Study of Surgical Site Infections following Gynaecological Surgery at tertiary care teaching hospital in Rural India

Bangal, Vidyadhar B; Borawake, Sai K; Shinde, Kunaal K; Gavhane, Satyajit P.

doi:10.7439/ijbr.v5i2.527

Cited by 14 publications

(13 citation statements)

References 19 publications

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“…3 A study conducted by Varsha et al reported an overall incidence of 6%, while Vidyadhar B et al reported an incidence of 2.8% amongst gynaecology patients. 4,5 Variation in incidence rate is attributable to the fact that SSIs are multifactorial and vary from hospital to hospital depending on the patient load, type of hospital (primary/secondary/tertiary) and the patient population (high risk / low risk).…”

Section: Discussionmentioning

confidence: 99%

Surgical site infection among gynecological group: risk factors and postoperative effect

Bharatnur¹,

Agarwal²

2018

Int J Reprod Contracept Obstet Gynecol

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Background: This study was carried out to evaluate the preoperative and intraoperative risk factors associated with surgical site infection amongst gynecology patients and its impact on postoperative recovery.Methods: A prospective, observational study was conducted among 285 patientsWho underwent surgery over a period of two years. Diagnosis of SSI was made as per CDC criteria. Various risk factors and impact of SSI on postoperative recovery were analysed. Statistical analysis was carried out with SPSS version 16.0. Range and mean was calculated for continuous variables and overall incidence rate of SSI is also calculated. Pearson Chi-square test was used to test risk factor association with SSI. Odds ratios and 95% confidence intervals (CI) was calculated. Significance was assumed at a p value of less than 0.05.Results: The incidence of SSI was found to be 52 out of 285 women (46%). Majority of SSI, i.e. 49 out of 52 (94%) were superficial in nature. Deep SSI was seen in 3 patients (6%). No organ/space infection was noted in any patient. Women who were over 50 years had higher risk of developing SSI than women between 36 to 50 years (OR 0.519 Vs 0.214). The risk of SSI was 4 times in case of clean contaminated wounds as compared to clean wounds (OR 3.877). The risk further increased to 7 times in case of dirty wounds (OR 6.753). Other risk factors which are significantly associated with SSI were BMI (p value <0.001), midline incisions (p <0.001) and Mattress suture (p <0.001). Presence of previous scar had intraoperative adhesions, weaker scar and poor healing which predispose to development of SSI. Comorbidities which influence SSI’s in the present study are diabetes mellitus (OR 5.49, 95% CI 2.506-12.066, P <0.001), anaemia (OR 4.63, Cl 2.458-8.756) and hypertension (OR 2.46, Cl 0.994-6.117). Wound swab was sterile in 33(63%) cases and 18(35%) cases showed growth of the organism. Most common organism noted was E. coli 9 (50%) followed by Klebsiella and Staph aureus.Conclusions: SSIs are increasing in the current scenario due to increase in the number of surgeries, however they can be prevented by early identification and optimization of medical comorbidities and BMI. Meticulous preoperative workup and intraoperative surgical steps are important in reducing the risk of developing SSI. A decrease in infection rate can lead to substantial reduction in the burden of disease.

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Section: Discussionmentioning

confidence: 99%

Surgical site infection among gynecological group: risk factors and postoperative effect

Bharatnur¹,

Agarwal²

2018

Int J Reprod Contracept Obstet Gynecol

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“…Incidence of 2.8%, 6.12% and 7.47% has been reported by Bangal et al, (2014) from Loni, Bhadauria et al, (2013) from Wardha and Rahman et al, (2011) from Dhaka respectively. Devjani et al, (2013) from New Delhi reported a higher incidence of SSI (24.2%).…”

Section: Resultsmentioning

confidence: 92%

“…Bangal et al, (2014), Golia et al, (2014), Korol et al, (2013), have reported SSI incidence of <5%. In contrary, studies by Mundhada et al, (2015) and Mawalla et al, (2011) have reported a higher incidence of SSI.…”

Section: Resultsmentioning

confidence: 97%

“…Post-operative wound infections are one of the health care associated infections which account for 22% of HCAI, and are second most common HCAI (Gupta, 2012). In India, the SSI incidence varies from 4.04% to 30% (Bangal et al, 2014). Three major factors contribute to post-operative wound infection: a) degree of microbial contamination of the wound during surgery, b) duration of operative procedure, c) host factors (age, obesity, malnutrition, diabetes, carrier state i.e., chronic Staphylococcal carriage, immunosuppression, anaemia, renal failure, radiation etc) (Beilman et al, 2015, Barie, 2012.…”

Section: Introductionmentioning

confidence: 99%

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Aerobic Bacterial Profile of Post-Operative Wound Infections and their Antibiotic Susceptibility Pattern

Rekha¹,

Kumar²

2017

Int.J.Curr.Microbiol.App.Sci

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“…Bangal VB et al found that highest infection rate for laparotomies 11.4% followed by 10.94% for abdominal hysterectomies. 6 The infection rate was highest for laprotomy 15.62% (5/32), followed by myomectomy 12.5% (1/8), abdominal hysterectomy 6.4% (16/250). This could be explained by laparotomies were done for malignancy patients which were old age, immunocompromised, and prolonged pre-operative hospital stay and duration of operation.…”

Section: Discussionmentioning

confidence: 91%

An original research paper on incidence and risk factors for surgical site infections following major abdominal surgeries in obstetrics and gynaecology

Valecha

Saswade

2017

Int J Reprod Contracept Obstet Gynecol

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Background: Surgical site infections associated with substantial morbidity and mortality, increase in hospital stay and enhanced cost of health care. Objective of present study is to analyse the incidence of surgical site infections after major abdominal obstetrics and gynaecologic surgeries and risk factors for development SSIs.Methods: It is observational study carried out at Department of Obstetrics and Gynaecology, ESI-PGIMSR at a teaching public hospital Mumbai, Maharashtra, India. It is a tertiary care centre and a teaching hospital. Women who had undergone abdominal surgery for various Obstetrics and Gynaecology indications.Results: 7.3% of operated subjects had SSI. And significant risk factors are anemia, obesity hypoprotenemia, prolonged pre-operative hospital stay, Diabetes mellitus.Conclusions: Post-operative abdominal wound infection represents a substantial burden of disease both for the patients and the healthcare services in terms of the morbidity, mortality and economic costs.

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Study of Surgical Site Infections following Gynaecological Surgery at tertiary care teaching hospital in Rural India

Cited by 14 publications

References 19 publications

Surgical site infection among gynecological group: risk factors and postoperative effect

Surgical site infection among gynecological group: risk factors and postoperative effect

Aerobic Bacterial Profile of Post-Operative Wound Infections and their Antibiotic Susceptibility Pattern

An original research paper on incidence and risk factors for surgical site infections following major abdominal surgeries in obstetrics and gynaecology

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