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Category: Volume 10 Issue 04 April 2022
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Title: Study of the Incidence of Postoperative Wound Infection in Orthopaedic Surgery

Authors: Dr Zeeshan Jawed, Dr Rajesh Kumar, Dr Ajay Kumar Mahto, Dr Himanshu Kumar Hemant, Dr Samar Hannan

 DOI: https://dx.doi.org/10.18535/jmscr/v10i4.09

Abstract

Infection at the surgical site can be devastating in individuals who have had orthopaedic surgery, as it can lead to a longer hospital stay and other consequences. A significant burden on the health-care system and patients in terms of mortality, morbidity. After silent bacteriuria, surgical site infections are the second most prevalent hospital acquired illness.

Methods: Study conducted in the department of orthopaedics, Katihar Medical College & Hospital. During the study period July 2019 to July 2020. A total of 100 patients underwent elective Orthopaedic surgeries was included in the study. The incidence of postoperative wound infections and the toll it taken on Orthopaedic surgeries by evaluating the effectiveness of usage of preoperative and postoperative systemic antibiotics, the role of sterile measures such as scrub suits, masks, sterile gloves, gowns, drapes and operation theatre environments.

Results: The mean pre-operative stay in the SSIs Absent group was 3.05±0.94 days, compared to 1.16±0.40 days in the SSIs Present group, which is statistically significant (p = 0.05).The surgical site infection findings of gram positive & gram negative bacteria was isolated 2 (33.3%) cases had E. Coli and4 (66.7%) cases had Staphylococcus aureus respectively. Showed the sensitivity pattern of gram positive & Gram Negative bacteria. piperacillin and tazobactam were more sensitivity in respect of Staphylococcus aureus & E. Coli.

Conclusion: Furthermore, many surgical techniques are not standard, and a wide range of perioperative conditions will necessitate deviations from established preventive protocols. According to my prospective investigation of antibiotic prophylaxis, prophylactic antibiotic regimens should be provided for a wide range of surgical operations. The range of pathogenic bacteria and the degree of antibiotic resistance varied significantly amongst hospitals.

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Corresponding Author

Dr Zeeshan Jawed