Distribution and Determinant of Post-Operative Wound Infection among Patients underwent Routine Abdominal Surgery

  • Md Mafiur Rahman Senior Consultant (Surgery), District Sadar Hospital, Joypurhat, Bangladesh
  • SM Shafiul Azam Chaudhury Senior Consultant (Surgery), General Hospital, Cumilla, Bangladesh
  • Md Atiqul Islam Assistant Professor, Department of Surgery, Satkhira Medical College, Satkhira, Bangladesh
  • Mohammad Khurshidul Alam Associate Professor, Department of Surgery, BGC Trust Medical College, Chittagong, Bangladesh
  • ABM Mir Mubinul Islam Senior Consultant (Surgery), District Sadar Hospital, Joypurhat, Bangladesh
  • Abu Sayeed Mohammad Associate Professor, Department of Skin & VD, Mugda Medical College, Dhaka, Bangladesh
  • Mohammad Ahtashamul Haque Assistant professor, Department of Oral and Maxillo-Facial Surgery, Dhaka Medical College, Dhaka, Bangladesh
Keywords: Distribution and determinant, post-operative, wound infection, routine abdominal surgery

Abstract

Background: Post-operative wound infection may occur after routine abdominal surgery.

Objective: The purpose of the present study was to see the distribution and determinants of post-operative wound infection among the patients underwent routine abdominal surgery.

Methodology: This non-randomized clinical trial was conducted in the different surgical units of the Department of Surgery at Sir Sallimullah Medical College & Mitford Hospital, Dhaka, Bangladesh during January 2001 to December 2002 for a period of two (02) years. In the operation theatre, after anaesthesia skin was cleaned with Povidone iodine USP 5% w/w or Spirit (70% methylated spirit in water) or Chlorhexidine. During post-operative period dressing were left undisturbed unless it was felt necessary. Unusual pain in and around the wound was considered to be an indication of infection. A swab was taken from any discharge and was sent for bacteriological examination.

Result: In this study, 50 patients were admitted as routine cases and undergone routine abdominal operations in general operation theatre. Out of 50 patients undergone routine abdominal surgery, 5 developed wound infection post operatively. Overall infection rate was 10.0%. In routine abdominal operations, infection was 9.09% in upper midline or extended midline incision, 33.33% in lower midline, 6.25% right subcostal/Kocher's. In routine abdominal operations, the rate of infection in clean contaminated wound was 11.11%, contaminated wound was 33.33%. Wound infection rate was 20.0% cases in patients with malnutrition, 14.28% cases in obesity and 16.66% cases in diabetes mellitus.

Conclusion: In conclusion post-operative wound infection is common in routine surgical operation.

Bangladesh Journal of Infectious Diseases, June 2019;6(1):16-21

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Abstract
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PDF
285
Published
2019-08-18
How to Cite
Rahman, M. M., Chaudhury, S. S., Islam, M. A., Alam, M., Islam, A. M., Mohammad, A., & Haque, M. (2019). Distribution and Determinant of Post-Operative Wound Infection among Patients underwent Routine Abdominal Surgery. Bangladesh Journal of Infectious Diseases, 6(1), 16-21. https://doi.org/10.3329/bjid.v6i1.42661
Section
Original Articles