A STUDY OF POST OPERATIVE WOUND INFECTION AFTER LAPAROTOMIES: OUR EXPERIENCE

Dr. K.sreedhar rao; Dr K. Ravi Shankar; A.sivender; R. shahil

Volume : V, Issue : XII, December - 2015

A STUDY OF POST OPERATIVE WOUND INFECTION AFTER LAPAROTOMIES: OUR EXPERIENCE

Dr. K. Sreedhar Rao, Dr K. Ravi Shankar, A. Sivender, R. Shahil

Abstract :

Aims And Objectives: To determine the incidence and types of surgical site infections following laparotomies, to study the risk factors in patients who developed SSI and to study the causative organisms and their sensitivity patterns. Results: Of 450 patients who underwent laparotomies. 240 had elective procedures, 210 had emergency procedures. There was male predominance in the study. Risk factors include diabetes (most common), obesity, HB < 10 gm %, COPD, Smoking and immunocompromised status. The most commonly implicated organism in this study was MRSA accounting for 25 % of the cases of SSI, E.Coli(23%) and Klebsiella (18%). Conclusion: The incidence of SSIs following laparotomies is 22.2%. Emergency laparotomies were statistically more likely to develop SSI. A large share of abdominal SSIs was occupied by surgeries with clean–contaminated wounds.