Online ISSN: 2515-8260

Keywords : Glycemic Control


EVALUATION OF SURGICAL SITE INFECTION IN ABDOMINAL SURGERIESIN THE DEPARTMENT OF GENERAL SURGERY IN A TERTIARY CARE CENTRE- AN OBSERVATIONAL STUDY

Dr. Bhanumati Giridharan,Dr.Pankaj Surana, Dr.Byomokesh Patro, Dr. P. Dhanasekaran,Dr. P. N. Shanmugasundaram

European Journal of Molecular & Clinical Medicine, 2022, Volume 9, Issue 3, Pages 251-258

Background: Surgical site infection is increasingly recognized as a measure of the quality of patient
care by surgeons, the incidence of SSI in our environment is still high when compared to the
developed world.
Objectives: This study was conducted to evaluate the incidence, risk factors and the types of Surgical
Site Infection (SSI) in postoperative abdominal surgeries.
Methods: Immediate postoperative period of the patients was followed up. Wound was examined on
day 2, then everyday till the day of discharge. Signs of SSI were looked for. If the patient developed
SSI in this period, then type of SSI was classified and swab culture was performed to identify the
microorganism and antibiotic sensitivity pattern. CDC (Centre for disease Prevention and Control)
criterion was used for diagnosis and classification of SSI. Patient was treated and discharged. All the
details were recorded in the proforma. The patients were followed up every week till 30 days.
Results: The SSI rate in our study was 14% and risk factors associated with SSI in our study are
smoking (p=0.001), preoperative stay of> 3days (p=0.000), ASA score (p=0.001), contaminated and
dirty wound (p=0.000), duration of surgery (p=0.010) and duration of drain placement (p=0.000).
Conclusion: Our study prompts us to look at the gaps in our surgical and infection control protocols
which will enable policy formulation that will foster a reduction in wound infection rate. SSI can be
reduced by decreasing the preoperative hospital stay, appropriate antibiotic administration policies,
adequate preoperative patient preparation, reducing the duration of surgery to minimum, judicious use
of drains and intraoperative maintenance of asepsis and following operation theatre discipline
properly.

ANALYSISIS OF SURGICAL SITE INFECTION IN ABDOMINAL SURGERIESIN THE DEPARTMENT OF GENERAL SURGERY IN A TERTIARY CARE CENTREAN OBSERVATIONAL STUDY

Dr. Bhanumati Giridharan, Dr.Pankaj Surana, Dr.Byomokesh Patro, Dr. P. Dhanasekaran,Dr. P. N. Shanmugasundaram

European Journal of Molecular & Clinical Medicine, 2022, Volume 9, Issue 3, Pages 1011-1018

Background: Surgical site infection is increasingly recognized as a measure of the quality of patient
care by surgeons, the incidence of SSI in our environment is still high when compared to the
developed world.
Objectives: This study was conducted to evaluate the incidence, risk factors and the types of Surgical
Site Infection (SSI) in postoperative abdominal surgeries.
Methods: Immediate postoperative period of the patients was followed up. Wound was examined on
day 2, then everyday till the day of discharge. Signs of SSI were looked for. If the patient developed
SSI in this period, then type of SSI was classified and swab culture was performed to identify the
microorganism and antibiotic sensitivity pattern. CDC (Centre for disease Prevention and Control)
criterion was used for diagnosis and classification of SSI. Patient was treated and discharged. All the
details were recorded in the proforma. The patients were followed up every week till 30 days.
Results: The SSI rate in our study was 14% and risk factors associated with SSI in our study are
smoking (p=0.001), preoperative stay of> 3days (p=0.000), ASA score (p=0.001), contaminated and
dirty wound (p=0.000), duration of surgery (p=0.010) and duration of drain placement (p=0.000).
Conclusion: Our study prompts us to look at the gaps in our surgical and infection control protocols
which will enable policy formulation that will foster a reduction in wound infection rate. SSI can be
reduced by decreasing the preoperative hospital stay, appropriate antibiotic administration policies,
adequate preoperative patient preparation, reducing the duration of surgery to minimum, judicious use
of drains and intraoperative maintenance of asepsis and following operation theatre discipline
properly.

EVALUATION OF SURGICAL SITE INFECTION IN ABDOMINAL SURGERIESIN THE DEPARTMENT OF GENERAL SURGERY IN A TERTIARY CARE CENTRE- AN OBSERVATIONAL STUDY.

Dr. Bhanumati Giridharan, Dr.Pankaj Surana, Dr.Byomokesh Patro, Dr. P. Dhanasekaran,Dr. P. N. Shanmugasundaram

European Journal of Molecular & Clinical Medicine, 2022, Volume 9, Issue 3, Pages 1858-1865

Background: Surgical site infection is increasingly recognized as a measure of the quality of patient
care by surgeons, the incidence of SSI in our environment is still high when compared to the
developed world.
Objectives: This study was conducted to evaluate the incidence, risk factors and the types of Surgical
Site Infection (SSI) in postoperative abdominal surgeries.
Methods: Immediate postoperative period of the patients was followed up. Wound was examined on
day 2, then everyday till the day of discharge. Signs of SSI were looked for. If the patient developed
SSI in this period, then type of SSI was classified and swab culture was performed to identify the
microorganism and antibiotic sensitivity pattern. CDC (Centre for disease Prevention and Control)
criterion was used for diagnosis and classification of SSI. Patient was treated and discharged. All the
details were recorded in the proforma. The patients were followed up every week till 30 days.
Results: The SSI rate in our study was 14% and risk factors associated with SSI in our study are
smoking (p=0.001), preoperative stay of> 3days (p=0.000), ASA score (p=0.001), contaminated and
dirty wound (p=0.000), duration of surgery (p=0.010) and duration of drain placement (p=0.000).
Conclusion: Our study prompts us to look at the gaps in our surgical and infection control protocols
which will enable policy formulation that will foster a reduction in wound infection rate. SSI can be
reduced by decreasing the preoperative hospital stay, appropriate antibiotic administration policies,
adequate preoperative patient preparation, reducing the duration of surgery to minimum, judicious use
of drains and intraoperative maintenance of asepsis and following operation theatre discipline
properly.

Assessment of association between glycemic status and Parkinson disease

Gary Batra; Sourav Bansal; Jugraj Singh; Arshdeep Singh Samra

European Journal of Molecular & Clinical Medicine, 2021, Volume 8, Issue 3, Pages 1862-1866

Background: Parkinson disease (PD) is also a major chronic disease, and its clinical significance is increasing worldwide. The present study was conducted to assess association between glycemic status and clinical stage of PD.
Materials & Methods: 89 patients of Parkinson disease (PD) of both genders were included. Sleep quality was assessed using Parkinson’s disease sleep scale (PDSS). Presence of depression was assessed using Hamilton Depression (HAM-D) Rating Scale. Presence of motor and autonomic symptoms were recorded.
Results: out of 89, males were 49 and females were 40. Autonomic dysfunction was constipation in 42, urinary symptoms in 34, sexual dysfunction in 28 and postural giddiness in 53 patients. Non- motor symptoms was sleep disorder in 23, depression in 38, pain in 21, olfactory dysfunction in 45 and cognitive dysfunction in 61. Glycated hemoglobin <5.7% was seen in 18, 5.7- 6.4 % in 23 and >6.5% in 48. The difference was significant (P< 0.05).
Conclusion: Poor glycemic control was found in most of patients with PD.