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Research Journal of Medical Sciences

ISSN: Online 1993-6095
ISSN: Print 1815-9346
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Assessment of Surgical Site Infections in a Tertiary Health Care Facility: A Prospective Observational Study

Drashti B. Shah, Kumar Premjeet Madhukar, Aashik Shetty and Bhavesh Pursottambhai Gohil
Page: 131-135 | Received 12 Sep 2023, Published online: 30 Sep 2023

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https://doi.org/10.36478/10.59218/makrjms.2023.9.131.135

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Abstract

Surgical Site Infections (SSIs) continue to be a significant concern in healthcare settings, contributing to patient morbidity and healthcare-associated infections. In this prospective observational study conducted at a tertiary healthcare facility, we aimed to assess the prevalence, risk factors and microbial etiology of SSIs. We conducted a comprehensive prospective observational study from January 2018 to December 2019 in the tertiary care hospital in Gujarat and Maharashtra. A total of 390 patients who underwent clean and clean-contaminated surgeries across various surgical departments were included. Patient demographics, diagnostic criteria, associated risk factors, surgical characteristics and laboratory data were collected. Patients were monitored for signs of SSI in the post-operative period. Microbiological analysis of clinical samples was performed using standard bacteriological techniques. Antimicrobial susceptibility testing was conducted following established guidelines. Our study revealed a lower overall SSI incidence rate of 6.41%, suggesting the potential effectiveness of our infection control practices. Notably, emergency surgeries exhibited a significantly higher SSI rate (13.43%) compared to elective procedures (4.05%). Predominant microbial isolates included Staphylococcus and Escherichia coli, accounting for 44 and 31% respectively, followed by Klebsiella (19%) and Acinetobacter baumannii (6%). The study highlighted an increased SSI risk among diabetic patients. Our findings underscore the importance of stringent infection control measures, particularly in emergency surgeries and among patients with comorbid conditions such as diabetes. The predominance of specific microbial isolates emphasizes the need for targeted prophylactic interventions. Continued research and quality improvement efforts are essential to further reduce the burden of SSI and enhance patient outcomes in our healthcare facility. Understanding the dynamics of SSIs within our institution is pivotal for optimizing infection control strategies and improving patient care.

How to cite this article:

Drashti B. Shah, Kumar Premjeet Madhukar, Aashik Shetty and Bhavesh Pursottambhai Gohil. Assessment of Surgical Site Infections in a Tertiary Health Care Facility: A Prospective Observational Study.
DOI: https://doi.org/10.36478/10.59218/makrjms.2023.9.131.135
URL: https://www.makhillpublications.co/view-article/1815-9346/10.59218/makrjms.2023.9.131.135