DOI: http://dx.doi.org/10.18203/2320-6012.ijrms20164208

The study on post-operative wound infections at Vizianagaram in Andhra Pradesh, India

B. Hemashankara Rao, K. Srinivasa Chakravarthy

Abstract


Background: In most of the people post-operative wound infections are responsible for major complications such as cost, morbidity, mortality and duration of hospital stay related to surgeries. Objectives of the study were to demonstrate the incidence of post-operative wound infections at MIMS (Maharagah’s Institute of Medical Sciences, Vizianagaram.

Methods: A cross sectional study has been carried out to know the incidence of post-operative wound infection The study was conducted in MIMS (Maharagah’s Institute of Medical Sciences). The study population was enrolled after fulfilling the selection criteria from General Surgery 100 patients (both elective and emergency surgeries) were selected using randomized technique.

Results: Out of 100 cases in the study 17 were positive for post-operative wound infection and out of which 10 were mild infections, 9 cases were moderate infections and 3 were severe infections including 1 burst abdomen. Coagulase positive Staph aureus was isolated in 10 out 40. Over all infection rate in the study was 13.58%.

Conclusions: The study clearly depicted the changing pattern of wound infection toward mixed infection. A larger study with substantial number of patients will confirm the findings of this study.


Keywords


Infection, Post-operative, Surgery, Wound

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References


Voiglio EJ. 14th European Congress of Trauma and Emergency Surgery. Eur J Trauma Emerg Surg. 2013;39(1):S1-62.

Perl TM, Roy MC. Postoperative wound infections: risk factors and role of Staphylococcus aureus nasal carriage. J chemoth. 1995;7:29-35.

Sleet DA, Gielen AC. Injury as a public health problem. Health promotion in practice. 1991:361.

Uçkay I, Harbarth S, Peter R, Lew D, Hoffmeyer P, Pittet D. Preventing surgical site infections. Expert review of anti-infective therapy. 2010;8(6):657-70.

Mastro TD, Farley TA, Elliott JA, Facklam RR, Perks JR, Hadler JL, et al. An outbreak of surgical-wound infections due to group A streptococcus carried on the scalp. New England J Med. 1990;323(14):968-72.

Chotani RA, Roghmann MC, Perl TM. Nosocomial infections. Edit: Nelson KE, Williams MC, Graham NMH. Infectious Disease Epidemiology, Theory and Practice. 2001:357-407.

Rizoli SB, Mashall JC. Saturday night fever: finding and controlling the source of sepsis in critical illness. The Lancet Infectious Diseases. 2002;2(3):137-44.

Wood LE, Tulloh RM. Kawasaki disease in children. Heart. 2009;95(10):787-92.

Dietz DW. Postoperative complications. In The ASCRS Textbook of Colon and Rectal Surgery. Springer New York. 2011;157-73.

Smith RL, Bohl JK, McElearney ST, Friel CM, Barclay MM, Sawyer RG, et al. Wound infection after elective colorectal resection. Ann surg. 2004;239(5):599-607.

Olsen MA, Nepple JJ, Riew KD, Lenke LG, Bridwell KH, Mayfield J, et al. Risk factors for surgical site infection following orthopaedic spinal operations. J Bone Joint Surg Am. 2008;90(1):62-9.

Tear M. Surgical Procedures. Small Animal Surgical Nursing. 2014:132.

Ibelings MS. Nosocomial Intensive Care Infections (Doctoral dissertation, Erasmus MC: University Medical Center Rotterdam). Available at: http://www.erasmusmc.nl/?lang=en.

Horan TC, Andrus M, Dudeck MA. CDC/NHSN surveillance definition of health care–associated infection and criteria for specific types of infections in the acute care setting. American journal of infection control. 2008;36(5):309-32.

King RD, editor. Food Biotechnology—1. Springer Science & Business Media; 2012 Dec 6.

Lista UT. Transplant Patient Survival Rates (%). Principles and Practice of Surgical Oncology: Multidisciplinary Approach to Difficult Problems. 2009;87(80.2):189.

Cluff LE, Reynolds RC, Page DL, Breckenridge JL. Staphylococcal bacteremia and altered host resistance. Annals of Internal Medicine. 1968;69(5):859-73.