Abstract

ANTIBIOTIC PROPHYLAXIS AND SURGICAL SITE INFECTIONS IN HERNIA PATIENTS – AN OBSERVATIONAL STUDY IN A PRIVATE AND GOVERNMENT TERTIARY CARE HOSPITALS

Dr.Kiran Lakkol Jambulingappa*, Dr.Umakant Nagashetty Patil,
Dr.Shivashankaramurthy K G, Mr.Chetan Kumar and Dr.Apoorva B M

Abstract

Background: Surgical site infections are one of the most common causes of nosocomial globally resulting in high morbidity and mortality. The irrational prescription of antibiotics is responsible for the development of resistance to micro organisms along with economical burden to the patients. Aim: To evaluate the incidence of postoperative wound infections of patients undergoing hernia surgeries and to study the prescription pattern of prophylactic antibiotics in private and government tertiary care hospitals. Materials and methods: An observational study where patients undergoing hernia surgeries admitted in the surgical wards of private and government tertiary care hospital by selecting 30 patients from each hospitals. Data was analyzed using Microsoft Office Excel 2007 and values were presented descriptively. Results: The overall prevalence of surgical site infections in this study was 21.66%. Mean age in both the hospitals was 42(±14.23) and 49.6(±16.79) respectively and sex was 09:01and 12:01 respectively. Cephalosporins (71.73%) and Aminoglycosides (13.04%) were the most commonly prescribed class of antibiotics. The mean average duration of prescription was 2.43(±0.95) to 06 days and follow-up was 3.62(±10.1) to 09 days. Conclusion: Urgent steps like specific guidelines, training and monitoring the use of prophylactic antibiotics are needed to correct some irrational approaches to prevent the causing burden to the patients.

Keywords: Antibiotic prophylaxis, surgical site infections, hernia repair.