Retrospective Study of Surgical Site Infection in an Urban Centre of Eastern India

  • Amarendra Nath Roy Murshidabad Medical College, Berhampore, West Bengal, India
  • Amiya Kumar Bera Murshidabad Medical College, Berhampore, West Bengal, India
  • Jitendra Nath Pal Murshidabad Medical College, Berhampore, West Bengal, India,
  • Subhendu Das Murshidabad Medical College, Berhampore, West Bengal, India
  • Wasim Bari Murshidabad Medical College, Berhampore, West Bengal, India
  • Ujjal Bhakat Murshidabad Medical College,Berhampore, West Bengal, India
Keywords: Arthroplasty, Orthopedic operation, Prophylactic antibiotic, Surgical site infection

Abstract

Background: In compromised operation room and ward environment does extended prophylactic antibiotic for beyond 24 h
do better for preventing surgical site infection (SSI)?
Materials and Methods: In this retrospective transverse cross-sectional study 899 (major = 699 and minor = 230) post-operated
patients are investigated for the incidence of infection. The patient population is distributed in trauma, arthroplasties, and others
as 508, 106, and 285, respectively.
Results: In major procedures infection developed as superficial incisional, deep incisional, and deep organ space are 4.33%,
1.20%, and 1.05%, respectively, and average total being 6.93%. In minor procedure, the values are 2.17%, 0.43%, and 2.70%.
The incidence of SSI in arthroplasties was 11 (10.38%). Minimum period for identification for SSI 6 days in 11 cases and as late
as 53 days in 1 case. Organism prevalence was Staphylococcus aureus 51.92% (MRSA = 51.85%), Staphylococcus epidermidis
in 8, Streptococcus in 12, Escherichia coli in 2, Klebsiala in 1, and Pseudomonas in 2 cases. Combining debridement and
suitable antibiotics SSIs controlled in 27 cases and failed in 25 cases.
Conclusion: Prolonged prophylactic antibiotic use cannot reduce the incidence of SSI. It makes delay in identification of SSI
leading to difficulties in controlling it. Prophylactic antibiotic is never an alternative for the antiseptic surgical protocol.

Author Biographies

Amarendra Nath Roy, Murshidabad Medical College, Berhampore, West Bengal, India

Assistant Professor, Department of Orthopaedics,

Amiya Kumar Bera, Murshidabad Medical College, Berhampore, West Bengal, India

Associate Professor, Department of Orthopaedics, 

Jitendra Nath Pal, Murshidabad Medical College, Berhampore, West Bengal, India,

Professor, Department of Orthopaedics,

Subhendu Das, Murshidabad Medical College, Berhampore, West Bengal, India

Assistant Professor, Department of Orthopaedics,

Wasim Bari, Murshidabad Medical College, Berhampore, West Bengal, India

Assistant Professor, Department of Orthopaedics,

Ujjal Bhakat, Murshidabad Medical College,Berhampore, West Bengal, India

Clinical Tutor, Department of Orthopaedics,

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Published
2018-06-13