National Academy of Agricultural Sciences (NAAS)
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PRINT ISSN : 2319-7692
Online ISSN : 2319-7706 Issues : 12 per year Publisher : Excellent Publishers Email : editorijcmas@gmail.com / submit@ijcmas.com Editor-in-chief: Dr.M.Prakash Index Copernicus ICV 2018: 95.39 NAAS RATING 2020: 5.38 |
Sepsis in modern surgery continues to be a significant problem for healthcare practitioners across the globe.1Since initial antimicrobial therapy usually remains empiric; the knowledge of prevailing susceptibility patterns at individual institutions is a must. To determine the etiology of surgical site infections (SSI) in patients admitted to a tertiary care teaching hospital, study its antibiogram and the prevalence of ESBL. 200 patients who developed SSI in a teaching hospital during a period of one year were prospectively studied. Clinical records were also reviewed to assess the surgical wound, associated risk factors and outcome. 200 patients, 88 males and 112 females, who developed SSI, were studied. Of the wounds studied, 103 were from clean- contaminated wounds. The most common pathogen was Staphylococcus aureus (41.71%), followed by Klebsiella pneumoniae (19.43%) and E. coli (17.14%). MRSA prevalence was 28.77%. ESBL prevalence was also high. Most gram negative bacilli other than Pseudomonas aeruginosa were found to be resistant to 1st and 2nd line drugs and sensitive mainly to carbapenems and βlactam-βlactamase inhibitor combinations. With the increase in incidence of nosocomial infections and multi drug resistance, a meticulous and periodic surveillance of SSI is called for.
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