Surgical Site Infections Before and During COVID-19 Pandemic: A Comparative Clinico-Pathological and Bacteriological Study of 100 Cases Each in a Tertiary Health Care
Creators
- 1. Assistant Professor, Department of General Surgery, Veer SurendraSai Institute of Medical Science And Research(VIMSAR), Burla, Sambalpur, Odisha, India, 768017
- 2. Assistant Professor, Department of General Medicine , , Veer SurendraSai Institute of Medical Science And Research(VIMSAR), Burla, Sambalpur, Odisha, India, 768017
- 3. Assistant Professor, Department of General Surgery, BhimaBhoi Medical College and Hospital, Balangir, Odisha, India, 767001
- 4. Assistant Professor, Department of General Surgery, Shri Jagannath Medical College and Hospital, Puri, Odisha, India, 752002
- 5. Junior Resident, Department of General Surgery, Veer SurendraSai Institute of Medical Science And Research(VIMSAR), Burla, Sambalpur, Odisha, India, 768017
Description
Background: Post-operative wound infection rate varies from 1 – 9%, depending on several factors like microbial pathogenicity, host defenses (age, sex, nutrition, immunity, antibiotics use), local environment factors, razor use for hair removal before surgery and surgical techniques. Aim and Objective: This cross sectional study was done to find out the incidence of SSIs and factors influencing its development, types of common bacterial pathogen causing SSIs and their sensitivity in post-operative period before (i.e. July 2019 – February 2020) and during( i.e. March 2020 – October 2020) COVID-19 Pandemic period in Department of General Surgery, Veer SurendraSai Institute of Medical Science And Research ( VIMSAR ), Burla, Sambalpur, Odisha. Methods and Material: Patients enrolled in this study were divided into 2- groups of 100 cases each. (A) Pre-pandemic group (Group-1). (B) Pandemic group (Group-2), were reviewed during our sixteen months study period to know the incidence of SSIs and factors influencing SSIs. Parameters studied were patient’s age, BMI, blood sugar profile, haemoglobin, bacteriological profile, type and duration of surgery, antibiotics prophylaxis, duration of pre-op stay, and antibiotic sensitivity pattern of the cultured organism. Results: Overall SSIs incidence rate in Pre-pandemic and Pandemic period were 26% and 36% respectively. The higher incidence of SSIs in in this study was multifactorial. Staphylococcus aureus and E. coli remain the major culprit in SSIs in Pre-pandemic and Pandemic period respectively. Conclusions: Overall SSIs incidence rate in Pandemic period was higher than Pre-pandemic period, which may be due to delayed presentation in casualty department resulting delayed diagnosis and advanced stage of the disease. So, identification of common pathogens and use of specific antibiotics after institutional SSI surveillance is required for controlling post-op wound infections.
Abstract (English)
Background: Post-operative wound infection rate varies from 1 – 9%, depending on several factors like microbial pathogenicity, host defenses (age, sex, nutrition, immunity, antibiotics use), local environment factors, razor use for hair removal before surgery and surgical techniques. Aim and Objective: This cross sectional study was done to find out the incidence of SSIs and factors influencing its development, types of common bacterial pathogen causing SSIs and their sensitivity in post-operative period before (i.e. July 2019 – February 2020) and during( i.e. March 2020 – October 2020) COVID-19 Pandemic period in Department of General Surgery, Veer SurendraSai Institute of Medical Science And Research ( VIMSAR ), Burla, Sambalpur, Odisha. Methods and Material: Patients enrolled in this study were divided into 2- groups of 100 cases each. (A) Pre-pandemic group (Group-1). (B) Pandemic group (Group-2), were reviewed during our sixteen months study period to know the incidence of SSIs and factors influencing SSIs. Parameters studied were patient’s age, BMI, blood sugar profile, haemoglobin, bacteriological profile, type and duration of surgery, antibiotics prophylaxis, duration of pre-op stay, and antibiotic sensitivity pattern of the cultured organism. Results: Overall SSIs incidence rate in Pre-pandemic and Pandemic period were 26% and 36% respectively. The higher incidence of SSIs in in this study was multifactorial. Staphylococcus aureus and E. coli remain the major culprit in SSIs in Pre-pandemic and Pandemic period respectively. Conclusions: Overall SSIs incidence rate in Pandemic period was higher than Pre-pandemic period, which may be due to delayed presentation in casualty department resulting delayed diagnosis and advanced stage of the disease. So, identification of common pathogens and use of specific antibiotics after institutional SSI surveillance is required for controlling post-op wound infections.
Files
IJPCR,Vol15,Issue8,Article198.pdf
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Additional details
Dates
- Accepted
-
2023-07-30
Software
- Repository URL
- https://impactfactor.org/PDF/IJPCR/15/IJPCR,Vol15,Issue8,Article198.pdf
- Development Status
- Active
References
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