Bacteriological Study on Surgical Site Infection in Rangpur Medical College and Hospital

Journal of Rangpur Medical College Pub Date : 2022-11-03 DOI:10.3329/jrpmc.v7i2.62639

Md Hamidul Islam, Minim Parvin Mishu, Nusrat Afroze, M. Mahmud, Md Shariful Islam, Md. Shahin Shah

{"title":"Bacteriological Study on Surgical Site Infection in Rangpur Medical College and Hospital","authors":"Md Hamidul Islam, Minim Parvin Mishu, Nusrat Afroze, M. Mahmud, Md Shariful Islam, Md. Shahin Shah","doi":"10.3329/jrpmc.v7i2.62639","DOIUrl":null,"url":null,"abstract":"Background: Surgical site infections (SSIs) is a major problem in both developed and developing countries. In developing countries like Bangladesh, infection in surgical patients has been appearing as a serious risk due to insurgence of drug resistance. Surgical site infections (SSIs) contribute significantly to increased health care costs in terms of prolonged hospital stay and lost working days. The problem was largely unexplored in Rangpur Medical College and Hospital, Rangpur. \nObjective: The aim of the study was to evaluate the bacteriological study on surgical site infections in Rangpur Medical College & Hospital. \nMethods: This cross-sectional observational study was conducted in the Department of Surgery at Rangpur Medical College Hospital. 72 patients of all ages, sex who developed surgical site infection were included through purposive sampling for observation and clinical follow up and wound swab was microbiologically evaluated. \nResults: Of the 72 cases, SSI developed 30.6% (22) following elective surgery and 69.4% (50) following emergency surgery. 7 cases were associated with co-morbid conditions like diabetes mellitus (2), malignancy (4) and tuberculosis (1). Most common organisms were Escherichia coli (30 /54) followed by Staphylococcous aureus (14/54), Pseudomonas (07/54) and Klebsiella (03/54).The antibiogram pattern of the organism isolated from wound swab of SSIs were analyzed with commonly used antibiotics. Resistance of Escherichia coli to Amoxycillin, Cotrimoxazole, Doxycycline and Nalidixic acid were 100%, 91.5%, 71.4% and 60.5% respectively. In case of, Staphylococcus aureus 87.5% were resistant to penicillin and Cotrimoxazole. Resistance of Pseudomonas spp. to Ciprofloxacin, Ceftazidime and Gentamicin were 31.2%. 6.3% and 50% respectively. In case of Klebsiella spp, it showed that 100% strains were resistant to Amoxycillin like Esch. coli but all strains were sensitive to both Ceftriaxon and Imipenem. \nConclusion: The study emphasizes the need for the evidence-based infection control and antibiotic prescription policies in the hospital. \nJ Rang Med Col. September 2022; Vol. 7, No. 2:12-19","PeriodicalId":370900,"journal":{"name":"Journal of Rangpur Medical College","volume":"18 1","pages":"0"},"PeriodicalIF":0.0000,"publicationDate":"2022-11-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Rangpur Medical College","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.3329/jrpmc.v7i2.62639","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}

引用次数: 0

Abstract

Background: Surgical site infections (SSIs) is a major problem in both developed and developing countries. In developing countries like Bangladesh, infection in surgical patients has been appearing as a serious risk due to insurgence of drug resistance. Surgical site infections (SSIs) contribute significantly to increased health care costs in terms of prolonged hospital stay and lost working days. The problem was largely unexplored in Rangpur Medical College and Hospital, Rangpur. Objective: The aim of the study was to evaluate the bacteriological study on surgical site infections in Rangpur Medical College & Hospital. Methods: This cross-sectional observational study was conducted in the Department of Surgery at Rangpur Medical College Hospital. 72 patients of all ages, sex who developed surgical site infection were included through purposive sampling for observation and clinical follow up and wound swab was microbiologically evaluated. Results: Of the 72 cases, SSI developed 30.6% (22) following elective surgery and 69.4% (50) following emergency surgery. 7 cases were associated with co-morbid conditions like diabetes mellitus (2), malignancy (4) and tuberculosis (1). Most common organisms were Escherichia coli (30 /54) followed by Staphylococcous aureus (14/54), Pseudomonas (07/54) and Klebsiella (03/54).The antibiogram pattern of the organism isolated from wound swab of SSIs were analyzed with commonly used antibiotics. Resistance of Escherichia coli to Amoxycillin, Cotrimoxazole, Doxycycline and Nalidixic acid were 100%, 91.5%, 71.4% and 60.5% respectively. In case of, Staphylococcus aureus 87.5% were resistant to penicillin and Cotrimoxazole. Resistance of Pseudomonas spp. to Ciprofloxacin, Ceftazidime and Gentamicin were 31.2%. 6.3% and 50% respectively. In case of Klebsiella spp, it showed that 100% strains were resistant to Amoxycillin like Esch. coli but all strains were sensitive to both Ceftriaxon and Imipenem. Conclusion: The study emphasizes the need for the evidence-based infection control and antibiotic prescription policies in the hospital. J Rang Med Col. September 2022; Vol. 7, No. 2:12-19

查看原文本刊更多论文

Rangpur医学院医院手术部位感染的细菌学研究

背景:手术部位感染(ssi)是发达国家和发展中国家的一个主要问题。在孟加拉国等发展中国家，由于耐药性的增加，手术患者的感染已经成为一个严重的风险。手术部位感染(ssi)在延长住院时间和损失工作日方面大大增加了医疗保健费用。这个问题在Rangpur的Rangpur医学院和医院基本上没有被研究过。目的:对兰浦尔医学院外科手术部位感染的细菌学研究进行评价。方法:本研究采用横断面观察方法，在Rangpur医学院附属医院外科进行，通过目的取样观察和临床随访，收集72例不同年龄、性别的手术部位感染患者，并对伤口拭子进行微生物学评价。结果:72例SSI患者中，30.6%(22例)在择期手术后发生，69.4%(50例)在急诊手术后发生。7例合并糖尿病(2例)、恶性肿瘤(4例)和结核病(1例)。最常见的病原菌为大肠杆菌(30 /54)，其次为金黄色葡萄球菌(14/54)、假单胞菌(07/54)和克雷伯菌(03/54)。用常用抗生素对伤口拭子分离的细菌进行抗菌谱分析。大肠杆菌对阿莫西林、复方新诺明、强力霉素和钠利地酸的耐药率分别为100%、91.5%、71.4%和60.5%。87.5%的金黄色葡萄球菌对青霉素和复方新诺明耐药。假单胞菌对环丙沙星、头孢他啶和庆大霉素的耐药率为31.2%。分别为6.3%和50%。以克雷伯氏菌为例，它显示100%的菌株像埃施一样对阿莫西林耐药。但所有菌株对头孢曲松和亚胺培南均敏感。结论:本研究强调了医院循证感染控制和抗生素处方政策的必要性。J Rang Med Col. 2022年9月;第七卷2:12-19

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Journal of Rangpur Medical College

自引率

0.00%

发文量