A STUDY ON BACTERIOLOGICAL PROFILE AND ANTIBIOGRAM OF SURGICAL SITE INFECTIONS IN A TERTIARY CARE HOSPITAL IN KOLKATA
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Keywords
SSI, HEALTHCARE ASSOCIATED INFECTIONS, ANTIBIOTIC POLICY
Abstract
INTRODUCTION- Surgical site infections (SSI) are the third most common healthcare associated infections which areassociated with high rates of morbidity and mortality and causeincreased economic burden to healthcare systems and patients. Even with improved prevention strategies, SSIs continue to be a major threat of nosocomial infection with increasing rates worldwide despite modern facilities and standard protocols for pre-operative preparations and antibiotic prophylaxis.
AIM-
- To determine the spectrum of aerobic bacteria causing surgical site infection
- To assess the antibiotic susceptibility pattern of the bacterial pathogens isolated from the clinical specimens.
MATERIALS AND METHODS- Relevant clinical samples from patients who underwent surgery in the General Surgery and Obstetrics &Gynaecology department were received for aerobic culture in the Department of Microbiology. Isolation and identification of the microorganisms were done by standard microbiological procedures and the results obtained were analysed and interpreted.
RESULTS- Rate of SSI was found to be 19.59% with rate in Surgery department being slightly higher than the rate in Gynaecology & Obstetric department. In surgical and gynaecolgical wards, the most common organism isolated was Escherichia coli but in obstetrical ward, the most common organism isolated was Staphylococcus aureus.
CONCLUSION- Management of SSIs remains a significant concern for surgeons and physicians in a health care facility and reduction in the rate of infection can have significant benefits by reducing wastage of healthcare resources and patient morbidity and mortality. This can be achieved by attention to multiple patients related and procedure related risk factors as well as proper infection control measures and a sound antibiotic policy.
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Dr Rituparna De
Senior Resident Deptt of Microbiology Tamrolipto Government Medical College Tamluk PurbaMedinipur West Bengal India
Dr Sayani Bose
Senior Resident Deptt of Microbiology Tamrolipto Government Medical College Tamluk PurbaMedinipur West Bengal India
Dr Biyanka Sau
Assistant professor Department of Microbiology,Medical College Kolkata West Bengal Inda
Dr Anirban Bhaduri
Associate Professor Department of Microbiology Tamrolipto Government Medical College Tamluk PurbaMedinipur West Bengal India