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.
Full Text:
PDFReferences
A. Yerushalmy et al. / European Journal
of Obstetrics & Gynecology and Reproductive
Biology xxx (2008)
Kocak I, Ustum C, Gurkan N. Prophylactic
antibiotics in elective abdominal hysterectomy
procedures. Obstetric Gynaecol
108:
ACOG Antibiotic Prophylaxis for gynecologic
Int J Gynaecol Obstet 2005; 90: 157-8
Jabeen S, Rahim R. single dose versus
multidose Ceph-radine as antibiotic
prophylaxis in elective abdominalhysterectomy
: a randomized control trial. J
prostgrad Med Inst 2007; 21: 50-4.
Cardo D, Horan T, Andres M et al.
National Nosocomial Infections Surveillance
(NNIS) system report, data summary
from January 1992 throughJune
, issued October 2004. Am J Infect
Control. 2004;32:470-85.
Duff P. Prophylactic antibiotics for
hysterectomy.Contemp Obstet Gynecol
;42:21-6.
Sweet RL, Gibbs RS.Antibiotic prophylaxis
in obstetrics and gynecology.
In: Infectious Diseases of the Female
Genital Tract, 4th edition.Philadelphia,
Lippincott.
Cutting K, Harding K. Criteria for
identifying wound infection. J Wound
Care 1994; 3(4): 198-201.
Cooper R, Kingsley A, White R.
Wound Infection and Microbiology. :
Medical Communications (UK) Ltd for
Johnson & Johnson Medical, 2003
.10) Singhal, Hemant, and Charles
Zammit. "WoundInfection." eMedicine.
Eds. Brian James Daley, et al. 23 Jul.
Medscape. 3 Nov. 2004
Techniques known to prevent post
– operative Wound infection, Ronald
Lee Nichols,Infection Control;Vol 3,
NO.1 (Jan – Feb.,1982),pp. 34-37
J Obstet Gynecol India Vol. 60, No.
: September / October 2010 pg 419 –
Antibiotic prophylaxis for hysterectomy
and cesareansection:Amoxicillinclavulanic
acid versus cefazolin :Shetty
Jyothi1, Vyas Neetha M2, Kumar
Pratap3, Kamath Asha4
Chongsomchai C, Lumbiganon P,
Thinkhamrop J et al.Placebo-controlled,
double-blind, randomized study of prophylactic
antibiotics in elective abdominal
hysterectomy. J Hosp Infect
;52:302-6.
Henry D, Muriel FR, Hirway P. sustaining
improve-ment in surgical infection
prevention measures for hysterectomy.
J Healthc Qual. 2007; 29: 50-6.
Lofgren M, Poromaa I S, Stjerndahi
JH,Renstrom B. Post operative infection
and antibiotic prophylaxis for hysterectomy
in Sweden: A study by the Swedish
National Register for Gynaecologic surgery.
Acta Obstet J, Gynecol Scand
; 83: 1202-7
Reduction of hospital cost and administration
of prophylactic antibiotherapy
in gynecological surgery.Matkaris M,
Markantes K, Stayannis K, Iatrakis G,
Kourounis G, Tzingounis V.Isr J Med
Sci. 1991 Mar;27(3):134-6
BJOG 2004 Jul;111(7):695-
Antisepsis for abdominal hysterectomy:
a randomised controlled trial of
povidone - iodinegel.Eason E, Wells
G,Garber G, Hemmings R,Luskey G,
Gillett P, Martin.
Ledger WJ. Prophylactic antibiotics
in obstetric-gyne-cology: a current asset,
a future liability? Expert Rev Anti Infect
Ther. 2006; 4: 957-64.20) Boriboonhirunsarn D, Lauwahutanont
P, et al. Usage of prophylactic antibiotics
in uncomplicated gynaecologic
Matteso KA, Peiper JF, Hirway P,
Cotter K, Dil Luigi AJ, Jamshidi RM. Factors
associated with increased charges
forhysterectomy. Obstet Gynecol 2006;
: 1057-63.
Schwandt A et al. prospective analysis
of a fever evalu-ation algorithm after
major gynecologic surgery. Am J Obstet-
Gynecol 2001; 184: 1066-7.
McNally CG, Krivak TC et al. conservative
manage-ment of post hysterectomy
fever. J Reprod Med 2000; 45: 572-6.
Rodriguez JF, Trobo AR, et al. the
effect of perfor-mance feed back on
wound infection rate in abdominalhysterectomy.
Am J Infect Control. 2006; 34:
-7.
Berek & Novaks Gynaecology ; Fourteenth
edition
Refbacks
- There are currently no refbacks.
This work is licensed under a Creative Commons Attribution-NoDerivatives 4.0 International License.
An Initiative of The Tamil Nadu Dr MGR Medical University