Awari A.,Kesar SAL Medical College and Research Institute |
Nighute S.,Kesar SAL Medical College and Research Institute |
Deorukhkar S.,R.M.C Loni
Journal of Clinical and Diagnostic Research | Year: 2012
A prospective study of 916 surgeries were conducted. All the wounds were examined for the presence of infection in all the 916 surgeries, out of which 840 normal surgeries and seventy six infected surgical wound infections were studied. The overall infection rate was 8.29%. The surgical infection rate in the wounds following clean surgery (class I) was 3.4%, that in clean contaminated surgeries (class II) was 7.77%, that in contaminated surgeries (class III) was 16.49% and that in dirty (class IV) surgeries was 24.67%. In the present study, the rate of infection in the emergency surgeries was not significantly higher than that in the planned and elective surgeries. The infection rate was seen to be the maximum when the duration of the pre-operative hospitalization was increased. There was a significant increase in the rate of infection as the duration of the surgeries increased. This study shows that the infection rate was higher in patients (9.98%) in whom prophylactic antibiotics were not given. The infection rate was highest in post appendicectomy wounds and lowest in wounds following hydrocele surgeries. The commonest isolates from the surgical wound infections was Staphylococcus aureus and E.coli, followed by Pseudomonas aeruginosa and Klebsiella pneumoniae.
Abhijit A.,Kesar SAL Medical College and Research Institute |
Sunita N.,Kesar SAL Medical College and Research Institute
Journal of Clinical and Diagnostic Research | Year: 2011
The present study was carried out at the College of Medical Sciences and K J Mehta Hospital, Amargadh, Dist. Bhavnagar, Gujarat, during the period from January 2010 to December 2010, to detect Salmonella (S. typhi) cases and carriers by various methods, in clinically suspected cases of enteric fever. The sensitivity of each microbiological test for the diagnosis of salmonella was also evaluated. A total of 300 blood samples, 50 controls and 100 stool samples were processed, among which 90 cases were of clinically suspected enteric fever and 10 were of gastroenteritis. One hundred stool samples from healthy individuals as the controls were processed and urine was processed in 10 cases, while CSF and pus were processed in one case each. S. typhi was the commonest isolate (75%), followed by S. Paratyphi A (15 %) and S. Paratyphi B (2.5 %) from blood, S. enteritidis (2.5 %) was isolated from pus and S. typhimurium (5 %) was isolated from the stool samples. The Widal test positivity was 38.66 % and the blood culture positivity was 12.33 %. The coagglutination test is a valuable adjuvant for the diagnosis of enteric fever. The Quinolone group of drugs is an alternative drug of choice for multi drug resistant salmonellosis. The incorporation of this drug in the base line restoration, if technically feasible, has to be advised.