Study of surgical site infections following gynaecological surgeries in a tertiary care hospital


Affiliations

  • MVP Medical College, Department of Obstetics and Gynaecology, Nasik, Maharashtra, 422003, India
  • Dr. Vasantrao Pawar Medical College Hospital & Research Centre, Department of Obstetrics and Gynaecology, Nasik, Maharashtra, 422003, India

Abstract

Background: It was a prospective longitudinal study designed to study the incidence, risk factors and outcome of gynaecological surgeries in a tertiary care hospital.

Methods: We included all the gynaecological surgeries performed in our unit. All the cases operated outside the hospital, cases with history of surgery in past 30 days, diagnosed cases of HIV and hepatitis B were excluded. We compared the cases with SSI with the age adjusted control group of non infected patients.

Results: We found that the incidence of SSI was 10.35%. Amongst the various factors studied, we found that BMI, history of diabetes, per vaginal discharge, longer preoperative hospital stay, severe anaemia, ASA grade III, open abdominal approach, vertical incisions, class II surgeries were associated with SSI. Staphylococcus aureus is the commonest microbe isolated from surgical wounds. SSI cases have significantly longer hospital stay.

Conclusion: SSI was significantly associated with BMI, diabetes, per vaginal discharge, pre-operative hospitalization, severe anaemia, ASA grade III, open abdominal route of surgery, class II surgery, vertical incisions were associated with surgical site infection.


Keywords

Surgical Site infection, SSI, gynaecological Surgery, deep infections.

Full Text:

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