STUDY OF SURGICAL SITE INFECTIONS IN ELECTIVE LAPAROTOMIES-AN EXPERIENCE IN A TERTIARY CARE CENTRE

Dr. FARRUKH HASSAN; Dr. ARUNMOZHI.S

Volume : IX, Issue : V, May - 2020

STUDY OF SURGICAL SITE INFECTIONS IN ELECTIVE LAPAROTOMIES-AN EXPERIENCE IN A TERTIARY CARE CENTRE

Dr. Farrukh Hassan, Dr. Arunmozhi. S

Abstract :

Background: Post-operative surgical site infection is one of the common complications after laparotomy. The need for this study is to study the risk factors of surgical site infections in elective laparotomies, so that their incidence can be reduced in the future. Materials and methods: This is an Observational, prospective, institution based study. All patients undergoing various open abdominal surgical procedures from August 2018 to August 2019 in Department of General Surgery, RAJENDRA INSTITUTE OF MEDICAL SCIENCES, Ranchi were included in the study. Results: The incidence of SSI was more in clean contaminated than clean cases(32% vs 12.34%), more days of pre-operative hospital stay than less days of pre-op hospital stay(24% vs 9.3%) , improper or no pre-op antibiotic prophylaxis than properly timed pre-op antibiotic prophylaxis(30% vs 10.46%). Conclusion: High rate of SSI was attributed for various reasons such as increased pre-operative hospital stay, poor personal hygiene of the patient, poor bowel preparation in cases of colorectal and small bowel surgeries, increasing age of the patient and improper timing of pre-operative antibiotic administration.