SURGICAL SITE INFECTION IN EMERGENCY AND ELECTIVE LOWER SEGMENT CAESAREAN SECTION IN TERTIARY HOSPITAL

Abstract

The aim of the study is to study surgical site infections in emergency and elective LSCS and to identify etiological microbes and their antibiotic resistance pattern in tertiary hospital.

Material and methods

A total of 100 postoperative cases, 50 of emergency LSCS and 50 of elective LSCS were studied prospectively over a period of 1 year. Cases were assessed in detail with adequate history and examination of surgical site. Immunocompromised, diabetic and patients of less than age 18 were excluded from study. Swabs were taken for microbiological examination.

Results

Surgical site infection was found to be 20% out of which about 14 cases (28%) were of emergency LSCS whereas 6 (12%) were of elective LSCS. 54% were between the age group of 18- 25 yrs. 72% were from rural geographical areas. About 21% of total infections were due to gram positive bacteria of which staphylococcus aureus was most common and 27% were due to E.coli, most common in gram negative bacteria. Staphylococcus aureus was found to be maximum resistant to methicillin whereas E.coli was found to be to ceftazidime.

Conclusion

A proper assessment of risk factors and their modification may help in reducing surgical site infection rates also assessment of all the pathogens involved and their resistance pattern may help in reduction of the same. Prudent use of antibiotics are to prevent development of future resistance patterns