Published February 28, 2024 | Version https://impactfactor.org/PDF/IJPCR/16/IJPCR,Vol16,Issue2,Article260.pdf
Journal article Open

Superficial Surgical Site Infection: An Analysis of Compliance with Good Infection Control Practices in a Tertiary Care Institute

  • 1. Associate Professor, Autonomous State Medical College, Lakhimpur Khiri
  • 2. Msc Student, Department of Microbiology Integral Institute of Medical Sciences and Research, Integral University, Lucknow
  • 3. Professor and Head, Department of Microbiology Integral Institute of Medical Sciences and Research, Integral University, Lucknow

Description

Aim: To determine the incidence of SSI and evaluate the role of presurgical infection control practices in preventing superficial surgical site infection. Methodology: This study was conducted for a period of 3 months from January 2023 to March 2023. A total of 200 surgical cases were included in the study. Active surveillance for superficial surgical site infections was done along with the analysis of presurgical infection control practices. Results: The incidence of SSI in our study was 6.5 per 100 surgical cases. Surgeries done by the Obstetrics and gynecology department and Emergency surgeries were found to be significantly associated with the occurrence of SSI. Escherichia coli were the commonest pathogen, followed by coagulase-negative staphylococcus.

 

 

Abstract (English)

Aim: To determine the incidence of SSI and evaluate the role of presurgical infection control practices in preventing superficial surgical site infection. Methodology: This study was conducted for a period of 3 months from January 2023 to March 2023. A total of 200 surgical cases were included in the study. Active surveillance for superficial surgical site infections was done along with the analysis of presurgical infection control practices. Results: The incidence of SSI in our study was 6.5 per 100 surgical cases. Surgeries done by the Obstetrics and gynecology department and Emergency surgeries were found to be significantly associated with the occurrence of SSI. Escherichia coli were the commonest pathogen, followed by coagulase-negative staphylococcus.

 

 

Files

IJPCR,Vol16,Issue2,Article260.pdf

Files (501.7 kB)

Name Size Download all
md5:c27788050f01752907b12b1ac247724d
501.7 kB Preview Download

Additional details

Dates

Accepted
2024-01-26

References

  • 1. Masaadeh, H. A. and Jaran, A. S. Incident of Pseudomonas aeruginosa in Post-Operative Wound Infection. American Journal of Infectious Diseases. 2009. 2. Sharma K, Thanbuana BT, Gupta AK, Rajkumari N, Mathur P, Gunjiyal J, Mishra MC, et al. A prospective study of wound infection among post-discharge patients at a level 1 trauma centre of India. Indian J Med Microbiol. 2016; 34:198-201. 3. Nayan, Anveshi and Sarang, Bhakti and Khajanchi, Monty and Roy, Nobhojit and Gnanaraj, Jesudian and Menon, Nandakumar and Patil, Mulki and Kataria, Raman and Manoharan, Ravikumar and Tongaonkar, Rajesh and Dev, YA and Gadgil, Anita. Exploring the Perioperative Infection Control Practices and Incidence of Surgical Site Infections in Rural India. 2022. 4. National Guidelines for Infection Prevention and Control in Healthcare Facilities, Ministry of Health and Family Welfare Government of India, January 2020. 5. Nayan, Anveshi and Sarang, Bhakti and Khajanchi, Monty and Roy, Nobhojit and Gnanaraj, Jesudian and Menon, Nandakumar and Patil, Mulki and Kataria, Raman and Manoharan, Ravikumar and Tongaonkar, Rajesh and Dev, YA and Gadgil, Anita. Exploring the Perioperative Infection Control Practices and Incidence of Surgical Site Infections in Rural India. 2022. 6. Golia S, Kamath A, Nirmala AR. A study of superficial surgical site infections in a tertiary care hospital at Bangalore. Int J Res Med Sci 2014; 2:647-52 7. Shahane V, Bhawal S, Lele U. Surgical site infections: A one-year prospective study in a tertiary care center. Int J Health Sci (Qassim). 2012 Jan; 6(1):79-84. 8. Kurhade, Arvind and Akulwar, Suresh and Mishra, Meena and Kurhade, Geeta and Vaillant, Angel and Kurhade, Krutika and Vuma, Sehlule and Lakhdive, Sudhir. Bacteriological Study of Post-Operative Wound Infections in aTertiary Care Hospital. Journal of Bacteriology and Parasitology. 2015; 6: 251. 9. Dr p. vigneshwaran et al JMSCR volume 08 issue 10 october 2020. 10. Huda F, Shasheendran S, Basu S, Kumar N, Rajput D, Singh SK, David LE, Subramanian C. Risk factors of surgical site infection in elective laparotomy in a tertiary care center: an observational study. Int J Burns Trauma. 2022 Jun 15; 12(3):106-113. 11. Berard F, Gandon J. Factors influencing the incidence of wound infection. Ann Surg 1964; 160:32-81. 12. Narula H, Chikara G, Gupta P. A prospective study on bacteriological profile and antibiogram of postoperative wound infections in a tertiary care hospital in Western Rajasthan. J Family Med Prim Care 2020; 9:1927-34. 13. Kumar A, Rai A. Prevalence of surgical site infection in general surgery in a tertiary care centre in India. Int Surg J 2017; 4:3101-6. 14. Pathak A, Saliba EA, Sharma S, Mahadik VK, Shah H, Lundborg CS. Incidence and factors associated with surgical site infections in a teaching hospital in Ujjain, India. Am J Infect Control. 2014 Jan; 42(1):e11-5. 15. Bunduki GK, Mukululi MP, Masumbuko CK, Uwonda SA. Compliance of antibiotics used for surgical site infection prophylaxis among patients undergoing surgery in a Congolese teaching hospital. Infect Prev Pract. 2020 Jul 8; 2(3):100075. 16. Kaiser AB, Heringen JL, Jacobs JK et al. Cefoxitin versus erythromycin, neomycin, and cefazolin in colorectal operations. Importance of the duration of the surgical procedure. Ann Surg 1983: 525–530. 17. Ohman KA, Wan L, Guthrie T et al... Combination of oral antibiotics and mechanical bowel preparation reduces surgical site infection in colorectal surgery. J Am Coll Surg 2017; 465– 471.