To Analyse Post Surgical Site Infection In Orthopaedics Surgery

Abstract

Introduction:Use of antibiotic where there is no evidence of infection. but expected to be exposed to pathogens that constitutes a major risk of Infection.Single dose regime, based on the most common organism, which is given at the time of infection to ensure the minimum inhibitory           concentration during skin incision. Reduces risk of surgical site infection post operatively.

Aim:To achieve <5% infection rate post operatively

Objective:Proper application of pre op antibiotics 1hr before surgery

Standard:To check proper application of pre op         antibiotics 1hr before skin incision

Type of Study: Outcome

Sample Size: 30

Period of Audit: 1/11/16 – 1/1/17 IN PSG                 HOSPITALS

Discussion:Out of 30 patients only one patient got               infected (3.3%).Pre op antibiotics play a vital role in              preventing post op infection in orthopaedic surgery.The key factors which lead to post op infections are patient age related comorbidities (T2DM ,SHT ),open injury, high           velocity trauma etc.

Recommendations:Usually a single dose is sufficient. A second dose may Be required in case of prolonged                operations and Contamination.Giving more than 1 or 2 doses post operatively or Prophylactic antibiotics until drain removal is not Advised.In order to prevent post surgical site infection in Orthopaedic surgery proper application pre op antibiotics, intra operative sterile precautions and post Op sterile dressing should be strictly followed.