Study on bacteriological profile and antibiogram of surgical site infection in tertiary care hospital.

Autor: More, Sanjaykumar, Rathod, V. S., Mane, Pratibha Sanjay, Sinha, Rohit
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Zdroj: Indian Journal of Basic & Applied Medical Research; Mar2023, Vol. 12 Issue 2, p66-71, 6p
Abstrakt: Background: Surgical site infection is major healthcare infection which causes significant morbidity and mortality. It is the second major cause of hospital acquired infection after CAUTI. Worldwide SSI rate varies from 2.5% to 41.9%. Material and Methods: The study was conducted on 1106 clinically suspected SSI patients for a period of one year (January 2021 to Dec 2021) in the Department of Microbiology at DRSCGMC, Nanded. Two sterile cotton swabs were collected maintaining aseptic precautions. Gram stained smear was prepared from one swab and other swab was inoculated on blood agar and MacConkey agar. After overnight incubation organisms were identified by using standard microbiological methods. Antibiotic sensitivity was done by Kirby Bauer disc diffusion method. Results: Out of 1106 clinically suspected SSI patients, microorganisms were isolated from 39.72% patients. The most frequently isolated organism was Staphylococcus aureus followed by Klebsiella pneumoniae, Escherichia coli, Acinetobacter baumanni, pseudomonas aeuroginosa. Gram positive organisms were susceptible to linezolid and resistant to penicilins and gram negative organisms were susceptible to meropenem and piperacillin-tazobactum and most of them resistant to ciprofloxacin, amoxyclav. Discussion: In our study, the rate of surgical site infections was 39.72% which is comparable with the study conducted by Dharmraj et al and Budhani et al. A prolonged hospital stay, instrumentation, duration of surgery may contribute to increased rate of SSI. Conclusion: Unrestricted use of antibiotics is leading cause of antibiotic resistance. Proper maintenance of hand hygiene, proper intraoperative care and proper use of antibiotics can reduce the incidence of SSI. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index