Online ISSN: 2515-8260

Keywords : surgical site infections


STUDY OF MICROBIOLOGICAL FLORA IN POST OPERATIVE EAR SURGERY IN A TERTIARY HEALTH CARE CENTRE

Dr. KVN Durga Prasad ,Dr P Ravi Shankar ,Dr K Sampath Kumar Singh, Dr .R Ramesh

European Journal of Molecular & Clinical Medicine, 2022, Volume 9, Issue 6, Pages 87-94

Background: Postoperative infection following mastoid exploration under strict aseptic conditions and antibiotic coverage postoperative cases of cortical and modified radical mastoidectomy do pose challenging infections. Aim: The present study identifies the organism and antibiotics to which they are sensitive. This measure prevents postoperative permanent disease and discharge and improves the success rate of surgery without complications. Materials and Methods: A total number of 120 patients of mastoid exploration with discharge were the subjects of present study. The study was carried out from Feb 2018 to Feb 2021. Result: Males were 72 who constituted 60% and females were 48 who constituted 40%. Emergency procedures were 85 who constituted 71% and elective procedures were 35 who constituted 29%. 48% (58) were clean surgeries and 52% (62) were clean contaminated surgeries, 109 (91%) of patients showed significant growth and 11 (9%) of patients had no growth. 50% of the patients had culture positivity and duration of surgery was greater than 2 hours. Diabetes is the most common risk factor   followed by hypertension. A total of 109 samples showed growth, 114 organisms were isolated. E. coli was the organism which was predominant followed by Staphylococcus aureus. Ampicillin showed maximum resistance followed by ceftazidime. Cefipime and Piperacillin showed least resistance to E.coli. Among 38 isolates, 12 (33%) were ESBL producers. Conclusion: The present study provides information about the incidence of commonest organism E. coli in post operative mastoid exploration to enable treatment of a patient immediately to prevent complications from re- infection.

STUDY OF MICROBIOLOGICAL FLORA IN POST OPERATIVE EAR SURGERY IN A TERTIARY HEALTH CARE CENTRE.

Dr. KVN Durga Prasad ,Dr P Ravi Shankar ,Dr K Sampath Kumar Singh

European Journal of Molecular & Clinical Medicine, 2022, Volume 9, Issue 6, Pages 150-156

Background: Postoperative infection following mastoid exploration under strict aseptic conditions and antibiotic coverage postoperative cases of cortical and modified radical mastoidectomy do pose challenging infections.
 Aim: The present study identifies the organism and antibiotics to which they are sensitive. This measure prevents postoperative permanent disease and discharge and improves the success rate of surgery without complications.
Materials and Methods: A total number of 120 patients of mastoid exploration with discharge were the subjects of present study. The study was carried out from Feb 2018 to Feb 2021.
Result: Males were 72 who constituted 60% and females were 48 who constituted 40%. Emergency procedures were 85 who constituted 71% and elective procedures were 35 who constituted 29%. 48% (58) were clean surgeries and 52% (62) were clean contaminated surgeries, 109 (91%) of patients showed significant growth and 11 (9%) of patients had no growth. 50% of the patients had culture positivity and duration of surgery was greater than 2 hours. Diabetes is the most common risk factor        followed by hypertension. A total of 109 samples showed growth, 114 organisms were isolated. E. coli was the organism which was predominant followed by Staphylococcus aureus. Ampicillin showed maximum resistance followed by ceftazidime. Cefipime and Piperacillin showed least resistance to E.coli. Among 38 isolates, 12 (33%) were ESBL producers.
Conclusion: The present study provides information about the incidence of commonest organism E. coli in post operative mastoid exploration to enable treatment of a patient immediately to prevent complications from re- infection.

Serum Albumin: Useful Predictors Of Surgical Site Infections In Emergency Laparotomy

Dr. Ilakkiaselvan K .

European Journal of Molecular & Clinical Medicine, 2018, Volume 5, Issue 1, Pages 524-530

Background and objectives:Emergency surgeries have been found to be associated with high
rates of surgical site infections compared to elective surgeries. This study was conducted to
determine serum albumin as predictor of SSI in emergency laparotomy as to throw light on
how to minimize SSI. This study was intended to find the association between preoperative
albumin and SSI, length of hospital stay and death in emergency laparotomy
Methodology: A prospective cohort study was conducted between April 2018 and October
2018. Among 94 patients who underwent emergency laparotomy in Department of General
Surgery. Each patient will be monitored from time of admission until the time of discharge
and followed postoperatively 30 days for surgical site infection. The predictor variable is preop
serum albumin. The outcome variables are surgical site infection, length of hospital stay
and death .The analysis was done to find association between this variable.
Results: During follow up of 94 patients, 29(30.8%) developed SSI and 7(8.5%) patients
died. The patients with serum albumin 3.5g/dl(8.7%). The patients with low albumin had
increased length of stay in hospital than those with high values. Patients with albumin 3.5g/dl
had 2.2% death. Serum albumin emerged significant to SSI after multivariate analysis. Serum
albumin had not emerged as significant to length of stay and death. Serum albumin is a good
predictor of SSI in emergency laparotomy and patients with serum albumin of < 174mg/dl
has a high risk of developing surgical site infection with sensitivity of 87.6% and the
specificity of 68.9%.
Conclusion: In this study, low albumin is associated with increased risk of SSI. Association
of serum albumin with length of stay and death could not be made. Serum albumin is a better
predictor of SSI.

Cholesterol Levels: Useful Predictors Of Surgical Site Infections In Emergency Laparotomy

Dr. Ilakkiaselvan K .

European Journal of Molecular & Clinical Medicine, 2018, Volume 5, Issue 1, Pages 531-537

Background and Objectives:Emergency surgeries have been found to be associated with
high rates of surgical site infections compared to elective surgeries. This study was conducted
to determine cholesterol as predictor of SSI in emergency laparotomy as to throw light on
how to minimize SSI. This study was intended to find the association between cholesterol
levels and SSI, length of hospital stay and death in emergency laparotomy.
Methodology: A prospective cohort study was conducted between April 2018 and October
2018 among 94 patients who underwent emergency laparotomy in Department of General
Surgery. Each patient will be monitored from time of admission until the time of discharge
and followed postoperatively 30 days for surgical site infection. The predictor variable is the
cholesterol. The outcome variables are surgical site infection, length of hospital stay and
death.The analysis was done to find association between this variable.
Results: During follow up of 94 patients, 29(30.8%) developed SSI and 7(8.5%) patients
died. Patients with cholesterol level 200mg/dl had 14.3% SSI. The patients with cholesterol
had increased length of stay in hospital than those with high values. The statistically
significant association between pre-op cholesterol and Death could not be made. Cholesterol
emerged significant to SSI after multivariate analysis. Cholesterol had not emerged as
significant to length of stay and death.
Conclusion: In this study, cholesterol is associated with increased risk of SSI. Association of
cholesterol with length of stay and death could not be made. Cholesterol concentration is a
better predictor of SSI.