Surveillance of wound infections in post operative high-risk areas-Study at rural based tertiary hospital.

• Dr.Nidhi Mihirkumar Bhalodia,*  
• Dr.Mihir Bhalodia,  
• Dr.Tanuja Javadekar,  
• Dr.Sucheta Lakhani,  
• Dr.Himani Pandya

Abstract

Introduction SSI remains a common and widespread problem, which contributes to significant morbidity and mortality, prolongs hospital stays, and consequently increases healthcare costs. Aims & Objective (1) To find the incidence rate and evaluate risk factors of SSI at rural-based tertiary care hospital (2) To study the bacteriological profile and antimicrobial susceptibility of pathogens. Material & Method The present prospective study was conducted at a rural-based tertiary care hospital, Vadodara. 350 operated cases from various departments were included in this study. Result Out of total 350 patient, 45 cases of surgical site infection were identified. Thus the incidence of SSI was 12.8 % . The high prevalence of SSI was observed among male patient and patient in age group 35-60 years (42.2%). The statistical analysis results showed that type of wound (p value=0.0001 ), duration of surgery >2 hours (p value=0.031), diabetes (p value=0.027), and prolonged hospital stay > 7 days (p value=0.0001 ) were significantly associated with SSI. The highest prevalence was of Klebsiella pneumoniae (31.1%) followed by Staphylococcus aureus (22.2%). Conclusion The prevalence of SSI in the study area is high and requires due attention. Consistent infection prevention practices need to be implemented in the institution Keywords: Surgical site infection, Risk factors, MRSA, Klebsiella pneumoniae

Keywords

Surgical site infection, Risk factors, MRSA, Klebsiella pneumoniae