Overview

Original Research

A RETROSPECTIVE ANALYSIS IN TERTIARY HOSPITAL FOR SURGICAL SITE INFECTIONS AFTER EMERGENCY LAPAROTOMY IN ACUTE ABDOMEN PATIENTS

KULDEEP RAJ SARANGAL 1, JAGDISH MUTREJA 2, SHASHANK RAI 3, and SUCHETA RAO 4.

Vol 18, No 11 ( 2023 )   |  DOI: 10.5281/zenodo.10153015   |   Author Affiliation: Professor, Department of General Surgery, School of Medical Sciences and Research, SMS&R, Sharda University,Greater Noida, Uttar Pradesh 1,2; Assistant Professor, Department of General Surgery, School of Medical Sciences and Research, SMS&R, Sharda University, Greater Noida, Uttar Pradesh 3; JR - III, Department of General Surgery, School of Medical Sciences and Research, SMS&R, Sharda University, Greater Noida, Uttar Pradesh 4.   |   Licensing: CC 4.0   |   Pg no: 278-285   |   Published on: 17-11-2023

Abstract

Objectives: to know about percentage of patients getting wound infection and commonly grown bacteria in emergency laparotomy incisions. Summary: Surgical site infections are very high in developing countries. Infections at surgical sites leads to delayed discharge from hospital increased cost of treatment to either government or patient themselves. We assessed the infection rate in emergency laparotomy patients and time taken for hospital stay, and treatment done with antibiotics according to culture sensitivity report. Methods: This is a retrospective study of patients who had undergone emergency laparotomy for acute abdomen for perforation peritonitis OR intestinal obstruction from Jan 2016 to Dec 2021 in a premier tertiary care hospital in north India. Most of these patients were operated upon by senior residents & assistant professors. We have primarily studied about the wound discharge and culture of bacteria grown from the wound. Results & discussion: Total 142 patients underwent emergency surgery for different reasons in 5 years. 70 patients developed surgical site infections either superficial, deep or organ specific involvement in postoperative period during hospital stay. All the patients were operated by midline incision and mass closure done. All the patients of different ages were involved in study and found that majority patients were operated for perforation of intestine or intestinal obstruction and appendicitis. 50% of operated patients developed infections at surgical site of different depth and the culture from these wounds have grown E.coli, klebsiella, Enterobacter and pseudomonas. Wounds were cleaned, drained and dressed and sensitive antibiotics were given for treatment. Majority of patients (40) with infection stayed up to 20 days in hospital whereas 30 patients stayed for more than 30 days in hospital. Conclusions: Surgical site infection rate is comparatively very high in patients operated in emergency and for bowel involvement.

Keywords

Infections In Surgical Incisions, Bacteria Grown & Wound Complication.