SURGICAL SITE INFECTION AMONG GYNAECOLOGICAL AND OBSTETRIC ABDOMINAL SURGERIES

Introduction: Present study was conducted to find the incidence and risk factors of surgical site infection among gynaecological & obstetric elective and emergency abdominal surgeries. Materials & Methods: A hospital based prospective analytical study was conducted at Department of Obstetrics and Gynaecology, Bharati Vidyapeeth University Medical College and Bharati Hospital. A total of 100 females undergoing abdominal surgeries at our hospital were selected for study after informed consent. Patients undergoing surgeries were graded according to ASA score. Operated patients were followed up regularly, during the post-operative period. The wound was classified as per CDC criteria and were checked on 3rd post operatively day routinely and later according to the complaints of the patients. Presence of erythema, pain and discharge were taken as signs of surgical site infection. Wound swab were taken from where the discharge was present and sent for culture and sensitivity. Results: Prevalence of Surgical site infections in present study was 10%. Most common organism isolated from SSI site was Staph. Aureus (4 cases) followed by E.coli (2 cases) and Klebsilla (2 cases). Prevalence of SSI was 11.1% in gynaecological procedures while it was 9.1% in obstetric procedures (p-0.75). A significant association was observed between prevalence of SSI and higher ASA grade, BMI, presence of diabetes and contaminated wounds. Conclusion: The key risk factors for surgical site infection identified in present study were: elevated BMI, poor pre-op health status, diabetes, emergency procedure and contamination of wounds. The multiple risk factors identified in the present study can be helpful for SSI risk stratification and prioritizing interventions in low-middle income countries.