed by deep incisional SSI and finally by organ/space SSI. The surgical procedure most commonly associated with SSI was exploratory laparotomy. An alarming 17.7% of SSI was associated with emergency surgeries as compared to 12.5% of elective surgeries.Conclusions: The consequences of SSIs greatly impact patients and the healthcare systems. Prevention of SSI requires a multifaceted approach targeting pre-, intra-, and postoperative factors. It is imperative that facilities have open-minded management teams, regulatory agencies and medical associations that want to provide the foundation required to generate a culture of patient safety in our health care systems.

scholarly journals Caesarean section in a tertiary care centre

2020 ◽  
Vol 9 (8) ◽  
pp. 3106
Author(s):  
Rina V. Patel ◽  
Divyanshi J. Shani ◽  
Parul T. Shah ◽  
Dipali Pandey
Keyword(s):  
Caesarean Section ◽  
Surgical Site Infection ◽  
Tertiary Care ◽  
Cross Sectional Study ◽  
Infectious Complications ◽  
Site Infection ◽  
Tertiary Care Centre ◽  
College Hospital ◽  
Cross Sectional ◽  
Medical College

Background: Caesarean section constitutes a major surgical procedure characterized with morbidity even if it is performed a planned procedure. Postoperative infection in obstetrics continues to affect the practice of every surgeon. Infection can cause an increase in patient’s stay in the hospital, create discomfort, cause disfigurement and lead to morbidities to the patient. Thus, preventive measures need to be constantly evaluated and updated and hence authors have to study and analyse prevalence of postoperative infectious morbidities.Methods: The study was conducted in an Urban Based Medical College Hospital in Ahmedabad. It was a retrospective cross-sectional study of 50 cases of patients who suffered infectious complications post caesarean from 1st March 2019 to 31st March 2020.Results: The prevalence rate of surgical site infection in my study is 5.9% whereas of post-operative puerperal sepsis is 0.6%, of post-operative urinary tract infection is 1.09%, of post-operative breast abnormalities is 0.16%. The most common infectious morbidity amongst all was surgical site infection (surgical site) infection and its prevalence was 5.9%.Conclusions: The development of post-operative infection is an important event that can be prevented by taking proper precautions and following prescribed guidelines. There should be specific use of antibiotics in the post-operative period. In the event of early signs of sepsis antibiotics should be administered properly as per culture sensitivity report. The decrease in infection rate also indirectly reduce the health costs involved in treating them post operatively.

scholarly journals Complications of appendicitis in a tertiary care centre

2021 ◽  
Vol 8 (9) ◽  
pp. 2612
Author(s):  
Nanditha Gudi ◽  
John M. Francis ◽  
Shivananda . ◽  
Thinagaran K.
Keyword(s):  
Acute Appendicitis ◽  
Surgical Site Infection ◽  
Tertiary Care ◽  
Surgical Site Infections ◽  
Site Infection ◽  
Tertiary Care Centre ◽  
Female Patients ◽  
Pediatric Age Group ◽  
Surgical Emergency ◽  
Perforated Appendix

Background: Acute appendicitis is the most common surgical emergency. An appendicectomy is considered the gold standard of treatment for acute appendicitis because of the potential risk of disease progression to perforation, gangrene and peritonitis. The aim of this study was to determine the incidence of complications in patients diagnosed with acute appendicitis.Methods: A total number of 70 patients were studied with various symptoms of acute appendicitis and their complications, all patients were presented to PESIMSR, Kuppam from December 2016 to June 2018. Clinical assessment , investigations like WBC counts, X-ray erect abdomen, USG abdomen and pelvis and management were recorded. The incidence of complications were studied. The cases of appendicular mass was treated conservatively, except for those who do not respond to antibiotics.Results: During this study period, among 70 patients aged between 5-45 years, male were 53 and female patients were 17 and 11 patients belong to pediatric age group and 59 patients aged more than 18 years. The commonest complication was postoperative surgical site infection (20%) found in perforated appendix patients in our study. Around 76% of the patients developed complications. Among the female patients diagnosed with acute appendicitis, appendicular perforation being the most common complication and it was the postoperative surgical site infections in males.Conclusions: Acute appendicitis is the most common surgical emergency. Open appendicectomy is the most commonly done procedure in our hospital. The commonest complication is postoperative surgical site infection (20%) found in perforated appendix patients in our study.

scholarly journals Prevalence of surgical site infection post caesarean with increased patient load during COVID-19 pandemic in tertiary care centre

2021 ◽  
Vol 10 (8) ◽  
pp. 3053
Author(s):  
Prashansa Santosh Raut ◽  
Reena Wani ◽  
Theertha Shetty ◽  
Roshni Khade ◽  
Anjali Mulchandani
Keyword(s):  
Surgical Site Infection ◽  
Associated Factors ◽  
Tertiary Care ◽  
Site Infection ◽  
Common Complication ◽  
Care Centre ◽  
Tertiary Care Centre ◽  
Common Risk Factor ◽  
Second Stage ◽  
Patient Load

Background: Increased referrals and workload during the pandemic lead to overcrowding in hospitals and increase in LSCS rates. Surgical site infection is one of the most common complication post LSCS causing physical and mental duress to the patients. The objective of the study was to analyse the effect of COVID-19 on SSI, the incidence, commonly associated factors and bacteriology of SSI. The design was prospective study design.Methods: 577 patients undergoing LSCS were studied from Day 1 till 30 days post LSCS from 1st August 2020 to 31st October 2020.Results: Out of 577, 28 (4.85%) patients developed SSI. 60% of SSI in our study were unbooked, 50% had haemoglobin less than 9.9 g/dl. Most common risk factor for developing of SSI included pre-eclampsia (32.14%) followed by previous LSCS (28.57%). Common organism isolate was MRSA (25%) and 75% required surgical management.Conclusions: Regular ANC visits can help in managing comorbidities at an earlier stage leading to reduction in SSI. Strict aseptic precautions should be followed to reduce SSI in cases with PROM and second stage arrest. SSI rate is not influenced by COVID-19 status but hospital facilities and overcrowding definitely have an effect.

scholarly journals Study of post caesarean section wound infection and microbiological epidemiology in tertiary care centre, Western Rajasthan, India

2020 ◽  
Vol 9 (5) ◽  
pp. 2042
Author(s):  
Nehal Sahay ◽  
Rekha Jhakhar
Keyword(s):  
Risk Factors ◽  
Surgical Site Infection ◽  
Economic Status ◽  
Tertiary Care ◽  
Suture Technique ◽  
Surveillance Program ◽  
Coagulase Negative Staphylococcus ◽  
Site Infection ◽  
Tertiary Care Centre ◽  
Hospital Infection Control

Background: Surgical site infection (SSI) following C-section is a common encountered problem and needs to be analysed. In this study we have determined the incidence, risk factors and common bacterial pathogens in surgical site infection (SSI) following C-section at a tertiary care centre.Methods: A hospital based prospective study conducted for a period of 6 months. Those women whose C-section was complicated by SSI within 5 days postoperatively were included in the study. Risk factors for SSI were identified and microbiological pattern was studied.Results: Out of 62 women whose C-section was complicated by SSI within 5 days post-operatively, during this study period post caesarian SSI incidence was 0.34%. In this study post C-section SSI found as high as 43.55%, in lower socio-economic status. Among all patients, un-booked were 62.90%, Referred patients were as high as 67.74%. SSI developed in 69.35% patients without preoperative antibiotic prophylaxis. C-section done in PROM in 64.50% and as an elective emergency 79.03%, blood transfusion needed in 59.68% and type of incision being transverse (Pfannenstiel) in 88.71%. Subcutaneous suture technique used in 75.81% and secondary healing occurred in 67.74%. Most common organism grown was CoNS (coagulase negative staphylococcus) 29.03% in SSI.Conclusions: To reduce SSI, the hospital infection control system and surgical site infection surveillance program has to be established. Knowing the prevalence and risk factors will help optimal precaution and standard surgical technique to reduce SSI, which causes increased hospital stay of patients.

Clinical Study of Postoperative Surgical Site Infection in a Tertiary Care Centre

2017 ◽  
Vol 8 (2) ◽  
pp. 106-112
Author(s):  
Harbade Suresh ◽  
◽  
Jagtap Dinesh ◽  
Jadhav Sarojani ◽  
Wasadikar P.P ◽  
...  
Keyword(s):  
Clinical Study ◽  
Surgical Site Infection ◽  
Tertiary Care ◽  
Site Infection ◽  
Care Centre ◽  
Tertiary Care Centre

scholarly journals Postoperative morbidity following Whipple’s procedure for periampullary carcinoma: a retrospective study spanning 5 years

2019 ◽  
Vol 7 (11) ◽  
pp. 4314
Author(s):  
Sharath Kumar V. ◽  
Ajith Prasad J. S.
Keyword(s):  
Surgical Site Infection ◽  
Postoperative Morbidity ◽  
Tertiary Care ◽  
Bile Leak ◽  
Pulmonary Complications ◽  
Morbidity Rate ◽  
Site Infection ◽  
Tertiary Care Centre ◽  
Tertiary Centre ◽  
Whipple’S Procedure

Background: The morbidity rates for Whipple’s procedure has remained high even as mortality rates were coming down. This study was intended to assess postoperative morbidity rates in  a tertiary care centre and to compare it with other centres.Methods: Data was collected from various registers and medical records for this retrospective cohort study. All Whipple’s procedures for 5 years were included in the study. Statistical analysis was done using R statistical software and the results were tabulated.Results: There were 48 patients and half of them developed morbidity. Surgical site infection was the most common complication (18.8%) followed by pulmonary complications (12.5%) and bile leak (6.25%). Half of the patients having pulmonary complications died while nobody with surgical site infection or bile leak died.Conclusions: In this study the morbidity rates were comparable to other centres. Hypoalbuminemia is a significant predictor of morbidity. Surgical site infection was the most common morbidity. Pulmonary complications were the most common cause for death. Morbidity rate is comparable to other centres and Whipple’s procedure is a safe surgery in the tertiary centre where the study was conducted.

scholarly journals Antibiotic Sensitivity in Post Cesarean Surgical Site Infection at a Tertiary Care Centre in Eastern Nepal

2016 ◽  
Vol 4 (2) ◽  
pp. 55
Author(s):  
Manisha Chhetry ◽  
Shanti Subedi ◽  
Sita Ghimire ◽  
Sabina Lamichhane ◽  
Basudev Banerjee ◽  
...  
Keyword(s):  
Surgical Site Infection ◽  
Tertiary Care ◽  
Antibiotic Sensitivity ◽  
Resistance Pattern ◽  
Site Infection ◽  
Tertiary Care Centre ◽  
Diffusion Technique ◽  
Highly Sensitive ◽  
Increasing Trend ◽  
The Common

Introduction: Post cesarean surgical site infection (SSI) is one of the common complications diagnosed in 2.5%-16% of the cases and is associated with significant increase in maternal morbidity, hospital stay, costs, and psychological stress to the new parents. This study was designed to study the incidence of SSI and the antimicrobial resistance pattern in our hospital.   Methods: This was a prospective observational study conducted from July 2015 to December 2015, in which all patients who were admitted with post cesarean SSI or developed SSI during their stay were included.  Wound specimens were collected and susceptibility testing was carried out using disc diffusion technique.   Results: The incidence of post cesarean SSI was 6.07% (47/774). Out of the 47 patients who had SSI, 35 (74.75%) had positive swab culture. The most important organism isolated was Staphylococcus aureus (82.85%) out of which 17 (58.62%) were MRSA strain. The resistance of Staphylococcus to penicillin was 84.6% whereas amikacin was found to be highly sensitive (>96%). Among the MRSA strain, resistance to ciprofloxacin, which is the currently used drug for prophylaxis, was 94%. Resistance to penicillins, cephalosporins, and clavulanate was also high. Resistance to vancomycin was also high (53%). Amikacin and chloramphenicol were found to be highly sensitive  (94% and 90% respectively) in the MRSA group.   Conclusion: MRSA is the leading cause of post cesarean SSI and is a matter of great concern. Amikacin and chloramphenicol were found to be highly sensitive in this group but unlike other studies, resistance of vancomycin was showing an increasing trend.

scholarly journals Compliance of surgical antimicrobial prophylaxis practices in the departments of general surgery and orthopaedics at a tertiary care centre in India

2020 ◽  
Vol 7 (10) ◽  
pp. 1492
Author(s):  
Gandham Ravi ◽  
Gaurav Chikara ◽  
Arkapal Bandyopadhyay ◽  
Shailendra Handu
Keyword(s):  
General Surgery ◽  
Prospective Observational Study ◽  
Antimicrobial Prophylaxis ◽  
Tertiary Care ◽  
Surgical Site Infections ◽  
Tertiary Care Centre ◽  
Standard Clinical Practice ◽  
Antibiotic Duration ◽  
Surgical Antimicrobial Prophylaxis ◽  
One Year

Background: Antimicrobial (AM) prophylaxis is one of the major interventions to prevent surgical site infections. The guideline recommendations are meant for helping the surgeons to select the rationale and effective approach while. This study aimed to assess the compliance of surgical AM prophylaxis in terms of choice of antibiotic, duration and timing of administration using standard international and national guidelines.Methods: A prospective observational study was done in General Surgery and Orthopaedics over a period of one year. All the relevant data was collected and analysed. Results were then compared with standard Clinical Practice Guidelines (CPGAS-2013 and ICMR-2017).Results: In terms of choice of AM, 31.32% of the cases from general surgery and 97.59% of the cases from orthopaedics according to ICMR 2017 guidelines; 28.91% of the cases from general surgery and none of the cases from orthopaedics according to CPGAS 2013 guidelines were found to be compliant. In terms of duration of prophylaxis, 28.91% and 22.89% of the cases from general surgery were found to be compliant to ICMR 2017 and CPGAS 2013 guidelines respectively; but none of the cases from orthopaedics were compliant to either of the guidelines. Timing of administration was found to be compliant with the guidelines in both the departments. Conclusions: Surgical prophylaxis practices were found to be partially compliant with the guidelines in the selected departments.

scholarly journals STUDY OF SURGICAL SITE INFECTION AT TERTIARY CARE CENTRE IN DAKSHINA KANNADA

2016 ◽  
Vol 3 (103) ◽  
pp. 5671-5675
Author(s):  
Abhijith Sudhakar Shetty ◽  
Mohamed Afjal ◽  
Balaji Prabhakaran
Keyword(s):  
Surgical Site Infection ◽  
Tertiary Care ◽  
Site Infection ◽  
Care Centre ◽  
Tertiary Care Centre
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