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首页> 外文期刊>International Journal of Research in Medical Sciences >A study of superficial surgical site infections in a tertiary care hospital at Bangalore
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A study of superficial surgical site infections in a tertiary care hospital at Bangalore

机译:班加罗尔一家三级医院的浅表手术部位感染的研究

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Background: All postoperative surgical infections occurring in an operative site are termed surgical site infections (SSI). Superficial incisional surgical site infection occurs within 30 days after the operation and infection involves only skin or subcutaneous tissue of the incision and represents a substantial burden of disease for patients and health services. The study was conducted to know the incidence of surgical site infection in our hospital, risk factors associated with it and the antibiotic susceptibility pattern of the pathogens. Methods: This prospective study was carried out in the Department of Microbiology at Dr B R AMC for a period of 1 year from Jan 2013to Jan 2014. Samples of SSI received in the Microbiology laboratory were processed and Data collected. Results: The overall surgical site infection rate in our hospital during the study period is 4.3%. Staphylococcus aureus (S. aureus) was the most common isolate obtained followed by Escherichia coli (E. coli) and Coagulase negative Staphylococcus (CONS). Other organisms isolated were Pseudomonas aeruginosa, Enterococcus, Klebsiella pneumoniae and Proteus mirabilis. Among them, 88.8% of S. aureus and 50% of CONS isolates were methicillin-resistant strains. 80% of E. coli and 100% of Klebsiella species were ESBL producers. 50% of Enterococci were Vancomycin resistant. Risk factors like diabetes mellitus and duration plays a significant role in causing surgical site infection. Conclusion: Implementation of an effective infection control programme and judicious use of antibiotic prophylaxis reduces the incidence of SSI in the hospital.
机译:背景:在手术部位发生的所有术后手术感染均称为手术部位感染(SSI)。浅表切口手术部位感染发生在手术后30天内,感染仅涉及切口的皮肤或皮下组织,为患者和医疗服务带来了巨大的疾病负担。该研究旨在了解我院手术部位感染的发生率,与之相关的危险因素以及病原体的抗生素敏感性模式。方法:这项前瞻性研究于2013年1月至2014年1月在B R AMC博士的微生物学系进行,为期1年。对在微生物学实验室收到的SSI样品进行处理并收集数据。结果:研究期间我院总体手术部位感染率为4.3%。金黄色葡萄球菌(S. aureus)是最常见的分离株,其次是大肠杆菌(E. coli)和凝固酶阴性葡萄球菌(CONS)。分离出的其他生物是铜绿假单胞菌,肠球菌,肺炎克雷伯菌和奇异变形杆菌。其中,有88.8%的金黄色葡萄球菌和50%的CONS分离株是耐甲氧西林的菌株。 80%的大肠杆菌和100%的克雷伯菌属是ESBL生产者。 50%的肠球菌对万古霉素耐药。诸如糖尿病和病程等危险因素在引起手术部位感染中起着重要作用。结论:实施有效的感染控制程序和明智地使用抗生素预防措施可减少医院SSI的发生。

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