Abstract

STUDY ON USE OF ANTIMICROBIALS IN CLEAN AND CONTAMINATED TYPE OF SURGERIES AT RMMCH

Umalakshmi V., Shafad Illath, *Raja Prabhu J., Keerthi Rams, R. Baskaran

ABSTRACT

Surgical wound infection are the second most frequent nosocomial infection in most hospitals and are an important cause of morbidity, mortality and excess hospital cost. Emergent of pathogens and rapid growth of multi drug resistance demands periodic review of isolation patterns and its sensitivity pattern. This study was aimed to study the antimicrobials in clean and contaminated type of surgeries. The study was carried out the department of Surgery, Rajah muthiah medical college and hospital, Annamalai University. Were diagnosis, Date on surgery, Date on postoperative wound infection including microbiological lab report was also collected from the case sheet. Study results showed 60 patients (48 males and 12 females) were included in the study whereas 30 patients from clean surgeries and 30 patients from contaminated surgeries. It was observed that postoperative wound infection were more common in contaminated surgeries (33.3%) than clean type surgeries (13.3%). From the study infection rate was more identified in the age group of 41-50 years of age. All pathogens (14) Pseudomonas aeruginosa were more prevalent pathogen than Klebsiella and E.coli, of all antibiotics Cefotaxime with Metronidazole was sensitive to all pathogens in this study.

Keywords: Surgical site infections, Post -operative wound infections, clean surgery, contaminated surgery.