SURGICAL SITE INFECTION IN CONVENTIONAL ABDOMINAL SURGERIES IN AIMSR BATHINDA -RISK FACTORS AND INCIDENCE

Dr. Nancy Sandhu; Dr. Dushyant Kumar Garg; Dr. Karam Singh; Dr.Anuj Jindal

Volume : VIII, Issue : II, February - 2018

SURGICAL SITE INFECTION IN CONVENTIONAL ABDOMINAL SURGERIES IN AIMSR BATHINDA -RISK FACTORS AND INCIDENCE

Dr. Nancy Sandhu, Dr. Dushyant Kumar Garg, Dr. Karam Singh, Dr. Anuj Jindal

Abstract :

Background: Surgical site infection is third most common infection and responsible for increasing cost, increase hospital stays, morbidity and mortality related to surgical operations. This study aimed to determine the incidence of SSI in the abdominal surgeries and to identify risk factors associated with the development of SSI.

Methods: The material for the present study was obtained from patient’s undergone abdominal surgery in Department of General Surgery, AIMSR Bathinda, from 31 December 2015 to 31st December 2016. 120 Patients will be included in the study that fulfils the inclusion criteria.

Results: In our study included 120 General Surgical patients, out of which 25 were infected. So the incidence is 20%. Incidence of infection among males is 16.8% whereas incidence of infection among females is 32.2%. Infection is more commonly seen above >60 years old patients with an incidence of 36.6% and middle age group 31–40 years which is 21.4%. Incidence of infection among Emergency surgeries is 44.11% whereas among Elective surgeries is 11.6%. Out of 120 cases 65 were clean cases, 35 were clean–contaminated 17 were contaminated and 3 were infected cases. Most of the patients were anaemic and diabetics with infection rate of 36% and 39% respectively. Hypoproteinemia patients had infection rate of 25%, and Hypertensive patients had infection rate of 22%. Surgical site infection was more among perforations, hepatic abscess, chronic cholecystitis, obstruction and appendicitis. Incidence was more in surgeries having duration of >2 hours. The number of person increases the rate of incidence also increases to 41%. Klebsiella and Staphylococcus were the most common isolated organisms.

Conclusions: Incidence of Surgical Site Infection at AIMSR Bathinda is 20%. Older age group is commonly involved. Emergency cases have high infection rate. Risk factors like anaemia, diabetes mellitus, Hypoproteinemia, and hypertension are associated with increased Surgical Site Infection rate. Longer the duration of surgery more is the Surgical Site Infection rate. Contaminated cases had more SSI rate as compared to clean–contaminated cases. More the number of people in operation theatre more the rate of infection. Gram –ve bacilli were more common isolates detected. Klebsiella spp. being the most common organism isolated in the study.