Abstract
Any purulent discharge from a closed surgical incision, after surgery, together with signs of inflammation of the surrounding tissue should be considered as Post operative (post-op) wound infection. There are two types of wounds in elective laparotomy: clean and contaminated wound Objective: To find out most causative microorganism involved in post-op wound infection in elective laparotomy cases at the Children Hospital and The Institute of Child Health Sciences, Lahore Pakistan. Methods: It was a prospective observational study conducted on patients who developed wound infection after elective laparotomy. This study was conducted in the surgical Units I and II of Children Hospital Lahore, Lahore, Pakistan. The duration of the study was 11 months from January 2019 to November 2019. 150 patients were included in this study. Data was collected by convenient sampling technique. It was a hospital-based study in which patients from both genders were included. Data was obtained by a questionnaire. Patients were asked for wound condition and surgery details were taken to find out the reasons of wound infection. The data selected was analyzed using SPSS version 21.0. Results: Out of total 150 patients who underwent elective laparotomy, 40% patients were identified with Escherichia Coli, 13.3% patients identified with Pseudomonas species, 13.3% patients had klebsiella, 6.7% patients had Pseudomonas Florescence, 6.7% people had Acinetobacter, 6.7% had Staphylococcus aureus, 13.3% did not show any growth. Conclusions: It was concluded that most abundant microorganism isolated from patients who underwent elective laparotomy was Escherichia coli. The most common reasons for wound infection were increase in number of surgeons and increase in duration of illness.
Highlights
Clean wound is a type of post-operative wound infection [1] in elective laparotomy [2], with no infection encountered, no signs of inflammation and don’t involve the respiratory [3], Gastrointestinal tract or genitourinary tract, and in which aseptic techniques are maintained, for example laparoscopic surgeries, surgeries involving skin Etc.The second type of wound infection is Clean Contaminated Wound that is created with a higher risk of infection, in which hollow viscous or organs normally containing bacteria are opened but no PBMJ Vol.4 Issue 2 Jul-Dec 2021contents are spilled [3, 4]
The objective of this study is to find out most causative microorganism involved in post op wound infection in elective laparotomy cases at the Children Hospital and The
The similar study on elective laparotomy was conducted by a group of researchers in United States of American, the sample size consisted of 300 patients, it was a hospital-based study, [20]and they found that the most abundant microorganisms isolated were E. coli and Klebsiella among other pathogens
Summary
Clean wound is a type of post-operative wound infection [1] in elective laparotomy [2], with no infection encountered, no signs of inflammation and don’t involve the respiratory [3], Gastrointestinal tract or genitourinary tract, and in which aseptic techniques are maintained, for example laparoscopic surgeries, surgeries involving skin (such as biopsies) Etc.The second type of wound infection is Clean Contaminated Wound that is created with a higher risk of infection, in which hollow viscous or organs normally containing bacteria are opened but no PBMJ Vol. Issue 2 Jul-Dec 2021contents are spilled [3, 4]. Clean wound is a type of post-operative wound infection [1] in elective laparotomy [2], with no infection encountered, no signs of inflammation and don’t involve the respiratory [3], Gastrointestinal tract or genitourinary tract, and in which aseptic techniques are maintained, for example laparoscopic surgeries, surgeries involving skin (such as biopsies) Etc.The second type of wound infection is Clean Contaminated Wound that is created with a higher risk of infection, in which hollow viscous or organs normally containing bacteria are opened but no PBMJ Vol.. Wound infections are caused mainly by bacteria originating either from skin and other parts of body, pus, poor dressing technique [3, 5]. 14.2% post-operative fever and 4.7% postoperative nausea and vomiting/wound infection. Infected wounds clinically present with pus or cloudy fluid from wound, redness/swelling around wound, pain, [5] swelling and fever [3].In a crosssectional study conducted in 2015, there were
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