Abstract :
Objective: This prospective study was conducted to provide data of the incidence, risk factors and microbiological pattern associated with SSIs among 112 patients who underwent emergency abdominal operations in Bangabandhu Sheikh Mujib Medical College Hospital, Faridpur in Surgery Unit: 2 between January 2020 and March 2021.
materials and Methods: After fulfilling the recruitment criteria all patients were consecutively enrolled with their consent and their preoperative, intraoperative, and postoperative data were collected. Wound discharge/pus were collected and sent for culture and sensitivity testing. Follow-ups were done in the unit assistant register’s room. Data were analyzed using IBM SPSS version 28.0.0.0.
Results: The overall incidence of SSI was 15.2%. Male (64.7%) are affected more than female (35.3%). Underweight patients (47.1%) and appendectomy related cases had most SSI (41.2%). All SSIs are detected between 2 and 7 post-operative day. Most of the wounds are clean-contaminated, contaminated and dirty types. Chances of SSI increase when duration of surgery exceeds three hours. was the most predominant organism (82.4%) followed by (11.8%) and (5.8%). Amikacin (100%), Levofloxacin (93.2%) and Moxifloxacin (92.3%) had maximum sensitivity patterns whereas commonly prescribed drugs like Ceftriaxone and Cefuroxime had high resistance (100%).
Conclusion: The incidence of SSI in this tertiary hospital is very high. is the predominant organism responsible. Amikacin, levofloxacin and moxifloxacin are very potent antibiotics against organisms that cause SSI in our hospital.
Keyword :
Surgical site infection, Appendectomy, E coli