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Year : 2005  |  Volume : 23  |  Issue : 4  |  Page : 249-252

Surgical site infection in clean and clean-contaminated cases


1 Department of Microbiology, Grant Medical College and Sir J. J. Group of Hospitals, Byculla, Mumbai 400 008, India
2 Department of Surgery, Grant Medical College and Sir J. J. Group of Hospitals, Byculla, Mumbai 400 008, India

Correspondence Address:
S P Lilani
Department of Microbiology, Grant Medical College and Sir J. J. Group of Hospitals, Byculla, Mumbai 400 008
India
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Source of Support: None, Conflict of Interest: None


PMID: 16327121

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The rate of surgical site infections and the frequency of various pathogens causing surgical site infection with their antibiotic resistance pattern in general surgery units were studied. In the period from May 2001 to July 2002, 190 patients admitted for surgery (clean and clean-contaminated elective cases) were assessed preoperatively, intraoperatively and postoperatively. Normal microbial flora was studied within 24 to 48 hours of admission and patients were followed up to 30 days postoperatively. Infected wounds were studied bacteriologically and clinically. The overall infection rate was 8.95%. Surgical site infection rate was 3.03% in clean surgeries and 22.41% in clean-contaminated surgeries. Significant increase was seen in surgical site infection rate with an increase in preoperative stay. The increase in duration of surgery was associated with a significant rise in the rate of surgical site infection. Surgical site infection rate was much higher (22.41%) in cases where a drain was used than in non-drained wounds (3.03%). The most common isolate was Staphylococcus aureus followed by Pseudomonas aeruginosa .






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2004 - Indian Journal of Medical Microbiology
Published by Wolters Kluwer - Medknow

Online since April 2001, new site since 1st August '04