Surgical site infection in benign abdominal gynaecological surgeries

Authors

  • Haritha Kizhakke Kodiyath Department of Obstetrics and Gynaecology, Aster Hospital, Mankhool, Dubai
  • Kunnath Ramakrishnan Government Medical College, Ernakulam, Kerala, India
  • Kadaviparambil Jacob Government Medical College, Manjery, Kerala, India

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20213853

Keywords:

Surgical site infection, Risk factors, Benign gynecological surgeries, Antibiotic sensitivity

Abstract

Background: Surgical site infection is the commonest complication after gynecological surgeries. Limited studies have been done in India to know the magnitude of the problem. This study aims to know the incidence of surgical site infection, analyze the risk factors and identify the causative organisms.

Methods: A prospective observational study .All women who underwent abdominal surgeries for benign pathologies in department of obstetrics and gynecology, Government medical college, Thrissur from April 2016 to March 2017, were included in the study women more than 80 years old, evidence of infection preoperative or within 48 hours of surgery, laparoscopy procedures unless combined with open surgeries and emergency surgeries were excluded.

Results: The incidence of SSI was found to be 7.9%. Re suturing had to be done in 24 patients. The risk factors found to be significant were age more than 50 years ,patients with education <7th std, diabetes, BMI>30,pre hospital stay >10 days, ASA score >3, duration of surgery >2 hours and peri-operative blood transfusion. Staphylococcus aureus was the most common causative organism and was sensitive to amikacin, vancomycin, cloxacillin and its combinations.

Conclusions: SSI pose a significant problem in the post operative period that can affect recovery. It was associated with multiple predisposing factors which could be prevented if these risk factors are identified early and appropriate measures are adopted to support host defense system in the peri operative time.

 

Author Biographies

Haritha Kizhakke Kodiyath, Department of Obstetrics and Gynaecology, Aster Hospital, Mankhool, Dubai

registrar,department of obstetrics and gynecology

aster hospital,mankhool,dubai

Kunnath Ramakrishnan, Government Medical College, Ernakulam, Kerala, India

registrar,department of obstetrics and gynecology

aster hospital,mankhool,dubai

Kadaviparambil Jacob, Government Medical College, Manjery, Kerala, India

professor and head of the department,department of obstetrics and gynecology,government medical college, Ernakulam.

References

Bhadauria AR, Hariharan C. Clinical study of post operative wound infections in obstetrics and gynaecological surgeries in a tertiary care set up. Int J Reprod Contracept Obstet Gynecol. 2013;2(4):631-8.

Kamat AA, Brancazio L, Gibson M. Wound infection in gynecologic surgery. Infect Dis Obstet Gynecol. 2012;8:230-4.

Pathak A, Mahadik K, Swam MB. Incidence and risk factors for surgical site infections in obstetric and gynecological surgeries from a teaching hospital in rural India. Antimicrob Resist Infect Control. 2017; 6:66

Mahdi H, Goodrich S, Lockhart D. Predictors of surgical site infection in women undergoing hysterectomy for benign gynecologic disease: a multicenter analysis. Natl Surg Quality Improv Data. 2014:21(5):901-9.

Suwal A, Shrivastava VR, Giri A. A prospective study of wound infection after laparotomy in obstetrics and gynaecology department. Nepal Med College J. 2012;14(4):267-70.

Razavi SM, Ibrahimpoor M, Kashan AS, Jafarian A. Abdominal surgical site infections: incidence and risk factors at an Iranian teaching hospital. Bio Med Central Surg. 2005;5(2):1-5.

Sathyaseela MP, Husssain AC, Philip V. Socio-economic impact on wound management-A pilot study at a Tertiary care Indian Hospital. Wound Med. 2013;2(3):3-5.

Dhamecha M, Chauhan N, Kavathi G. Incidence & predictors of surgical site infections: a study at a tertiary care hospital. GCSMC J Med Sci. 2014:3(2): 25-9.

Nwanko EO, Ibeh I, Enabulele OI. Incidence and risk factors of surgical site infection in Kano. Int J Infect Control. 2012;8:1-6.

Buresch AM, Arsdale AV. Comparison of subcuticular suture type for skin closure after cesarean delivery: a randomized controlled trial obstetrics and gynecology. Infect Dis Obstet Gynecol. 2017;130(3): 521-6.

Bangal V B, Borawak SK. Study of surgical site infections following gynaecological surgery at tertiary care teaching hospital in rural India. IJBR. 2014;05:2-7.

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Published

2021-09-27

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Original Research Articles