Abstract

SURGICAL ANTIBIOTIC PROPHYLAXIS AND PREVALANCE OF SURGICAL SITE INFECTION FOLLOWING ABDOMINAL SURGERIES AT A TERTIARY CARE HOSPITAL

Reshma Raju*, Orvil Elishwa Gogy, Libin Joseph, Deepthi Mathews, Julie Mariam Joshua and Santhosh M. Mathews

ABSTRACT

Surgical site infections (SSI) are the most common nosocomial infection Increased rate of SSI leads to morbidity, reoperation, prolonged hospital stays, increased health care cost and mortality. A retrospective study was carried out at a tertiary care hospital. This study included 118 patients. The rate of wound infection was found to be 17.8%. All the patients in the study received antibiotic prophylaxis before surgery where 21 patients received not according to guideline Using univariate analysis, we found that the Patient related factors such as age, smoking, co morbidity including DM, anemia, Surgical site infections (SSI) are the most common nosocomial infection Increased rate of SSI leads to morbidity, reoperation, prolonged hospital stays, increased health care cost and mortality. A retrospective study was carried out at a tertiary care hospital. This study included 118 patients. The rate of wound infection was found to be 17.8%. All the patients in the study received antibiotic prophylaxis before surgery where 21 patients received not according to guideline Using univariate analysis, we found that the Patient related factors such as age, smoking, co morbidity including DM, anemia,Hypoproteinemia, and surgery related factors such as type of surgery, type of abdominal surgery, duration of surgery, length of hospital stay, type of wound, antibiotic prophylaxis, use of cautery, drain and mesh were found as the major risk factors for SSI development. Implementation of proper antibiotic guidelines, effective infection control measures and overall management of surgical wound can reduce the rate of SSI in great extent.

Keywords: Hypoproteinemia, and surgery related factors such as type of surgery, type of abdominal surgery, duration of surgery, length of hospital stay, type of wound, antibiotic prophylaxis, use of cautery, drain and mesh were found as the major risk factors for S