A study on clinico-demographic and microbiological profile of surgical site infection (SSI) in a tertiary care hospital, Kolkata: An alarming trend

Swagata Ganguly Bhattacharjee, Ankita Banik, Sharanya Haldar, Suman Kundu, Somnath Bhunia, Kishor Kumar Behera, Cizarina Roy, J. Dey
{"title":"A study on clinico-demographic and microbiological profile of surgical site infection (SSI) in a tertiary care hospital, Kolkata: An alarming trend","authors":"Swagata Ganguly Bhattacharjee, Ankita Banik, Sharanya Haldar, Suman Kundu, Somnath Bhunia, Kishor Kumar Behera, Cizarina Roy, J. Dey","doi":"10.18231/j.ijmr.2024.005","DOIUrl":null,"url":null,"abstract":"The Centres for Disease Control and Prevention (CDC) estimates surgical site infections SSI is major contributor of healthcare associated infections (HAI). Multidrug resistant (MDR) Gram-negative bacilli are emerging pathogens. This study aimed to determine the magnitude of SSI and identify predominant pathogens with their antimicrobial susceptibility patterns. It is a hospital-based descriptive cross-sectional study including 2070 suspected SSI specimens from 25809 surgeries between 1July 2021 to 30 June 2023. Organisms’ identification and AST was done by both conventional and automated methods. Data was collected and analysed on MS-Excel sheet with various charts and tables. In our study SSI rate was 6.3%, much higher than previous study (2.83%) from this institution. SSI rate was highest in plastic surgery (8.2%). Major pathogens of SSI were Gram-negative bacilli e.g., (26.34%), (25.59%) and (74.69%) was predominant among Gram-positive cocci. Gram-negative bacilli including enterobacterales and non-fermenter and showed resistance to major classes of broad- spectrum antibiotics. Methicillin resistance (MRSA) was 43.9%, which indicates need to improve infection control practices. Our study showed significant higher proportion of SSI as compared to previous studies from the same institute with alarming number of isolated MDR Gram-negative bacilli. So, this study focusses the need of robust infection control practices and strict implementation of antimicrobial stewardship to overcome challenges of antimicrobial resistance.","PeriodicalId":13428,"journal":{"name":"Indian Journal of Microbiology Research","volume":null,"pages":null},"PeriodicalIF":0.0000,"publicationDate":"2024-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Indian Journal of Microbiology Research","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.18231/j.ijmr.2024.005","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

The Centres for Disease Control and Prevention (CDC) estimates surgical site infections SSI is major contributor of healthcare associated infections (HAI). Multidrug resistant (MDR) Gram-negative bacilli are emerging pathogens. This study aimed to determine the magnitude of SSI and identify predominant pathogens with their antimicrobial susceptibility patterns. It is a hospital-based descriptive cross-sectional study including 2070 suspected SSI specimens from 25809 surgeries between 1July 2021 to 30 June 2023. Organisms’ identification and AST was done by both conventional and automated methods. Data was collected and analysed on MS-Excel sheet with various charts and tables. In our study SSI rate was 6.3%, much higher than previous study (2.83%) from this institution. SSI rate was highest in plastic surgery (8.2%). Major pathogens of SSI were Gram-negative bacilli e.g., (26.34%), (25.59%) and (74.69%) was predominant among Gram-positive cocci. Gram-negative bacilli including enterobacterales and non-fermenter and showed resistance to major classes of broad- spectrum antibiotics. Methicillin resistance (MRSA) was 43.9%, which indicates need to improve infection control practices. Our study showed significant higher proportion of SSI as compared to previous studies from the same institute with alarming number of isolated MDR Gram-negative bacilli. So, this study focusses the need of robust infection control practices and strict implementation of antimicrobial stewardship to overcome challenges of antimicrobial resistance.
加尔各答一家三级医院手术部位感染 (SSI) 的临床-人口学和微生物学概况研究:令人担忧的趋势
据美国疾病控制和预防中心(CDC)估计,手术部位感染 SSI 是造成医疗相关感染(HAI)的主要因素。耐多药(MDR)革兰氏阴性杆菌是新出现的病原体。本研究旨在确定 SSI 的严重程度,并确定主要病原体及其抗菌药敏感性模式。这是一项以医院为基础的描述性横断面研究,包括来自 2021 年 7 月 1 日至 2023 年 6 月 30 日期间 25809 例手术的 2070 份疑似 SSI 标本。采用传统方法和自动方法进行了微生物鉴定和 AST 分析。数据在 MS-Excel 表格中收集并分析,并附有各种图表。在我们的研究中,SSI 感染率为 6.3%,远高于该机构之前的研究(2.83%)。整形外科的 SSI 感染率最高(8.2%)。SSI 的主要病原体是革兰氏阴性杆菌,如(26.34%)、(25.59%)和(74.69%),革兰氏阳性球菌占多数。革兰氏阴性杆菌包括肠杆菌和非发酵菌,对主要类别的广谱抗生素均有耐药性。甲氧西林耐药性(MRSA)占 43.9%,这表明需要改进感染控制措施。与同一研究所以往的研究相比,我们的研究显示 SSI 的比例明显较高,而且分离出的 MDR 革兰阴性杆菌数量惊人。因此,本研究着重强调需要采取强有力的感染控制措施,并严格执行抗菌药物管理,以克服抗菌药物耐药性的挑战。
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
自引率
0.00%
发文量
0
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信