Postoperative Wound Infections and the Antimicrobial Susceptibility in Baghdad Hospitals

Abstract

Nosocomial infections are one of the most important causes of mortality and morbidity in hospitals. These are major public health problems worldwide, but particularly in developing countries. The purpose of this research was to analyze the frequency of the microorganisms in the specimens taken from the surgical wounds, and to examine antimicrobial susceptibility for some isolates . Wound swabs were examined from June 2010 to January 2011. The isolates were identified by conventional methods, antimicrobial susceptibility testing was performed by Kirby-Bauer disc diffusion method as per NCCLS guidelines.A total of 102 wound swabs were examined 22(21.56%) swabs were sterile and 80(78.43%) were positive for microorganisms. The results showed 27.2% positive for Pseudomonas aeruginosa, 25.0% positive for Coagulase positive Staphylococci, 20.0% positive for Enterococcus spp., 17.5% positive for Escherichia coli,15.0% positive for Klebsiella pneumonia,13.7% for Proteus mirabilis,and10.0% for Acinetobacter baumannii. Antimicrobial susceptibility testing showed that the rate of isolates of Imipenem Resistance Pseudomonas aeruginosa(IRPA) were 3.7% , 11.2% positive for Vancomycin Resistance Enterococci(VRE) ,13.7% positive for both Methicillin Resistance Staphylococcus aureus(MRSA)and Vancomycin Resistance Staphylococcus aureus(VRSA) ,and 11.2% positive for Vancomycin Intermediate Staphylococcus aureus(VISA). We found that postoperative wound infections increase with pre and post operative hospitalization that's mean the infections can be decrease by shortening the hospitalization time.Our results appear to be maintained with strategies for preventing nosocomial infection,permanent education, strong application of protocols and urging the implementation of strict infection control policy.
 Key words: nosocomial infection, surgical wound, antimicrobial susceptibility.

Prevalence and Antibiotic Susceptibility of Proteus mirabilis Isolated from Clinical Specimens in the Zainoel Abidin General Hospital, Banda Aceh, Indonesia

“…The previous investigation elucidates that P. mirabilis was detected in the wound swab samples collected from diabetic foot ulcer patients in Baghdad [9]. Another study [13] found that the occurrence of P. mirabilis infections was almost 14% of all 80 all-positive bacterial infections detected in surgical wound samples.…”

Knowledge, Attitude, and Practice Regarding Needle Stick Injuries Among Health Care Workers in Baghdad Teaching Hospital and Ghazy Al-Hariri Hospital for Surgical Specialties in 2020

“…The study was a cross-sectional descriptive survey conducted among 260 HCWs using convenient sampling technique [1], [2], [3], [4]. The HCWs studied were surgeon doctors, assistant surgeons, nurses, laboratorians, and dentists in Baghdad Teaching Hospital and Ghazy Al-Hariri Hospital.…”

“…The aim of the study was to assess the knowledge, attitude, and practice of healthcare workers toward needle stick injuries using a guided questionnaire in Baghdad Teaching Hospital and Ghazy Al Hariri Hospital in 2020, Determine the prevalence of needle stick injuries among healthcare workers in Baghdad Teaching Hospital and Ghazy Al Hariri Hospital in 2020, assess the predisposing factors of needle stick injuries, and to assess hepatitis B immunization status in the study group [3], [9], [10].…”

“…Percutaneous injuries induced by needle sticks and other sharp items provide a considerable risk of occupational transmission of bloodborne infections among health care workers [1]. According to a WHO report from 2002, 2 million healthcare workers experience percutaneous exposure to infectious diseases each year, with Hepatitis B (37.6%), Hepatitis C (39%), and HIV/AIDS (4.4%) being the most common bloodborne pathogens transmitted due to needle stick injuries in the world [2], [3].…”

“…Many factors contribute to the spread of infections caused by needle stick injuries, including overuse of injections, a lack of disposable syringe supplies, safer needle devices, sharps disposal containers, passing instruments from hand to hand while performing any procedure, and a lack of awareness and adequate training [3]. Needle stick injuries not only put health professionals at risk of infection but also have a severe and long-lasting emotional impact.…”