Study of surgical site infections in abdominal surgeries

Abstract

Background: Surgical site infections are common following the abdominal surgeries. Centre for disease control has found 45% SSI incidence in abdominal surgeries with contaminated wounds. SSI causes morbidity with additional risk of mortality and also impact on health resources and cost through increased hospital stay, repeated surgeries, nursing care cost and drug treatment. Method: This study was undertaken in surgical units of Shri. B.M.Patil Medical College, Hospital and Research Centre, Vijayapur. During the period of October 1, 2013 to September 1 ,2015. A total of 100 patients were studied. Out of 100 patients 50 were in Primary Closure group and 50 were in Delayed Primary closure group cases. The patients admitted in B.L.D.E.U.’s Shri. B. M. Patil Medical College Hospital Vijayapur attending surgical OPD who underwent exploratory laparotomy were studied. Details of patient were recorded including Clinical History, Clinical Examination, and Investigation. Result: In primary closure group, wound infection was observed in 27 patients (54 %.). The wounds of these patient were opened by removing the skin stitches only and managed by open technique with a daily Betadine socked packing, out of 27 patients, 19 underwent secondary closure and 8 of 27 patients were left open for healing by secondary intention . Conclusion: Our study showed that the main post-operative stay ,16.5 days seen in delayed primary closure group and 19.4 days in primary closure group.