To Study The Microbiological Profile of Surgicalsiteinfectionsin Post Operative Patientsatatertiarycarecentre, Uttar Pradesh,India

Abstract

Introduction:The problem of surgical site in fection(SSI),which contributesto significant morbidity and death, lengthens hospital stays, and ultimately raises healthcare expenditures, is still widespreadand common.

Aim and Objectives: To study themicrobiological profile of surgical site infections in post operative patients at a tertiary care centre, Uttar Pradesh, India.

Material and Methods: This was a Cross-sectional study conducted in a hospital setting over theperiod of 1 year 6 Monthi.e,, October 2022 to April 2024 at a Rama Medical College Hospital & Research Centre. All surgically treated patientsofbothsexeswereincluded.Patientswhoreceivedasecondsurgeryatthesamelocationforanyreason,patientsreceivingimmunosuppressantmedication,peoplewith immunodeficiency diseases, people currently taking antibiotics, and people with infectionselsewherewereallexcluded fromparticipating.Iftherewassignsofawoundinfection48hours after surgery, the patient was diagnosed with SSI. Suitable statistical analysis was carried out to analyse the data.

Results: A total no. of 99 patients underwent different types of surgeries. Out of 99 sample 52were  observed to be culture positive. Among the 52 culture positivecases Gram positive bacteria was most common isolated32(32.2%) other than Gram negative bacteria 20(20.2%).The positive casesof MSSA was found to be (26.9%), CONS (17.3%), MRSA (11.5%)whereas in case of GNB,Klebsiellaoxytocaand Pseudomonas aeruginosawas found to be(9.6%), Klebsiella pneumoniae(7.6%)followed byE.coli,Proteus mirabiliswith (3.8%), and least for Staphylococcus epidermitidis , Staphylococcus lugdinensis , Citrobacter, Enterobacter  and MRCONSwith (1.92%). It was observed that the site of the infection most common affected was the superficial site with (81.2%)

Conclusion: Abdominal surgeries were more likely to result in SSIs. After any type of surgery, patients who were male, with the age group of 30 years or above , had emergency surgery, had diabetes, and/or have had a lengthy hospital stay are more likely to develop SSIs.The increasing occurrence among male was attribute to the nature of the infected wounds which they come to surgical department.