Microbiological profile and antibiotic sensitivity patterns of surgical site infections in the urology department at a tertiary care hospital, Tirupati

A Tyagi, R Jayaprada, B Ramana*, N Rama Krishna, D Rakesh, K Krishna Karthik

Sri Venkateswara Institute of Medical Sciences, Tirupati, Andhra Pradesh, India

Refer this article

A Tyagi, R Jayaprada, B Ramana, N Rama Krishna, D Rakesh, K Krishna Karthik, 2016. Microbiological profile and antibiotic sensitivity patterns of surgical site infections in the urology department at a tertiary care hospital, Tirupati. Journal of medical pharmaceutical and allied sciences, V 5 - I 3, Pages -341 – 343. Doi: https://doi.org/10.55522/jmpas.V5I3.0089.

ABSTRACT

Surgical site infections are drawing more attention now a days. Even though there is a lot of advances in sterilization in operation theatres and advent of antimicrobial prophylaxis there is significant morbidity and mortality in health care settings. Which indulges our study on microbial spectrum and antibiotic sensitivity to various drugs. Objective of our study was to determine the incidence of surgical site infections (SSI), microbiological profile and sensitivity to various antibiotics in urology wards at a tertiary care hospital. This was a prospective study conducted in department of urology in SVIMS Hospital for a duration of 2 years. This study confined to the open surgical procedures in urology. Patient details like diagnosis, type of surgery, wound class, complete urine examination, nutritional status, post-operative wound status, and pus culture sensitivity for infected wounds were noted. In post operatively infected patients pus culture studied in aspects of isolated organisms, sensitivity to various antibiotics and results analyzed with excel spread sheet and sps software. Out of 1678 patients for duration of 2 years who underwent open surgical procedures in department of urology, 99 patients developed surgical site infections. Most common organism isolated was E.Coli (36.3%). Out of these 99 isolates 23.2%were gram positive, 57.5% gram negative bacteria, 4% were fungal infections. Multidrug resistance strains were more with proteus group (100%) followed by enterococcus (66%) MDR least common in klebsiella as per our study. This concludes that appropriate antibiotic usage and implementation of preventive measures combat surgical site infections.

Keywords:

Microbial Spectrum, Pus Culture, Multi Drug Resistance Wound Class.

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