DOI:
VOLUME-5, ISSUE-9
A Tyagi, R Jayaprada , B Ramana*, N Rama Krishna, D Rakesh, K Krishna Karthik
Sri
Venkateswara Institute of Medical Sciences, Tirupati, AP, India.
ABSTRACT
Background: 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: 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. Methods: 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, 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 spss software. Results: 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 enterococccus(66%) MDR least common in klebsiella as per our study. Conclusion: 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