An analysis of wound infection following Total abdominal hysterectomy

Objective of this study is to find the incidence of postoperative wound infection following Total abdominal hysterectomy, risk factors involved, type of infection, organism causing infection, Antibiotic sensitivity resistance. All women undergoing TAH (Total abdominal hysterectomy) during JAN 2011 TO SEPT 2011 were followed up .women who develop wound infection are observed, wound culture taken and antibiotic sensitivity found. Obtained data s were analysed to find the incidence, type of infection, organism causing infection, antibiotic sensitivity and resistance. Out of 111 patients who underwent Total abdominal hysterectomy 22 developed wound discharge and 13(11.7) were positive for culture. All organisms causing wound infection were resistant to prophylactic antibiotic. Out of positive culture nosocomical infections were common. Risk factors like Anaemia, obesity, HT were associated with wound infection with suggestive significance p-0.062.Duration of hospital stay is increased in wound infection cases with p value0.148.Organism causing wound infections were resistant to prophylactic antibiotic (first generation cephalosporin) Hence a better antibiotic should be used in women who develop wound infection covering MRSA, MRCONS and Enterococcus group.