Key result
The overall incidence of surgical site infection following operative procedures in obstetrics and gynaecology was 9.17%, with Staphylococcus aureus as the most common pathogen (38%).
Why the study?
Surgical site infection is one of the most common complications after operative procedures, prompting evaluation of its incidence, causative organisms, and antimicrobial susceptibility in obstetrics and gynaecology.
Observational
No
Highlights the emergence of drug-resistant strains like MRSA and Pseudomonas in obstetric and gynaecological surgical site infections, emphasizing the need for local antibiotic protocols.
Hypothesis-generating for SSI burden in obstetrics and gynecology; prospective studies needed before updating local protocols.
Background: Surgical site infection is one of the most common complications after any operative procedure. Aim: To determine the incidence of postoperative surgical site infection in Obstetrics and Gynaecology and also to identify the common causative organisms and their susceptibility to antimicrobials. Material & Methods: We have analysed data from all the postoperative patients suffering from Surgical Site Infection (SSI), from December 2018 to November 2019 in Andaman and Nicobar Islands Institute of Medical Sciences (ANIIMS). Result: Overall incidence of SSI was 9.17%. Staphylococcus aureus was the most common organism identified (38%), with a high incidence of Methicillin Resistant Staphylococcus Aureus (MRSA) (42.86%), followed by Pseudomonas (23.91%). Overall gram-negative bacteria were responsible for more than half of the cases. All the staphylococcal isolates including MRSA were susceptible to linezolid and regarding antibiotic susceptibility of gram-negative organisms, imipenem and piperacillin-tazobactam were most effective. Conclusion: There is emergence of drug-resistant strains of different bacteria such as Pseudomonas and coagulase-negative Staphylococcus. Injudicious use of antibiotics is one of the reasons for this and, hence, there is need for a proper antibiotic protocol that should be formulated based on local trends and susceptibility of microorganisms. How to cite this article:Malakar A, Gopalan P, Barik S, Ray A. A Study on the Incidence of Surgical site Infections and related Pathogens in Obstetrics & Gynaecology in a Tertiary Care Hospital in Andaman & Nicobar Islands. Epidem Int 2019; 4(4): 20-24. DOI: https://doi.org/10.24321/2455.7048.201920
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Parthasarathy Gopalan (2020) conducted an observational in Surgical site infection in Obstetrics and Gynaecology. Operative procedures in Obstetrics and Gynaecology was evaluated on Incidence of surgical site infection. The overall incidence of surgical site infection following operative procedures in obstetrics and gynaecology was 9.17%, with Staphylococcus aureus as the most common pathogen (38%).
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