Background Surgical site infections (SSI) are the most common nosocomial infection in surgical patients, accounting for 38% of all such infections, and are a significant source of postoperative morbidity resulting in increased hospital length of stay and increased cost. Objectives To find out the incidence of wound infection in patients following elective surgery and the most likely causative organisms and their resistance pattern. Methods Prospective data were collected on 496 surgical patients admitted in the surgery department in BSMMU from January 2010 to June 2010. All preoperative risk factors were evaluated. Patients operated were followed in the post operative period and if any wound infection noted, swab from the site of infection was sent for culture and sensitivity and antibiotics were given accordingly. Results Following 496 elective operations 20.16 % patients developed wound infection. Highest numbers of infection were seen in the fifth decade with slight female preponderance. Wound infection progressively rises with the degree of contamination and increasing operative time. The common risk factors for development of surgical wound infection were anemia (52%), malnutrition (44%), diabetes (38%), jaundice (30%), contaminated operation (44%) dirty operation (38 %), obesity and smoking. The most predominant isolated organism was Escherichia coli (43%) followed by Staphylococcus aureus (33%) and Pseudomonas aeruginosa (11%). Ceftriaxone still remains the most effective antibiotic although the incidence of resistance is rising. Conclusion Despite a good numbers of variables influence surgical site infections; it is still possible to reduce the infection rate by correcting modifiable risk factors, reducing degree of contamination and duration of operation. To battle the emerging resistance of pathogens a definitive guideline is essential. DOI: http://dx.doi.org/10.3329/jbsa.v24i2.19804 Journal of Bangladesh Society of Anaesthesiologists 2011; 24(2): 65-69

[J Shaheed Suhrawardy Med Coll 2017; 9(2): 78-82]

Solid pseudopapillary neoplasm of pancreas (SPN) is a rare entity; therefore proper diagnosis, evaluation and formulation of treatment protocols is difficult. The commonest presenting symptom is abdominal pain. This article presents a case of solid pseudopapillary neoplasm of pancreas in a 35 years old lady. A high index of clinical suspicion is necessary to suspect and diagnose SPN. This diagnosis should be borne in mind when young female patients present with a pancreatic mass.J Shaheed Suhrawardy Med Coll, June 2017, Vol.9(1); 31-34

Background: Understanding SSI and providing feedback to the surgical team has been shown to reduce the incidence of surgical site infection and the cost incurred due to it. Objective: To assess the risk factors of surgical site infection (SSI) in elective gastrointestinal surgery. Methods: prospective data were collected on 1122 surgical patients admitted in the surgery department in BSMMU from January 201 0 to July 201 2. All preoperative risk factors were evaluated .Patients operated were followed in the post operative period and if any wound infection noted, swab from the site of infection was sent for culture and sensitivity and antibiotics were given accordingly. Results: The incidence of SSI was 1 83(1 6.31 %).Out of this 1 83 cases 65.6% had BMI <25. Anaemia was present in 45.90% cases, bronchopulomnary disease was present in 1 1 .5% cases and DM & jaundice was present in 8.1 9% and 28.9% cases accordingly. 69(37.7%) cases were habitual smoker.SSI rate progressively increased with rate of contamination and maximum infection occurred in lower GIT surgery which was 144(1 7.84%). SSI developed more, in 1 02 (55.74 %) cases when duration of peration was more th ;1 1 1;1.2 hours. In 73.8% cases of SSI drain tube was used. Statistically significant risk factors for SS were found to be smoking habit, BMI <25, preoperative anaemia and duration of operation more than two hours. Conclusion: Specific optimization of the patients' preoperative condition is essential to reduce the risk of SSI following elective gastrointestinal surgery. Surveillance should be conducted and maintained in all hospitals to promote better surgical outcomes. Cessation of smoking, optimization of nutritional status, correction of anaemia and reduction of operation time should be associated with a lower incidence of SSI. Journal of Surgical Sciences (2012) Vol. 16 (2) : 71-75