ANALYSIS OF ABDOMINAL SURGICAL SITE INFECTION IN OBSTETRIC AND GYNAECOLOGICAL SURGERIES IN A TEACHING HOSPITAL

Abstract

In the present study we observed 30 study cases to evaluate surgical site infection in Obstetric and Gynecological surgeries with reference to abdominal surgical incisions in Nowrosjee Wadia maternity hospital, Mumbai in study duration of 18 months. A continuous surveillance is called for, to keep a check on the occurrence of SSI. Method : This was a retrospective observational study. Result: We observed that among all cases 43% surgeries were planned in the emergency, 20% were elective while 37% were other i.e. total abdominal hysterectomy. The common causative organism was found to be E. coli, Methicillin resistant Staphylococcus aureus. Conclusion : We can reduce the rate of SSI by proper preoperative work up. We should correct patient’s diabetes, anaemia, control their blood sugar levels; treat any infective focus. Early identification of risk factors and prompt intervention can prevent further morbidities due to post-operative surgical site infection.

Keywords: Obstetrics and Gynaecological Procedure, Surgical Site Infection, E Coli, MRSA, Diabetes, Anaemia