Objective: To determine the spectrum of etiology and incidence of healthcare-associated infections (HAI) in obstetrics and gynecology patients and identify common organisms and their antimicrobial sensitivity patterns. Methods: This analytical descriptive study was conducted at Government Raja Mirasudhar Hospital, Thanjavur Medical College from January 2023 to December 2023. Atotal of 150 patients who developed HAI out of 20,729 admissions were analyzed. Data included demographic characteristics, comorbidities, infection types, microbiological cultures, and antimicrobial sensitivity patterns. Results: The prevalence of HAI was 0.723%. Surgical site infections (SSI) were predominant (86.7%), followed by thrombophlebitis/CLABSI (10%) and catheter-associated urinary tract infections (CAUTI) (3.3%). The majority of patients were in the 26-30 age group (39.3%). Obstetric cases comprised 80% of infections. Klebsiella pneumoniae was the most common organism (40.7%), followed by E. coli (12.7%) and Pseudomonas (10.7%). Anemia was the leading comorbidity (16.7%), followed by acute febrile illness (14.7%). Ciprooxacin showed highest sensitivity (34%), followed by cefotaxime (20%). Conclusion: HAI prevalence was relatively low but SSI remained the predominant infection type. Gram-negative organisms, particularly Klebsiella, were most common. Targeted interventions addressing risk factors like anemia and diabetes, along with appropriate antibiotic stewardship, are essential for reducing HAI burden.
Indirani et al. (Wed,) studied this question.
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