Surveillance Of Hospital Acquired Infection in Surgical Wards in Tertiary Care Centre Ahmedabad, Gujarat

Authors

  • Disha A Patel B.J. Medical College, Ahmedabad
  • Kiran B Patel B.J. Medical College, Ahmedabad
  • Seema K Bhatt M & J Institute
  • Hetal S Shah GMERS Medical College, Sola, Ahmedabad

Keywords:

Hospital acquired infection, surgical site infection, nosocomial infection

Abstract

Present study was undertaken to know the rate of Hospital acquired infection in general surgical wards with special reference to surgical site infections with their antibiotic resistance pattern and to find out the source of the infection to develop preventive measures to reduce the risk of hospital acquired infection.

Prospective surveillance for hospital acquired infections was performed during period from January 2006 to June 2006 in the wards of general surgery. One day prevalence study was carried out to find out rate of various hospital acquired infections. Incidence rate for Surgical Site Infection (SSI) found out by monitoring all operated cases throughout their stay, and after discharge. All surgical operation theatres were studied in detail to find out various physical parameters, policies and procedures, various cleaning procedures and fumigation.

Over all prevalence rate of hospital acquired infections in surgical wards was about 21.9% comprising of 10.9% for SSI, 8% for local blood stream infection (i.e. thrombophlebitis) 2% for urinary tract infection (UTI) and 1% for the other infection (like bed sore). Incidence rate of surgical site infections was 12.72 %. Klebsiella spp. was the most common isolate responsible for SSI. The prevalence of HAI and incidence of SSI in our hospital has encouraged the development of recommendations for prevention of such infections in our hospital.

References

Luksamijarulkul P, Parikumsil N, Poomsuwan V, et al. Nosocomial Surgical Site Infection among Photharam. J Med Assoc Thai 2006; 89 (1): 81-9.

Kamat US, Ferreira V, Savio R, et al. Antimicrobial resistance among nosocomial isolates in a teaching hospital in Goa. Indian J Community Med 2008; 33(2): 89-92.

€€Ducel G, Fabry J, Nicolle L. Prevention of hospital acquired infections - a practical guide, 2 nd ed. Geneva: WHO; 2002.

Lilani SP, Jangale N, Chaudhary A, et al. Surgical site infection in clean and clean-contaminated cases. Ind J Med Microbiol 2005; 23(4): 249-52.

Green J, Wenzel RP. Post operative wound infection. Ann surg. 1977; 185: 264-8.

Haley RW. The scientific basis for using surveillance and risk factor data to reduce nosocomial infection rates. J Hosp infect 1995; 30(suppl): 3-14.

Everett JE, Wahoff DC, Statz CL, et al. Characterization and impact of wound infection after pancreas transplantation. Arch Surg. 1994; 129: 1310-17.

Horan TC, Gaynes RP, Martone WJ, et al. TG. CDC definitions of nosocomial surgical site infection, 1992: a modification of CDC definitions of surgical wound infections. Infect Control Hosp Epidemiol 1992; 13: 606-8.

Collee JG, Fraser AG, Marmion BP, Simmons A. Culture of Bacteria. In:Mackie McCartney Practical Medical Microbiology, 14th ed,(Churchill Livingstone, London), 1996: 113-129.

National Committee for Clinical Laboratory Standards: Performance standards for antimicrobiol susceptibility testing. 8th Information Supplement M2A7. Vol 20, No 1-2, National Committee for Clinical Laboratory Standards, Villanova, Pa.

Shrivastava SP, Atal PR and singh RP. Studies on hospital infection. Ind J Surg 1969; 31: 612-21.

Shaw D, Doig CM and Douglas D. Is airbone infection in the operating theatre an important cause of wound infection in general surgery? The Lancet 1973; 1: 17-21.

deSa LA, Sathe MJ and Bapat RD. Factors influencing wound infection (a prospective study of 280 cases). J Postgrad Med 1984; 30 (4): 232-6.

Shojaei H, Borjian S, Shooshtari PJ, et al. Surveillance of clean surgical procedures: an indicator to establish a baseline of a hospital infection problem in a developing country, Iran. Ndian J Surg 2006; 68(2): 89-92.

Ganguly PS, Khan MYand Malik A. Nosocomial infections and hospital procedures. Indian J Commu Med 2000; 25(1): 39-43.

Rao's Committee (1968): Report of the Review committee on Delhi hospitals. New Delhi. Government of India Press.

Downloads

Published

2011-12-31

How to Cite

1.
Patel DA, Patel KB, Bhatt SK, Shah HS. Surveillance Of Hospital Acquired Infection in Surgical Wards in Tertiary Care Centre Ahmedabad, Gujarat. Natl J Community Med [Internet]. 2011 Dec. 31 [cited 2024 Dec. 22];2(03):340-5. Available from: https://njcmindia.com/index.php/file/article/view/1918

Issue

Vol. 2 No. 03 (2011)

Section

Original Research Articles

License

Creative Commons License

This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.

The authors retain the copyright of their article, with first publication rights granted to Medsci Publications.