An analysis of wound infection following Total abdominal hysterectomy

Abstract

Objective of this study is to find the incidence
of postoperative wound infection
following Total abdominal hysterectomy,
risk factors involved, type of infection,
organism causing infection, Antibiotic
sensitivity resistance. All women undergoing
TAH (Total abdominal hysterectomy)
during JAN 2011 TO SEPT 2011
were followed up .women who develop
wound infection are observed, wound
culture taken and antibiotic sensitivity
found. Obtained data s were analysed to
find the incidence, type of infection, organism
causing infection, antibiotic sensitivity
and resistance. Out of 111 patients
who underwent Total abdominal
hysterectomy 22 developed wound discharge
and 13(11.7) were positive for
culture. All organisms causing wound infection
were resistant to prophylactic antibiotic.
Out of positive culture nosocomical
infections were common. Risk factors
like Anaemia, obesity, HT were associated
with wound infection with suggestive
significance p-0.062.Duration of hospital
stay
is increased in wound infection cases with
p value0.148.Organism causing wound
infections were resistant to prophylactic antibiotic
(first generation cephalosporin)
Hence a better antibiotic should be used in
women who develop wound infection covering
MRSA, MRCONS and Enterococcus
group.