Affiliation:
1. (M.S., F.I.A.G.E.S.) Assistant Professor Department Of General Surgery G.R. Medical College.
2. (M.S.) Associate Professor Department Of General Surgery G.R. Medical College, Gwalior.
3. (MD) Professor Department Of Paediatric G.R. Medical College.
4. (M.S.) Senior Resident Department Of General Surgery G.R. Medical College.
Abstract
OBJECTIVE:-this study was designed to evaluate the postoperative wound Infection, common risk factors and the different organisms which were involved in cases of clean and clean-contaminated, contaminated and dirty surgeries.
Method and materials: - The study was conducted in the department of surgery, JA group of hospital, Gwalior in collaboration with departmental of microbiology. G.R.MEDICAL COLLEGE GWALIOR. For duration of one year. The bio data of the patients, together with their clinical features, diagnosis, the type of surgery which was performed and the development of any complications, which included wound infections, was noted and the data was analyzed.
RESULTS:-out of 150 patients, we found that age of more than 60 years was to be more risk factor 20%(5 of out of 25) and less risk factor to be present in below 20 years age group 8.33%(1 out of 12).
The incidence amongst the clean case was 2.7 %(1 out of 36), among the clean contaminated cases , it was 9.3% (6 out of 64), among the contaminated cases it was 17.6%(3 out of 17), among the dirty cases , it was 24.2%(8 out of 33). Positive cultures were obtained from the infected wounds. The commonest bacterial isolates were staph aureus(32%), S.epid, E.coli, Ps.aureginosa, Klebseilla