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SURGICAL SITE INFECTION IN CLEAN AND CLEAN-CONTAMINATED CASES
Open accessAbstract
The rate of surgical site infections and the frequency of various pathogens causing surgical site infection with their antibiotic resistance pattern in general surgery units were studied. In the period from May 2001 to July 2002, 190 patients admitted for surgery (clean and clean-contaminated elective cases) were assessed preoperatively, intraoperatively and postoperatively. Normal microbial flora was studied within 24 to 48 hours of admission and patients were followed up to 30 days postoperatively. Infected wounds were studied bacteriologically and clinically. The overall infection rate was 8.95%. Surgical site infection rate was 3.03% in clean surgeries and 22.41% in clean-contaminated surgeries. Significant increase was seen in surgical site infection rate with an increase in preoperative stay. The increase in duration of surgery was associated with a significant rise in the rate of surgical site infection. Surgical site infection rate was much higher (22.41%) in cases where a drain was used than in non-drained wounds (3.03%). The most common isolate was Staphylococcus aureus followed by Pseudomonas aeruginosa.
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“Lilani et al. noted a substantial rise in the incidence of SSIs with a preoperative stay longer than two days.”
From Insights Into Laparoscopic Port Site Complications: A Comprehensive Review (2024) · cites this paper as [14]
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“A substantial rise in SSIs was observed for surgeries lasting two hours or more [14].”
From Insights Into Laparoscopic Port Site Complications: A Comprehensive Review (2024) · cites this paper as [14]
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“Additionally, he stated that there was no infection rate in surgeries lasting less than 30 minutes.”
From Insights Into Laparoscopic Port Site Complications: A Comprehensive Review (2024) · cites this paper as [14]
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Bacteriological Profile of Surgical Site Infections (SSIs)- A Study in a Tertiary Care Hospital
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Dhamnaskar, S., Mandal, S., Koranne, M. S., & Patil, P. (2022) · The Surgery Journal · doi:10.1055/s-0042-1749425 · Cited by 5
Chavan, A. R., & Kelkar, V. (2017) · International Journal of Surgery Open · doi:10.1016/j.ijso.2017.09.005 · Cited by 5
Metadata
- Authors
- Lilani, S., Jangale, N., Chowdhary, A., & Daver, G.
- Affiliations
- Grant Medical College and Sir Jamshedjee Jeejeebhoy Group of Hospitals (IN)
- Corresponding author
- Lilani, SP
- ORCID
- Chowdhary, A
- Venue
- Indian Journal of Medical Microbiology
- Publisher
- Elsevier BV
- Published
- 2005-10
- Volume
- 23
- Issue
- 4
- Pages
- 249-252
- ISSN
- 0255-0857 (ISSN-L)
- OpenAlex
- W1532541072
- Cited by
- 224
- References
- 18
- Citations by year
- 2026: 4 · 2025: 10 · 2024: 15 · 2023: 12 · 2022: 15 · 2021: 20 · 2020: 18 · 2019: 21 · 2018: 18 · 2017: 16 · 2016: 16 · 2015: 9 · 2014: 12 · 2013: 12 · 2012: 8
- FWCI
- 0.95
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- Indian Journal of Medical Microbiology (publishedVersion, cc-by-nc-nd)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion)
- Topics
- Health Sciences › Medicine › Surgery › Surgical site infection prevention
- Health Sciences › Medicine › Surgery › Orthopedic Infections and Treatments
- Health Sciences › Medicine › Infectious Diseases › Infection Control in Healthcare
- Keywords
- surgical site infection, clean surgery, clean-contaminated surgery, Staphylococcus aureus, Pseudomonas aeruginosa, antibiotic resistance, wound drains, duration of surgery, general surgery, postoperative infection rates
- MeSH terms
- Bacteria, Cross Infection, Humans, Population Surveillance, Surgical Procedures, Operative, Surgical Wound Infection
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