scholarly journals Rate of Wound Infection of Non-traumatic Emergency Laparotomy at a Teaching Hospital in Bangladesh: Experience of 100 cases

2017 ◽  
Vol 2 (1) ◽  
pp. 9-12
Author(s):  
Din Mohammad ◽  
Mahbuba Begum ◽  
Abdur Rabban Talukder ◽  
Md. Abdus Salam
Keyword(s):  
Wound Infection ◽  
Infection Rate ◽  
Teaching Hospital ◽  
Tertiary Care ◽  
Positive Culture ◽  
Wound Infection Rate ◽  
Emergency Laparotomy ◽  
Bacteriological Examination ◽  
Postoperative Wound ◽  
Ulcer Perforation

Background: Wound infection is an important issue for surgical operations. Objective: The purpose of the present study was to measure the rate of wound infection of non-traumatic emergency laparotomy cases.Methodology: This descriptive cohort study was carried out in the Department of Surgery at Dhaka Medical College, Dhaka from July 1997 to June 1998 for a period of 1(one) year. Pre-operative patients were carefully assessed for any host factors related to wound infection. Different per-operative factors that influence the rate of postoperative wound infection were also analyzed. Swabs were taken from the suspected postoperative wound and sent for bacteriological examination. Result: In this series, 100 cases of emergency laparotomies (non-traumatic) were analyzed. Bacteriological examination showed positive culture in most of the cases but three were found to be negative result. Wound infection rate of specific type of operation were 12.5%, 20.0%, 6.6%, 40.0%, 40.0%, 33.3%, 50.0%, 50.0%, and 100.0% in duodenal ulcer perforation, pre-pyloric and gastric ulcer perforation, acute appendicitis, burst appendix, ileal perforation, small intestinal obstruction due to bands and adhesions, volvulus of sigmoid colon, obstructed inguinal hernia, generalized peritonitis due to puerperal sepsis respectively. The overall surgical wound infection rate was 19.0%. Conclusion: The rate of wound infection of non-traumatic emergency laparotomy cases are frequently found in a well-established tertiary care teaching hospital. Bangladesh J Infect Dis 2015;2(1):9-12

scholarly journals Role of Surgeon in the Causation of Surgical Wound Infection in Non-traumatic Emergency Laparotomy

2017 ◽  
Vol 14 (2) ◽  
pp. 52-55
Author(s):  
Din Mohammad ◽  
Mahbuba Begum ◽  
Abdur Rabban Talukder ◽  
Md. Abdus Salam
Keyword(s):  
Wound Infection ◽  
Surgical Site Infections ◽  
Wound Infection Rate ◽  
Vital Role ◽  
Emergency Laparotomy ◽  
Postoperative Wound ◽  
Ulcer Perforation ◽  
Medical College ◽  
Generalized Peritonitis

Background: Surgeon has a vital role during operation related with wound infection. Objective: The purpose of the present study was to see the role of wound infection of non-traumatic emergency laparotomy surgeries.Methodology: This descriptive cohort study was carried out in the Department of Surgery at Dhaka Medical College, Dhaka from July 1997 to June 1998 for a period of 1(one) year. Pre-operative patients were carefully assessed for any host factors related to wound infection. Different per-operative factors that influence the rate of postoperative wound infection were also analyzed. Swabs were taken from the suspected postoperative wound and sent for bacteriological examination. The details related to the surgeon were recorded according to their experience.Result: In this series, 100 cases of emergency laparotomies (non-traumatic) were analyzed. Wound infection rate of specific type of operation were 12.5%, 20.0%, 6.6%, 40.0%, 40.0%, 33.3%, 50.0%, 50.0%, and 100.0% in duodenal ulcer perforation, pre-pyloric and gastric ulcer perforation, acute appendicitis, burst appendix, ileal perforation, small intestinal obstruction due to bands and adhesions, volvulus of sigmoid colon, obstructed inguinal hernia, generalized peritonitis due to puerperal sepsis respectively. Surgical site infections are more commonly occur in the operation performed by inexperience younger surgeon (44.4%).Conclusion: The rate of wound infection of non-traumatic emergency laparotomy cases are frequently found in the operation performed by inexperience younger surgeon.Journal of Science Foundation 2016;14(2):52-55

scholarly journals Electrocautery Versus Scalpel in Women Undergoing Primary Cesarean Section and Neonatal Outcomes

2019 ◽  
pp. 1
Author(s):  
Esra Isci Bostanci ◽  
Ismail Guler ◽  
Funda Cevher Akdulum ◽  
Mehmet Anil Onan
Keyword(s):  
Cesarean Section ◽  
Wound Infection ◽  
Infection Rate ◽  
Operation Time ◽  
Wound Infection Rate ◽  
University Hospital ◽  
Postoperative Wound Infection ◽  
Apgar Scores ◽  
Postoperative Wound ◽  
Group I

<p><strong>Objective:</strong> The aim of this study is to evaluate the postoperative wound infection rate, newborn effect and, the effect of skin to peritoneum incision time between diathermy and scalpel for the operation time during primer cesarean section cases.</p><p><strong>Study Design:</strong> A retrospective study was carried out at Gazi University Hospital. A total of 74 patients met inclusion criteria in this study but 6 patients were excluded in electrocautery group for not to come controls, group I patients, n=37, underwent operation via scalpel incision and group II patients, n=31, underwent operation by diathermy incision. The main outcome measures were the operation time, postoperative wound infection rate, scar character, neonatal Apgar scores, and need of neonatal intensive care unit.</p><p><strong>Results:</strong> There were no significant differences between newborn Apgar scores (1st and 5th minutes), wound infections, and operation times (p=0.35, p=0.69, p=0.32, respectively).</p><p><strong>Conclusion:</strong> Related to findings, it could be suggested that diathermy might be an alternative to the scalpel in Pfannenstiel incisions contrary to the old belief about its high infection rates.</p>

Wound Infection Rate in Dermatologic Surgery

1988 ◽  
Vol 14 (5) ◽  
pp. 525-528 ◽  
Author(s):  
DUANE C. WHITAKER ◽  
DONALD J. GRANDE ◽  
SALLY S. JOHNSON
Keyword(s):  
Wound Infection ◽  
Infection Rate ◽  
Wound Infection Rate ◽  
Dermatologic Surgery

scholarly journals Distribution and Determinant of Post-Operative Wound Infection among Patients underwent Routine Abdominal Surgery

2019 ◽  
Vol 6 (1) ◽  
pp. 16-21
Author(s):  
Md Mafiur Rahman ◽  
SM Shafiul Azam Chaudhury ◽  
Md Atiqul Islam ◽  
Mohammad Khurshidul Alam ◽  
ABM Mir Mubinul Islam ◽  
...  
Keyword(s):  
Abdominal Surgery ◽  
Wound Infection ◽  
Infection Rate ◽  
Wound Infection Rate ◽  
Operation Theatre ◽  
Medical College ◽  
Abdominal Operations ◽  
Contaminated Wound ◽  
Clean Contaminated ◽  
Operative Wound

Background: Post-operative wound infection may occur after routine abdominal surgery. Objective: The purpose of the present study was to see the distribution and determinants of post-operative wound infection among the patients underwent routine abdominal surgery. Methodology: This non-randomized clinical trial was conducted in the different surgical units of the Department of Surgery at Sir Sallimullah Medical College & Mitford Hospital, Dhaka, Bangladesh during January 2001 to December 2002 for a period of two (02) years. In the operation theatre, after anaesthesia skin was cleaned with Povidone iodine USP 5% w/w or Spirit (70% methylated spirit in water) or Chlorhexidine. During post-operative period dressing were left undisturbed unless it was felt necessary. Unusual pain in and around the wound was considered to be an indication of infection. A swab was taken from any discharge and was sent for bacteriological examination. Result: In this study, 50 patients were admitted as routine cases and undergone routine abdominal operations in general operation theatre. Out of 50 patients undergone routine abdominal surgery, 5 developed wound infection post operatively. Overall infection rate was 10.0%. In routine abdominal operations, infection was 9.09% in upper midline or extended midline incision, 33.33% in lower midline, 6.25% right subcostal/Kocher's. In routine abdominal operations, the rate of infection in clean contaminated wound was 11.11%, contaminated wound was 33.33%. Wound infection rate was 20.0% cases in patients with malnutrition, 14.28% cases in obesity and 16.66% cases in diabetes mellitus. Conclusion: In conclusion post-operative wound infection is common in routine surgical operation. Bangladesh Journal of Infectious Diseases, June 2019;6(1):16-21

Wide variation in risk of wound infection following clean neurosurgery

1985 ◽  
Vol 62 (2) ◽  
pp. 243-247 ◽  
Author(s):  
James H. Tenney ◽  
David Vlahov ◽  
Michael Salcman ◽  
Thomas B. Ducker
Keyword(s):  
Wound Infection ◽  
Wound Infection Rate ◽  
Neurosurgical Procedures ◽  
Postoperative Wound Infection ◽  
Content Type ◽  
Postoperative Wound ◽  
Deep Wound Infection ◽  
Deep Wound ◽  
Potential Efficacy ◽  
Perioperative Antibiotics

✓ The authors have prospectively examined the occurrence of postoperative wound infection following clean neurosurgery in 936 patients. Fewer than 1% received perioperative antibiotic prophylaxis. The overall rate of deep wound infection was 2.6%; no deaths were directly attributable to these infections. Deep wound infections occurred significantly more frequently following craniotomy (4.3%) than following spinal (0.9%) or other clean neurosurgery. Among craniotomies, the deep wound infection rate varied significantly from 11% following repeat operations for recurrent gliomas to 2.5% following non-tumor surgery. Risk of deep wound infection varied more than 11-fold depending on the type of clean neurosurgical operation. It is most feasible to demonstrate the potential efficacy of perioperative antibiotics in clean neurosurgical procedures with the greatest risk of postoperative wound infection. The potential benefit from such prophylaxis would be greatest for patients undergoing these high-risk operations.

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