Factors of Post-operative wound infection in abdominal surgeries of Obstetrics and Gynaecology department

  • Jahanara Rahman Associate Professor,Department of Obstetrics and Gynaecology, Dhaka National Medical College,
  • Nasreen Sultana Assistant Professor, Department of Obstetrics and Gynaecology,Dhaka National Medical College
  • Munir Hasan Head of the department of Microbiology, Dhaka National Medical College
  • Hosne Ara Begum Head of the department of Obstetrics and Gynaecology, Dhaka National Medical College.
Keywords: Wound infection, factors, abdominal surgery

Abstract

A cross-sectional descriptive study was carried out in Obstetrics and Gynecology department, unit I of Dhaka National Medical College Hospital between June 2010 and May 2011. The objectives of the study were to find out the predisposing factors and to identify the organism causing post-operative wound infection. Out of 530 patients who underwent major abdominal surgery, 40 developed wound infection and were included in this study. Mean age of the population was 29.73 SD± 94, ranges 18 to 60 years, all were female, 75% of them were literate and 55% respondents came from middle class and affluent society. Sixty percent population was multiparous. Anaemia and raised blood sugar was found in 70% and 27% of the population respectively. The respondents under went caesarean section (71%), total abdominal hysterectomy (27%) and laparotomy (2%). Wound infection appeared within 5th day, 6th to 10th day and beyond 10th day of operation in 22.5%, 52.5% and 25% cases respectively. Wound discharge was serosanguinous in 50% cases. Bloody, purulent and no discharge was found in 10%, 30% and 10% wound respectively. Growth of Staphylococcus was noticed in 30% culture wound swab. Besides this, E coli, Pseudomonas, Klebsiella, Mycobacterium tuberculosis and other Coliform bacilli was found in 20%, 5%, 5%, 2.5% and 2.5% of growth. In 35% cases no growth of organism took place.

DOI: http://dx.doi.org/10.3329/jdnmch.v18i1.12239

J. Dhaka National Med. Coll. Hos. 2012; 18 (01): 39-42

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Abstract
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Published
2012-10-19
How to Cite
Rahman, J., Sultana, N., Hasan, M., & Begum, H. (2012). Factors of Post-operative wound infection in abdominal surgeries of Obstetrics and Gynaecology department. Journal of Dhaka National Medical College & Hospital, 18(1), 39-42. https://doi.org/10.3329/jdnmch.v18i1.12239
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Original Articles