Bacteriological Study of Post-Operative Wound Infections in a Tertiary Care HospitalArvind Kurhade1, Suresh Akulwar2, Meena Mishra2, Geeta Kurhade3, Angel Justiz-Vaillant1*, Krutika Kurhade4, Sehlule Vuma1 and Sudhir Lakhdive5
- *Corresponding Author:
- Angel Justiz-Vaillant
Department of Para-clinical Sciences
University of the West Indies, Trinidad and Tobago
Tel: (868) 662-2002
E-mail: [email protected]
Received date: October 14, 2015 Accepted date: November 26, 2015 Published date: November 30, 2015
Citation: Kurhade A, Akulwar S, Mishra M, Kurhade G, Justiz-Vaillant A, et al. (2015) Bacteriological Study of Post-Operative Wound Infections in a Tertiary Care Hospital. J Bacteriol Parasitol 6:251. doi: 10.4172/2155-9597.1000251
Copyright: © 2015 Kurhade A, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Out of 800 patients admitted for surgery 116 (14.5%) suffered from wound infections. Of these, 57 out of 277 (20.58%) were emergency surgery patients and 59 out of 523 (11.28%) were elective surgery. The infection rate was 32.2% in dirty wounds followed by 29.22% in contaminated wounds, 9.0% in clean-contaminated and 3.85% in clean wounds. There were significantly more infections in wounds with drains (21.79%) than without drains (10.37%) P<0.01). Only 8.37% with pre-operative antibiotic prophylaxis developed infection as compared to 24.83% without antibiotic prophylaxis. The bacterial profile showed polymicrobial flora comprising of Staphylococcus aureus (26.51%), Pseudomonas aeruginosa (18.18%), Escherichia coli (15.9%), Klebsiella pneumoniae (11.36%), Coagulase negative Staphylococcus (6.81%), Bacteroides species (5.30%), Proteus mirabilis (4.54%), Beta Haemolytic Streptococci (3.78%), Peptococcus species (3.03%), Proteus vulgaris and Citrobacter species (2.27%) each. Both Gram positive and Gram negative bacterial isolates were multi drug resistant. Post-operative wound infections are a serious medical problem that has to be tackled due to its increased morbidity, mortality and medical care costs. An active surveillance program is recommended.