A study of surgical site infection in obstetrics and Gynaecological surgeries in a tertiary care set up

Background: Surgical Site Infections (SSI) is the third most commonly reported nosocomial infection which has an adverse impact on the hospital as well as on the patient. Global estimates of surgical site infection (SSI) ranges 0.5- 15%.The overall incidence of SSI in India is from 10-33%. The incidence of SSI in the Obstetric Population varies with rates ranging from 2.8-26.6%.Objectives 1. To incidence of SSI in patients operated in department obstetrics and gynaecology. 2. To identify the risk factors for SSI. 3. To study the microbiological profile and antibiotic sensitivity of SSI in our institute. 4. To recommend the preventive measures. Methodology: We conducted a 2 year retrospective study of SSI in our hospital. Total 2673 cases operated in Obstetrics and Gynaecology were included in the study. Data collection done from -SSI register, IPD files, Laboratory registers. Results: In obstetrics- anaemia, multiparity & poor pre-op preparation were found to be most common causes and in Gynaecology- advanced age was found to have most common cause. Obesity & Diabetes mellitus were common factors in both group. Escherichia coli was the commonest pathogen, followed by Staphylococcus aureus 22%. The incidence of SSI in our set up is 2.9%. Conclusion: We found that in order to decrease the incidence of SSI we should have proper preoperative work up, correction anaemia, sugar levels, active surveillance of SSI by cooperation of infection control inspectors and surgical team.