BACTERIAL ISOLATES AND THEIR ANTIBIOTIC SENSITIVITY PATTERN FROM POST SURGICAL WOUND INFECTIONS IN POST NATAL WOMEN ATTENDING A TERTIARY CARE TEACHING HOSPITAL

Dr. P. Sunitha and Dr. Ch. Navaneetha*

ABSTRACT

Background: Surgical site infections (SSI) is among the most common causes of health care associated infections of which post caesarean wound infection is a major cause of long duration hospital stay, high morbidity and mortality especially in resource-limited settings. Materials and Methods: 644 pus samples were collected from patients with purulent discharge, fever (>38C), pain or tenderness, localized swelling redness. Samples were prcocessed for staining and culture& sensitivity following standard microbiological techniques. Results: Out of 644 samples 214 were in age group of 25-29 yrs. 32% were primigravida and 60% were multipara (1-4). Out of 644 infected cases 92.2% were culture positive. Staphylococcus aures 32% was the primary pathogen identified followed by gram negative oragnisms Escherichia coli 28% and Klebseilla sp 16%. Staphylococcus was more sensitive to amikacin and gentamicin. Gram negative organism were more sensitive to cephalosporins. Conclusion: Proper assessment of risk factors that predispose to SSI, identification of the microorganisms and their sensitivity pattern is necessary to formulate the antibiotic policy is necessary so as to reduce the incidence of surgical site infections.

Keywords: Post natal, post surgical infection, caesarean, pus.