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LK Bichile, JK
Correspondence Address:
AR Anvikar
Department of Microbiology, Government Medical College, Aurangabad 431 001
ABSTRACT: A prospective study of 3280 surgical wounds was conducted. All the wounds were examined for
the presence of infection; those with infection were studied bacteriologically. The overall infection rate was 6.09
percent. The infection rate in wounds following clean surgeries was 4.04 percent while in those following clean
contaminated surgeries was 10.06 percent. The increase in the pre-operative hospitalization was associated with
a signicant rise in the rate of wound infection. There was a signicant increase in the rate of infection as the
duration of surgery increased. The rate of infection in emergency surgeries was not signicantly higher than that
in planned, elective surgeries. The infection rate was highest in post-appendicectomy wounds and lowest in the
wounds following hydrocele surgeries. The infection rate was less in patients who received pre-operative
antibiotics. The most common isolate in clean surgical wounds was Klebsiella pneumoniae followed by
Staphylococcus aureus and Pseudomonas aeruginosa, suggesting the emergence of K. pneumoniae as a hospital
acquired pathogen. The strains were resistant to the commonly used antibiotics.
Wednesday, June 14, 2017
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