Volume : 6, Issue : 5, May - 2017

Bacteriological profile of Surgical site infection of post operative Orthopaedic cases in a tertiary care centre - A Prospective study

Dr. Gagandeep Gupta, Dr. Rc Jindal, Dr. Atul Kumar Chauhan

Abstract :

<p>&nbsp;<b style="text-align: justify;"><u><span lang="EN-IN" style="font-size:12.0pt;&#10;line-height:150%;font-family:&quot;Times New Roman&quot;,serif;mso-bidi-font-family:&quot;Times New Roman&quot;;&#10;mso-bidi-theme-font:minor-bidi">Introduction-</span></u></b><span lang="EN-IN" style="text-align: justify; font-size: 12pt; line-height: 150%; font-family: &quot;Times New Roman&quot;, serif;">In the era of scarcity of hospital beds at tertiary care centres, surgical site infection constitutes a major hurdle in optimally utilising the health resources. Surgical site infection increases the length of hospitalisation as well as cost of treatment.</span></p> <p class="MsoNormal" style="text-align:justify;line-height:150%"><b><u><span lang="EN-IN" style="font-size:12.0pt;&#10;line-height:150%;font-family:&quot;Times New Roman&quot;,serif;mso-bidi-font-family:&quot;Times New Roman&quot;;&#10;mso-bidi-theme-font:minor-bidi">Aim-</span></u></b><span lang="EN-IN" style="font-size:12.0pt;line-height:150%;font-family:&quot;Times New Roman&quot;,serif;&#10;mso-bidi-font-family:&quot;Times New Roman&quot;;mso-bidi-theme-font:minor-bidi">The aim of present study was to study the bacteriological profile of surgical site infection in a tertiary care centre.<b><u><o:p></o:p></u></b></span></p> <p class="MsoNormal" style="text-align:justify;line-height:150%"><b><u><span lang="EN-IN" style="font-size:12.0pt;&#10;line-height:150%;font-family:&quot;Times New Roman&quot;,serif;mso-bidi-font-family:&quot;Times New Roman&quot;;&#10;mso-bidi-theme-font:minor-bidi">Material and Methods-</span></u></b><span lang="EN-IN" style="font-size:12.0pt;line-height:150%;font-family:&quot;Times New Roman&quot;,serif;&#10;mso-bidi-font-family:&quot;Times New Roman&quot;;mso-bidi-theme-font:minor-bidi">58 samples with sterile cotton swab sticks were taken from Post operative Orthopaedic patients clinically suspected of having surgical site infection in a tertiary level Medical College in Ambala. The specimens were subjected to staining and cultures. The isolates were identified by standard microbiological techniques.<b><u><o:p></o:p></u></b></span></p> <p class="MsoNormal" style="text-align:justify;line-height:150%"><b><u><span lang="EN-IN" style="font-size:12.0pt;&#10;line-height:150%;font-family:&quot;Times New Roman&quot;,serif;mso-bidi-font-family:&quot;Times New Roman&quot;;&#10;mso-bidi-theme-font:minor-bidi">Results and Observations-</span></u></b><span lang="EN-IN" style="font-size:12.0pt;line-height:150%;font-family:&quot;Times New Roman&quot;,serif;&#10;mso-bidi-font-family:&quot;Times New Roman&quot;;mso-bidi-theme-font:minor-bidi">Out of 58 cases with suspected SSI, 30 cases showed positive cultures. A total of 33 organisms were isolated from 30 positive wound samples with 39.3% showing isolated gram positive, 42.4% showing growth of gram negative and 18.1% showing mixed bacterial growth.<b><u><o:p></o:p></u></b></span></p> <p class="MsoNormal" style="text-align:justify;line-height:150%"><b><u><span lang="EN-IN" style="font-size:12.0pt;&#10;line-height:150%;font-family:&quot;Times New Roman&quot;,serif;mso-bidi-font-family:&quot;Times New Roman&quot;;&#10;mso-bidi-theme-font:minor-bidi">Conclusion-</span></u></b><span lang="EN-IN" style="font-size:12.0pt;line-height:150%;font-family:&quot;Times New Roman&quot;,serif;&#10;mso-bidi-font-family:&quot;Times New Roman&quot;;mso-bidi-theme-font:minor-bidi">The rate of surgical site infection, bacteriological and Epidemiological profile closely resembled that of other similar studies done in Indian subcontinent. Key measures before and after surgical procedures may be helpful in decreasing the incidence of surgical site infections<b><u><o:p></o:p></u></b></span></p>