Title: Surgical Site Infection in Clean, Clean-Contaminated and Contaminated Cases

Authors: Dr Karan Kumar, Dr S. R. Kulkarni, Dr Gayatri, Dr Sudanshu V. Tripathi, Dr Ajinkya N. Puppal

 DOI:  https://dx.doi.org/10.18535/jmscr/v4i12.111

Abstract

Objective- To study the incidence, risk factors, most common organisms encountered and its antibiotic sensitivity and resistance in Surgical Site Infection cases of Clean, Clean-Contaminated and Contaminated cases.

Material and Methods- Study was carried out in the Department of General Surgery, from November 2014 to April 2016 on 200 admitted patients who underwent various surgical procedures (clean, clean-contaminated and contaminated cases) and were assessed pre-operatively, intra-operatively and post-operatively. Patients were followed up to 30 days post-operatively. Infected wounds were studied bacteriologically and clinically.

Results- The overall infection rate was 5.50%. Surgical site infection rate was 0.0% in clean surgeries, 4.82% in clean-contaminated surgeries, 23.33% in contaminated surgeries. Surgical site infection rate was higher (9.52%) in emergency surgeries than in elective surgeries (3.65%). The most common isolate was Klebsiella spp. followed by Pseudomonas and E.coli.

Conclusion- Incidence of General Surgical Site Infection is 5.5%. Emergency cases have high infection rate. Longer the duration of surgery more is the Surgical Site Infection rate. Gram -ve bacilli were more common isolates detected. Most of the bacterial isolates were multidrug resistant.

Keywords- Surgical site infection, Klebsiella spp., Pseudomonas aeruginosa, Risk of Surgical site infection.

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Corresponding Author

Dr Karan Kumar

Krishna Institute of Medical Sciences and Deemed University Malkapur,

Karad; District- Satara, Mahrashtra

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