Friday, 14 January 2022

Surgical Site Infections | Chapter 12 | Recent Developments in Medicine and Medical Research Vol. 16

 Background: If an infection occurs within 30 days of a surgical procedure, or one year if a device or foreign material is implanted, it is considered a hospital-acquired infection.

The Department of Microbiology, Mediciti Institute of Medical Sciences, Hyderabad, India, carried out the research. All patients who underwent surgeries in this hospital, or who visited the OPD'S for follow-up with or without complaint, had their HICC data, Microbiology registers, OT data records for operational notes, MRD for history of case presentation before and after surgery, and re-admission data evaluated. Common concerns include increased pain and redness around the area, delayed healing, pus, a foul odour, or discharge from the wound or a tissue sample. Between January and December 2017, n=2716 surgeries were performed, with n=1958 major procedures and n=758 minor surgeries.

Results: In 2017, we had a total of eight SSI cases at our facility. Total clean procedures were 505 (46.16 percent), with an SSI of 1.188 percent in clean surgeries and 589 (53.33 percent) in clean-contaminated surgeries with an SSI of 0.33 percent. Six of the SSIs are deep-seated, whereas the other two are superficial incision SSIs. Eight of the cases had deep-seated SSIs, five of which were related to orthopaedic cases and one of which was due to gen surgery — hernioplasty. There were two clean contaminated instances, both of which involved superficial SSIs and caesarian sections. The most common bacteria were gram-positive Staphylococcus spp (87.5 percent). Coagulase-negative Staphylococcus spp., which were common in the hospital environment, notably OT, were the organisms most likely to cause SSIs in our centre.

Conclusion: SSIs were found to be 1.188 percent in clean procedures and 0.33 percent in clean contaminated surgeries in this study. We only looked at clean and clean-contaminated procedures, which was one of the study's weaknesses. As a result, results must be interpreted with this limitation in mind.

Author(S) Details

Naveenchandra Reddy
Department of General Medicine, Mediciti Institute of Medical Sciences, Medchal, Hyderabad, India.

Lakshmi Jyothi Tadi
Department of General Medicine, Mediciti Institute of Medical Sciences, Medchal, Hyderabad, India.

View Book:- https://stm.bookpi.org/RDMMR-V16/article/view/5373

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