Prevalence of surgical site infection in general surgery in a tertiary care centre in India

Kumar, Ansul; Rai, Arpita

doi:10.18203/2349-2902.isj20173896

Cited by 31 publications

(31 citation statements)

References 9 publications

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“…Based on bacterial pathogen estimation, the most common identified pathogen was S. aureus. The same report from India [46], Nigeria [12], and Uganda [47] showed that S.aureus found the most common causes of SSI. This might be due to S.aureus is part of human skin Fig.…”

Section: Discussionmentioning

confidence: 99%

Surgical site infection and pathogens in Ethiopia: a systematic review and meta-analysis

Birhanu

Endalamaw

2020

Patient Saf Surg

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Background: Surgical site infection is a common complication in patients who underwent surgery. The prevalence is higher in low-income countries. In Ethiopia, prevalence and pathogens of surgical site infection (SSI) reported are variable. This systematic review and meta-analysis aimed to find the pooled prevalence of SSI. Besides, it aimed to find pathogens of surgical site infection in Ethiopia. Methods: The databases for the search were PubMed, Web of Science, and Google Scholar by the date 21/08/ 2018. To assess publication bias Egger's test regression analysis was applied. Subgroup analysis was conducted based on the study population and region. Results: This meta-analysis included a total of 15 studies with 8418 study subjects. The pooled prevalence of surgical site infection was 25.22% (95% CI: 17.30 to 33.14%). Staphylococcus aureus (30.06%) was the most common pathogen identified. Followed by Escherichia coli (19.73%), Klebsiella species (17.27%), and Coagulase-Negative staphylococci (12.43%) were the commonly isolated pathogens. Conclusions:The national prevalence of surgical site infection was high. The most common identified pathogen was Staphylococcus aureus. Followed by Escherichia coli, Klebsiella species, and Coagulase-Negative staphylococci. Strict adherence to surgical site infection prevention techniques needs to get more attention.

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Section: Discussionmentioning

confidence: 99%

Surgical site infection and pathogens in Ethiopia: a systematic review and meta-analysis

Birhanu

Endalamaw

2020

Patient Saf Surg

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“…8 Kumar et al in a similar study reported the incidence rate of SSI as high as 12.5% but in our study the incidence of SSI was only 4%. 9 Although infection rate varying from 20% to as high as 76.9% have been reported. Our rates are comparable to studies done in United Kingdom (3.1%) and Netherlands (4.3%).…”

Section: Discussionmentioning

confidence: 99%

A study of surgical site infections in a tertiary care hospital

Jain¹,

Tolpadi²,

Chaudhary³

et al. 2019

Int Surg J

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Background: Health care-associated infections remain as an important public health concern. Surgical site infections (SSIs) are known to be one of the most common causes of nosocomial infections worldwide.Methods: A prospective observational study was conducted across 12 months (May 2018-April 2019) in a tertiary care hospital. The present study includes 223 patients who were undergoing clean and clean contaminated surgery in the hospital. Contaminated and dirty surgeries were excluded. The demographic data of the patient, diagnostic criteria used, associated risk factors, use of prophylactic antimicrobial agents, the type and duration of surgery, clinical evaluation of wound and laboratory data was collected. All the pus samples or wound swabs of clinically suspects of SSI cases received in the Department of Microbiology were inoculated and interpreted according to Centre for Disease Control and Infection guidelines.Results: The study included 223 patients who underwent surgery in the hospital. Amongst them 9 (4%) developed SSI. The incidence of SSI was 4.03%. There was a direct relationship observed between the occurrence of SSI and certain co-morbid conditions such as diabetes. It was also observed that prolonged surgeries above two hours and females were more predisposed to develop a surgical site infection.Conclusions: SSIs being one of the most common causes of nosocomial infections. It was also the most important factor responsible for significant morbidity, mortality, unwanted prolonged hospitalization and additional cost of treatment in surgical patients which can be reduced by strictly following the guidelines of infection control along with judicious and rational use of antibiotics.

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“…1,2 Global incidence rates of SSIs vary from 4.5% to 20%, depending on the region and facilities available and 12.5% to 17.7% in India according to one study. 3,4 Suture materials used for treating wounds were originally natural materials, such as animal tendons and cotton fibres. Usage of these materials often resulted in severe infections.…”

Section: Introductionmentioning

confidence: 99%

A comparative study to test the effectiveness of triclosan coated polyglactin 910 in reduction of surgical site infection in clean wounds

et al. 2019

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Background: Surgical site infection (SSI) has been pointed out as the 2nd most common nosocomial infection. Since suture materials have been proven to be a contributor to SSI, they have been the focus of research and development centered on making them less conducive to bacterial overgrowth. The Triclosan coated suture slowly releases Triclosan, which is an antibacterial agent that inhibits bacterial colonization of the suture and wound site and thus, promises prevention of surgical site infection.Methods: Total of 100 patients undergoing excision of uninfected subcutaneous benign lumps and cutaneous swellings were randomized in two groups: group A in which triclosan coated polyglactin 910 suture was used for wound closure (50 patients) and Group B in whom conventional uncoated Polyglactin 910 suture was used for wound closure (50 patients).Results: In this study, maximum number of patients was in the age group of 46-60 years. Mean age of subjects in triclosan- coated suture group was 45.03 years while it was 47.32 in conventional uncoated suture group. Among 100 subjects in triclosan- coated suture group, 26 (52%) were males and 24 (48%) were females. In comparison to it, male and female subjects in conventional uncoated suture group were 25 (50%) each. Among 50 subjects in triclosan- coated suture group, only 2 (4.0%) had surgical site infection while in conventional uncoated suture group, 8 (16.0%) had surgical site infection. Incidence of surgical site infection with use of triclosan- coated suture was significantly lower compared to conventional uncoated suture group. (p 0.04).Conclusions: Triclosan coated suture surely, helps in preventing surgical site infection which, not only increases the morbidity of the patient but also has long-term implications.

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Prevalence of surgical site infection in general surgery in a tertiary care centre in India

Cited by 31 publications

References 9 publications

Surgical site infection and pathogens in Ethiopia: a systematic review and meta-analysis

Surgical site infection and pathogens in Ethiopia: a systematic review and meta-analysis

A study of surgical site infections in a tertiary care hospital

A comparative study to test the effectiveness of triclosan coated polyglactin 910 in reduction of surgical site infection in clean wounds

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