Volume 30
Number 1 January 2019Wound Infection in Orthopaedic Surgery: A Cross Sectional Study at Tertiary Care Teaching Hospital in Dhaka
DOI: https://doi.org/10.47648/jmsr.2019.v3001.03
Islam N1 , Chowdhury ASM S2 , Mannan M3 , Hossain Z4 , Sabiha K5
Abstract
Infections after operative procedures caused by multiple organisms appears with pain, fever; poor wound healing, antibiotic prolongation, need in-patient longer stays and increased expenses. It increases both morbidity and mortality. A cross-sectional descriptive study was conductedat Orthopaedics ward in Holy Family Red Crescent Medical College, a tertiary care teaching hospitalin Dhaka, Bangladesh for 3-month period to identify the frequently causative bacteria of wound infections and days of appearances of such infections. Tota1135 samples from patients with mean age of 35.77*I4.38 were analyzed. Patient history and clinical findings were collected in a data collection form during the study. Fifty-sixptis samples or wound swabs were collected from infected operated area and culture and biochemical tests for aerobic bacteria were done. Total of 21 from 36 samples were growth positive cultures (58.33%) and 15 were growth negative (41.66%). Most frequent organismcausing post-operative wound infection (POW!) was Pseudomonas aeruginosa,29.57% of positive isolatesandtheir post-operative days of appearances was mostly 6-10 days with82.7% frequencies. Surgical site infection is an unsettled ongoing problem which, although, cannot be completely rusticated.However, adequatepreventivestrategies against the most commonly isolated organism and proper care of wounds may reducethe occurrences of such infection.
Keywords:
- Professor of Orthopedics
- Lecturer of Pharmacology
- Lecturer of Forensic Medicine
- Student of Applied Clinical Research Program
- Assistant Professor of Phamutcology