European Journal of Cardiovascular Medicine

Background: SSI continues to account for 20% of all infections related to healthcare, making them the most frequent causes of postoperative morbidity and mortality. Several anecdotal investigations have found that the incidence in India is between 5% and 24%, or three to 10 times greater than in wealthy nations. The wide range in SSI rates across the world may be due to a number of patient-related factors (such as smoking, diabetes, and other comorbidities), operation-related factors (such as the length of the procedure, preoperative skin preparation), technical skills, the level of sterilisation of the surgical instruments, hospital environment, and climate. Aims and Objectives: Objective of the study was to observe prevalence of Surgical site infection (SSI) & its related Health care associated infections (HAI) in post-operative elective nurosurgery & elective laparotomy, to observe common pathogenic microorganisms causing it, to ascertain the risk factors associated with Surgical site infections, suggest measures to reduce surgical site infection (SSI) & healthcare associated infections in admitted patients, find out common etiological factors in Elective neurosurgery & Elective laparotomy cases causing surgical site infection and To suggest rationale “Antibiotic-Policy” for cases. Methods: This prospective observational study was conducted at Mahatma Gandhi Memorial Medical College & Maharaja Yeshwant Rao Hospital and allied hospitals of Indore, Madhya Pradesh under the infection control and prevention committee, Department of Microbiology, MGM Medical College, Indore (M.P.). The participants or the subjects of the study are the patients those who are admitted in the Neurosurgery and Elective laparotomy section in Department of Surgery, M.Y.H. Indore during the study period and undergone either elective Neurosurgery or elective Laparotomy. Results: The prevalence of SSI In present study is 15.53% and highest for the elective Neurosurgery. There is associated coinfection along with SSI most commonly BSI and UTIs. The investigation of 3 days from post surgery reveals 286 cases out of which 39% i.e. 87 were infected and 61% i.e. 199 were noninfected. Than 7 days suture line observation reveals that only 25 cases were indentified infected out of 174 i.e. 14%. Final outcome of the Prevalence of Surgical Site Infection is 15.53% in the study. Conclusion: Poor infrastructure of surveillance system and reduced average duration of stay causes problems in long follow-ups. Increase number of E. coli and S. aureus suggests improved hand hygiene practices during routine surgical care.