Infection at the surgical site can be devastating in individuals who have had orthopaedic surgery, as it can lead to a longer hospital stay and other consequences. A significant burden on the health-care system and patients in terms of mortality, morbidity. After silent bacteriuria, surgical site infections are the second most prevalent hospital acquired illness.

Methods: Study conducted in the department of orthopaedics, Katihar Medical College & Hospital. During the study period July 2019 to July 2020. A total of 100 patients underwent elective Orthopaedic surgeries was included in the study. The incidence of postoperative wound infections and the toll it taken on Orthopaedic surgeries by evaluating the effectiveness of usage of preoperative and postoperative systemic antibiotics, the role of sterile measures such as scrub suits, masks, sterile gloves, gowns, drapes and operation theatre environments.

Results: The mean pre-operative stay in the SSIs Absent group was 3.05±0.94 days, compared to 1.16±0.40 days in the SSIs Present group, which is statistically significant (p = 0.05).The surgical site infection findings of gram positive & gram negative bacteria was isolated 2 (33.3%) cases had E. Coli and4 (66.7%) cases had Staphylococcus aureus respectively. Showed the sensitivity pattern of gram positive & Gram Negative bacteria. piperacillin and tazobactam were more sensitivity in respect of Staphylococcus aureus & E. Coli.

Conclusion: Furthermore, many surgical techniques are not standard, and a wide range of perioperative conditions will necessitate deviations from established preventive protocols. According to my prospective investigation of antibiotic prophylaxis, prophylactic antibiotic regimens should be provided for a wide range of surgical operations. The range of pathogenic bacteria and the degree of antibiotic resistance varied significantly amongst hospitals.

1. Buggy D. Can anaesthetic management influence surgical-wound healing? Lancet 2000; 356(9227): 355-7.
2. Berard F, Gandon J. Postoperative wound infections: the influence of ultraviolet irradiation of the operating room and of various other factors. Ann Surg1964; 160 (Suppl 1): 1-192.
3. Cruse PJ, Foord R. The epidemiology of wound infection. A 10-year prospective study of 62,939 wounds. Surg Clin North Am1980; 60(1): 27-40.
4. Cruse PJE. Classification of operations and audit of infection. In: Taylor EW, editor. Infection in Surgical Practice. Oxford: Oxford University Press, 1992; 1-7.
5. Culver DH, Horan TC, Gaynes RP, Martone WJ, Jarvis WR, Emori TG, et al. Surgical wound infection rates by wound class, operative procedure, and patient risk index. National Nosocomial Infections Surveillance System. Am J Med1991; 91(3B): 152S-157S.
6. Ferraz EM, Bacelar TS, Aguiar JL, Ferraz AA, Pagnossin G, Batista JE. Wound infection rates in clean surgery: a potentially misleading risk classification. Infect Control Hosp Epidemiol 1992; 13(8): 457-62.
7. Byrne DJ, Phillips G, Napier A, Cuschieri A. The effect of whole body disinfection on intraoperative wound contamination. J Hosp Infect1991; 18(2): 145-8.
8. Lecuire F, Gontier D, Carrere J, Giordano N, Rubini J, Basso M. Ten-year surveillance of nosocomial surgical site infections in an orthopedic surgery department. Rev Chir Orthop Reparatrice Appar Mot. 2003;89:479–86.
9. Kasatpibal N, Jamulitrat S, Chongsuvivatwong V. Standardized incidence rates of surgical site infection: a multicenter study in Thailand. Am J Infect Control. 2005;33:587–94. doi: 10.1016/j.ajic.2004.11.012.
10. Thu LT, Dibley MJ, Ewald B, Tien NP, Lam LD. Incidence of surgical site infections and accompanying risk factors in Vietnamese orthopaedic patients. J Hosp Infect. 2005;60:360–7.
11. Campos ML, Cipriano ZM, Freitas PF. Suitability of the NNIS index for estimating surgical-site infection risk at a small university hospital in Brazil. Infect Control HospEpidemiol. 2001;22:268–72.
12. Taylor EW, Duffy K, Lee K, Noone A, Leanord A, King PM, et al. Telephone call contact for post-discharge surveillance of surgical site infections. A pilot, methodological study. J Hosp Infect. 2003;55:8–13.
13. Kalmeijer MD, Coertjens H, van Nieuwland-Bollen PM, Bogaers-Hofman D, de Baere GA, Stuurman A, et al. Surgical site infections in orthopedic surgery: the effect of mupirocin nasal ointment in a double-blind, randomized, placebo-controlled study. Clin Infect Dis. 2002;35:353–8.
14. Pryor F, Messmer PR. The effect of traffic patterns in the OR on surgical site infections. AORN J. 1998;68:649–60. doi: 10.1016/S0001-2092(06)62570-2.
15. Soleto L, Pirard M, Boelaert M, Peredo R, Vargas R, Gianella A, et al. Incidence of surgical-site infections and the validity of the National Nosocomial Infections Surveillance System risk index in a general surgical ward in Santa Cruz, Bolivia. Infect Control Hosp Epidemiol. 2003;24:26–30.
16. Mangram AJ, Horan TC, Pearson ML, Silver LC, Jarvis WR. Guideline for prevention of surgical site infection, 1999. Hospital Infection Control Practices Advisory Committee. Infect Control Hosp Epidemiol. 1999;20:250–80.
17. Vegas AA, Jodra VM, García ML. Nosocomial infection in surgery wards: a controlled study of increased duration of hospital stays and direct cost of hospitalization. Eur J Epidemiol. 1993; 9:504–10

Dr Zeeshan Jawed