Background: Incisional surgical site infections are common in different parts of the world. The overall SSI rate in affluent European countries is 3/100 surgical operations, while it is 2.6/100 surgical procedures in the United States. The purpose of this research was to find out how common incisional surgical site infection (ISSI) is in obstetric and gynaecological procedures, as well as the risk factors, microbiological spectrum, antibiotic sensitivity, and hospital stay impact. Methods: A prospective observational study was conducted at Era's Lucknow medical college and hospital's Department of Obstetrics and Gynecology. This study included all consecutive patients who had a caesarean section, vaginal delivery with episiotomy, laparotomy, and hysterectomy. Laparoscopic procedures were not allowed. In this series of 646 procedures, 6.18 percent of the patients developed ISSI. The ISSI rate was 8.89 percent in the category of major procedures. 1.6 percent of the 185 episiotomies had a gap. Anemia, diabetes, excess body weight, emergency or elective surgery, rapid haemoglobin build-up with blood transfusion, previous caesarean scar, and tobacco consumption were all recognised as risk factors. The most common germ was a coagulase-negative staphylococcus. Antibiotic susceptibility to linezolid was discovered in 50% of ISSI cases, followed by amikacin, clindamycin, and a few other antibiotics. The average length of stay in the hospital was 13 days, with a maximum of 26 days.
Conclusion: The study established the current state of incisional surgical site infections, identified risk factors, microbiological spectrum, antibiotic sensitivity, and the necessity for more preventive investigations.
Author (S) Details
Savita Chandra
Department of Obstetrics & Gynecology, Era’s Medical College and Hospital, Lucknow, Uttar Pradesh, India.
Shodashi Saxena
Department of Obstetrics & Gynecology, Era’s Medical College and Hospital, Lucknow, Uttar Pradesh, India.
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