SURVEILLANCE OF SURGICAL SITE WOUND INFECTIONS AFTER GYNAECOLOGICAL AND OBSTETRICAL SURGERIES IN A TERTIARY CARE HOSPITAL
DOI:
https://doi.org/10.70520/kjms.v16i2.376Keywords:
Comorbidity,, Surgical Site Infection, Obstetric Surgery, Caesarean Section, Microorganism, Gynecological SurgeryAbstract
OBJECTIVE: To determine the incidence of surgical site infections,the surgery preceding it, its indication and the pathogenic organism involved.
METHODOLOGY: This descriptive cross sectional study was conducted at Gynae B unit of Mardan Medical Complex,Mardan from Jan 2019 to July 2019.All women of any age or parity who underwent surgery during the study period were followed after the surgeries to observe whether they develop wound infection.Those whose wounds got infected were enrolled.The discharge from the wound was collected on proper swab stick,and sent for culture and sensitivity to the laboratory.The reports of culture were followed and recorded.
RESULTS: Out of the 642 women enrolled,58 had wound infection.The incidence of surgical site infection was 9%.32(56%) had caesarean sections and 26(44.8%) had gynaecological surgeries.23(39.6%) were emergency and 9(15.5%) were elective caesarean sections.Most common indication for caesarean was repeat caesarean in 12(37.5%) followed by fetal distress in 10(31%) subjects.11(19%) were abdominal hysterectomies,8(14%) were laprotomies,4(6%) were vaginal hysterectomies and 3(5%) were AP repairs.38(65.5%) had superficial,14(24%) had deep wound infection and 6(10%) had organ/space infection.The commonest pathogen isolated was S.aureus in 17(29%),followed by E.coli in 9(16%),P.aeruginosa and S.epidermidis in 4(7%) each.
CONCLUSION: Infected wound rate is in accordance with the range provided by WHO but efforts should be done to reduce the rate further and thus prevent sepsis