Abstract: Background: Postoperative SSI is the most commonly reported nosocomial infection which constitutes a major public health care problem worldwide. The overall incidence of SSI in India constitutes 10%-33%.
Materials and Methods: The prospective observational study carried out in department of Obstetrics and Gynaecology in Goa medical college, Bambolim Goa from 1st November 2017 to 30th May 2019. Collection of data was carried using predesigned and pretested proforma. Surgical site infection was examined for its type and culture and sensitivity was performed on infected wound.
Results: During this study period, 2,574 patients underwent abdominal surgeries, out of which 127 patients developed postoperative surgical site infection with the incidence rate being 4.93%. The incidence rate was found higher in emergency cases (6.74%) as compared to that of elective (2.47%). The most common causative microorganism isolated being gram positive Staphylococcus aureus (35.36%) among which is MRSA followed by gram negative Acinetobacter (21.95%). All the gram positive MRSA were sensitive to Vancomycin (70.58%), followed by Linezolid (52.94%) and cilndamycin (52.94%). Second most common bacterial isolate Acinetobacter was sensitive to linezolid (38.89%).
Conclusion: There is emergence of drug resistance to most of the microorganism strains and awareness regarding the same should be considered. The prescription of the antibiotics should be considered after the culture report and decision to change antibiotics should be at consultant level. The technique of proper dressing has to be taught to interns and junior resident.
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