Volume 18, Issue 5 (Sep-Oct 2024)                   mljgoums 2024, 18(5): 8-11 | Back to browse issues page


XML Print


Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Majid Ali S, Qayoom J, Masoodi T, Shafi A, Syed A. Aerobic bacterial profile and antibiotic susceptibility patterns of post-operative wound infections in a tertiary care hospital. mljgoums 2024; 18 (5) :8-11
URL: http://mlj.goums.ac.ir/article-1-1584-en.html
1- Clinical Microbiology, Lovely Professional University Punjab, Punjab, India
2- Department of Microbiology Sher-i-Kashmir Institute of Medical Sciences, Medical College Bemina, Srinagar, India
3- Department of Microbiology Sher-i-Kashmir Institute of Medical Sciences, Medical College Bemina, Srinagar, India ; Jaipur National University, Jaipur, India
4- Department of Microbiology Sher-i-Kashmir Institute of Medical Sciences, Medical College Bemina, Srinagar, India , microskimsmc@gmail.com
Abstract:   (1297 Views)
Background: Post-operative wound infection has been a problem since surgery was started as a treatment modality and is the third most common cause of nosocomial infections with a reported incidence rate of 14-16%. This study aimed to investigate the prevalence, isolate and identify aerobic pathogenic bacteria from surgical site infections (SSI) and to determine the antibiotic susceptibility testing (AST) pattern of pathogenic bacteria.
Methods: This study was conducted at the Department of Microbiology SKIMS-Medical College, Bemina Srinagar, over a period of six months from November 2021 to April 2022. In the study, 210 samples from patients with SSI were included. Isolation, identification, and AST of the isolates were performed by standard microbiological techniques.
Results: Out of 210 SSI samples, 163 bacterial isolates were recovered and infection rate was more in 21-30 years age group (24.2%). Gram-negative bacteria were isolated in 50.4% (82/163) cases and E. coli was the most common organism (59.75%, 49/82). Gram-negative bacteria were sensitive to imipenem and none were resistant to polymyxin-B and colistin. E. coli was mostly resistant to cefoperazone, Acinetobacter and Klebsiella species were resistant to ceftazidime, Pseudomonas and Citrobacter were resistant to ceftriaxone. Gram-positive bacteria constituted 49.6% (81/163) and Methicillin-resistant Staphylococcus aureus (MRSA) was a frequently isolated species (66.6%, 54/81). MRSA- and methicillin-sensitive Staphylococcus aureus (MSSA) were mostly sensitive to amikacin, gentamycin, and tetracycline. Moreover, none of the Gram-positive isolates were resistant to linezolid, vancomycin, and teicoplanin. Enterococcus spp was mostly resistant to gentamycin.
Conclusion: This study developed an insight into post-operative wound infections and their incidence, organisms’ prevalence, and their antibiogram. Culture positivity in suspected cases of SSI was high (77.6%). MRSA and E. coli were frequently isolated from Gram-positive and Gram-negative bacteria.
Full-Text [PDF 437 kb]   (341 Downloads) |   |   Full-Text (HTML)  (125 Views)  
Research Article: Research Article | Subject: Microbiology
Received: 2023/02/20 | Accepted: 2023/11/1 | Published: 2025/04/16 | ePublished: 2025/04/16

References
1. Naz R, Hussain SM, Ain QUl. Bacteriological Profile of Surgical Site Infections and their Antibiotic Susceptibility Pattern. SSR Inst. Int. J. Life Sci. 2019; 5(2): 2224-2229. [View at Publisher] [DOI] [Google Scholar]
2. Mengesha RE, Kasa BG, Saravanan M, Berhe DF, Wasihun AG. Aerobic bacteria in post surgical wound infections and pattern of their antimicrobial susceptibility in Ayder Teaching and Referral Hospital, Mekelle, Ethiopia. BMC Res Notes. 2014; 7: 575. [View at Publisher] [DOI] [PMID] [Google Scholar]
3. Kurhade A, Akulwar S, Mishra M, Kurhade G, Justiz-Vaillant A, et al. Bacteriological Study of Post-Operative Wound Infections in a Tertiary Care Hospital. J Bacteriol Parasitol. 2015; 6: 251. [View at Publisher] [DOI] [Google Scholar]
4. Bhatta DR, Adhikari A, Gurung JL, Amatya NM, Nayak N, Gokhle S. Bacteriological profile of surgical site infections in a tertiary care hospital of western Nepal. JGMC Nepal. 2021; 14(1): 33-8. [DOI] [Google Scholar]
5. Hohmann C, Eickhoff C, Radziwill R, Schulz M. Adherence to guidelines for antibiotic prophylaxis in surgery patients in German hospitals: a multicentre evaluation involving pharmacy interns. Infection, 2012; 40(2): 131-37. [View at Publisher] [DOI] [PMID] [Google Scholar]
6. Hohmann C, Eickhoff C, Radziwill R, Schulz M. Adherence to guidelines for antibiotic prophylaxis in surgery patients in German hospitals: a multicentre evaluation involving pharmacy interns. Infection. 2012; 40(2): 131-7. [View at Publisher] [DOI] [PMID] [Google Scholar]
7. Bangal VB, Borawake SK, Shinde KK, Gavhane SP. Study of surgical site infections following gynaecological surgery at tertiary care teaching hospital in Rural India. International Journal of Biomedical Research. 2014; 05(02): 113-16. [View at Publisher] [DOI] [Google Scholar]
8. Mahmoud M, Al-Awaysheh. Surgical Site Infections in a Tertiary Referral Hospital in Amman: Causative Bacteria and Antibiotic SusceptibilityDepartment of General Surgery. Jordan Journal of Biological Sciences. 2018; 11(2): 231 - 233. [View at Publisher] [Google Scholar]
9. Herman AM, Massenga G, Chilonga KS, Philemon RN, Katundu D. Surgical Site Infection: The Rate and Antimicrobial Sensitivity Pattern in Electively Operated Surgical and Gynecological Patients at Kilimanjaro Christian Medical Centre, Northern Tanzania. J Surg Surgical Res. 2017; 3(1): 001-005. [DOI] [Google Scholar]
10. Owens CD, Stoessel K. Surgical site infections: epidemiology, microbiology and prevention. J Hosp Infect. 2008; 70 Suppl 2: 3-10. [View at Publisher] [DOI] [PMID] [Google Scholar]
11. Venkata Raghavendra Rao A, Reena Rajan, Indra Priyadharsini, R. Aerobic Bacteriological Profile of Surgical Site Infection and their Antimicrobial Resistance Pattern at a Tertiary Care Hospital. Int.J. Curr. Microbiol. App. Sci. 2019; 8(7): 113-121. [View at Publisher] [DOI] [Google Scholar]
12. Deboral A, Bhosale NK, Umadevi S. Aerobic Bacteriological and Antibiotic Susceptibility Profile of Pus Isolates from A Tertiary Care Hospital, Puducherry. J Pure Appl Microbiol. 2020; 14(3): 1961-1966. [View at Publisher] [DOI] [Google Scholar]
13. Clinical and Laboratory Standards Institute (CLSI). Performance standards for antimicrobial susceptibility testing; thirty second informational supplement, CLSI document M100-Ed32. 2022. [View at Publisher]
14. Gayathree Naik, Srinivas R, Deshpande, study on surgical site infection caused by Staphylococcus aureus with special search for Methicillin resistance isolates. journal of clinical and diagnostic research. 2011; 5(3): 502-508. [View at Publisher] [DOI]
15. Patel SM, Patel MH, Patel SD, Soni ST, Kinariwala DM, Vegad MM. Surgical Site Infections: Incidence and Risk Factors in A Tertiary Care Hospital, Western India. Natl J Community Med. 2025; 3(02): 193-6. [View at Publisher] [Google Scholar]
16. Lilani SP, Jangale N, Chowdhary A, Daver GB. Surgical site infection in clean and clean-contaminated cases. Indian journal of medical microbiology. 2005; 23(4): 249-52. [View at Publisher] [DOI] [PMID] [Google Scholar]
17. Chia JY, Tan KW, Tay L. A survey of postoperative wound infections in obstetrics and gynaecology--the Kandang Kerbau Hospital experience. Singapore Med J. 1993; 34(3): 221-4. [View at Publisher] [PMID] [Google Scholar]
18. Garibaldi Garibaldi RA. Prevention of intraoperative wound contamination with chlorhexidine shower and scrub. J Hosp Infect. 1988; 11(Suppl B): 5-9. [View at Publisher] [DOI] [PMID] [Google Scholar]
19. Jido T, Garba I. Surgical-site Infection Following Cesarean Section in Kano, Nigeria. Ann Med Health Sci Res. 2012; 2(1): 33-6. [View at Publisher] [DOI] [PMID] [Google Scholar]
20. Giacometti A, Cirioni O, Schimizzi AM, Del Prete MS, Barchiesi F, D'Errico MM, et al. Epidemiology and microbiology of surgical wound infections. J Clin Microbiol. 2000; 38(2): 918-22. [View at Publisher] [DOI] [PMID] [Google Scholar]
21. Pal S, Sayana A, Joshi A, Juyal D. Staphylococcus aureus: A predominant cause of surgical site infections in a rural healthcare setup of Uttarakhand. J Family Med Prim Care. 2019; 8(11): 3600-3606. [View at Publisher] [DOI] [PMID] [Google Scholar]
22. Chakraborty PS, KarMahapatra S, Bal M, Roy S, et al. Isolation and identification of vancomycin resistant Staphylococcus aureus from post operative pus sample. Al Ameen J Med Sci. 2011; 4(2): 152-168. [View at Publisher] [Google Scholar]
23. Brian mawalla, Stephen E mshana ,Phillipo L Chalya, Can Imirzalloglu, William Mahalu. Predictors of Surgical site infections among patients undergoing major surgery at Bugando medical centre in North WeaternTanzania.BMC Surgery. 2011; 11: 21. [View at Publisher] [DOI] [PMID] [Google Scholar]
24. Khatiwada S, Acharya S, Poudel R, Raut S, Khanal R, Karna SL, et al. Antibiotics Sensitivity Pattern of Post-Operative Wound Infections in a Tertiary Care Hospital, Western Nepal. Research Square; 2020. [View at Publisher] [DOI]
25. Afzalunnessa Binte Lutfor, Ritu Saha, Mursheda Akter, Arpita Deb, Asif Mujtaba Mahmud and Sadia Armin Khan. Changes in Five Years among Pathogens in Wound Infection and Their Susceptibility to Antimicrobials. American Journal of Infectious Diseases and Microbiology. 2018; 6(1):1-8. [View at Publisher] [DOI] [Google Scholar]
26. Jian Y, Lv H, Liu J, Huang Q, Liu Y, Liu Q, Li M. Dynamic Changes of Staphylococcus aureus Susceptibility to Vancomycin, Teicoplanin, and Linezolid in a Central Teaching Hospital in Shanghai, China, 2008-2018. Front Microbiol. 2020; 11: 908. [View at Publisher] [DOI] [PMID] [Google Scholar]
27. Trimble MJ, Mlynárčik P, Kolář M, Hancock RE. Polymyxin: Alternative Mechanisms of Action and Resistance. Cold Spring Harb Perspect Med. 2016; 6(10): a025288. [View at Publisher] [DOI] [PMID] [Google Scholar]

Add your comments about this article : Your username or Email:
CAPTCHA

Send email to the article author


Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

© 2007 All Rights Reserved | Medical Laboratory Journal

Creative Commons License
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.