Why the study?
Despite recent advances, surgical site infections remain a major cause of nosocomial infection that increases morbidity, mortality, and hospital costs, requiring evaluation of the bacteriological profile and antibiogram in post-cesarean patients.
Post-cesarean surgical site infections showed a 15.33% culture positivity rate, with a high prevalence of multi-drug resistant organisms, highlighting the need for guided antibiotic therapy.
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SSI burden persists in surgical cohorts; leaves open targeted prevention strategies pending randomized data.
Surgical site infection(SSI) is among the most common causes of nosocomial infections in the literature. SSI increases the financial burden, length of hospital stays and significant morbidity and mortality of the patient. These infections have a tremendous impact on morbidity and mortality as SSIs doubled the patient’s risk of death after surgery Therefore despite all recent advances, SSI still continue to be a major problem in the hospitals even with all available modern facilities. To study bacteriological profile and their antibiogram in post cesarean patients with surgical site infections. A prospective study was conducted in the Departments of Microbiology and Obstetrics & Gynaecology, Pt. B.D. Sharma Post Graduate Institute of Medical Sciences, Rohtak over a period of one year. A total of 150 patients with post cesarean surgical wound infection were enrolled for the study. The pus discharge from SSI was collected post operatively from patients and was processed as per standard microbiological procedure. The evaluation of bacteriological profile of samples from 150 patients revealed that majority of the cultures were sterile i.e. 127 (84.6%) and bacterial growth was seen in 23 (15.33%) patients in the study population. Out of 23 isolates, 16 had monomicrobialetiology while remaining 7 had polymicrobialetiology. Result we obtained from the study is comparable to other studies in literature. Strict infection control measures like maintenance of proper hand hygiene and optimal preoperative, intraoperative and postoperative patient care will surely reduce the incidence of SSIs.
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Griwan et al. (2020) studied this question.
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