Author/Authors :
Danish Khan, Inam Classified Specialist Microbiology - Command Hospital (Northern Command) - Udhampur, India , Yadav, Akanksha III MBBS - Army College of Medical Sciences, New Delhi 110010, India , Kapoor, Umesh Senior Adviser Pathology and Head Pathology - Command Hospital (Northern Command), Udhampur, India , Joshi, Ishitta Research Scholar - Vellore Institute of Technology, Vellore, India , Pandey ORCID, Rahul Army College of Medical Sciences and Armed Forces Clinic, New Delhi 110010, India , Kumar Naik, Ananta Army College of Medical Sciences and Armed Forces Clinic, New Delhi 110010, India , Prakash, Jyoti Army Hospital Research and Referral, New Delhi 110010, India , Chowdhury, Abhimannyu Army Hospital Research and Referral, New Delhi 110010, India , Megha Brijwal Clinical Microbiology and Infectious Diseases = All India Institute of Medical Sciences, New Delhi 110029, India , Gonimadatala, Geetanjali III MBBS - Army College of Medical Sciences, New Delhi 110010, India , Bhuttay, Nehal III MBBS, Army College of Medical Sciences, New Delhi 110010, India , Makkar, Anuradha Army College of Medical Sciences and Base Hospital, New Delhi 110010, India
Abstract :
Background: Surgical site infection (SSI) includes infections occurring after 48 hours of any surgery and accounts for most of the healthcare-associated infections (HAIs) in surgical centers. Surgical site infections can result in pain, discomfort, prolonged hospital stay, increased exposure to antimicrobials, and consequentially, increased healthcare costs.
Objectives: The study intended to characterize the incidence, etiology, and emerging resistance of SSI in a 1000-bed tertiary-care teaching hospital in New Delhi.
Methods: The ambispective study was conducted in a 1000-bed tertiary-care teaching hospital in New Delhi. Clinical, laboratory, and environmental surveillance and screening of health care providers (HCPs) were conducted using the National Healthcare Safety Network (NHSN) definitions and methods given by the US Centers for Disease Control and Prevention (CDC).
Results: With 3,541 patients admitted to the Gynecology and Obstetrics Ward and General Surgical Ward of the hospital, the total episodes of SSI were 80 (2.26%). The mean rates of superficial, deep, and organ space SSI were 46.25%, 47.5%, and 6.25%, respectively. The most common organisms isolated were Acinetobacter baumannii (23.75%), Pseudomonas aeruginosa (17.5%), Escherichia coli (15%), and Staphylococcus aureus (12.5%).
Conclusions: The rate of SSI in our study was comparable to the unadjusted rates in India, lower-middle, upper-middle, and high-income countries worldwide. Patients with pre-existing medical illness, prolonged operation time, and wound contamination are strongly predisposed to surgical site infection.
