Abstract

HOSPITAL MORBIDITY DUE TO POST-OPERATIVE WOUND INFECTION IN KHANAQIN GENERAL HOSPITAL IN DIYALA.

Gheyath Mohammed Jasim*

ABSTRACT

Follow up study was planned & performed to study the incidence & risk factors for post-operative wound infection following general surgical, major gynecological & obstetrical operations in Khanaqin General Hospital. This study was a part of prospective analysis of hospital-based morbidity in surgical & gynecological departments. Post-operative wound infection was documented in the specified registers in all patients following operations in general & gynecological departments from january 2016 to december 2018. There were a total of82 cases of post-operative wound infection among 2630 patients undergoing major operation giving an overall infection rate of 3.1%. The morbidity due to wound infection was higher in general surgical operations (3.7%) than in obstetrical and gynecological operations (2.8%), due to type of surgery whether clean, contaminated or dirty. Wound infection was diagnosed commonly between 4th and 6th day post-operatively. The most common causative micro-organisms isolated were E-coli and Staph-aureus. It was found that obesity and wound care were significant risk factors that led to contamination of the wound and increase morbidity due to wound infection. The relationship between the type of surgery and the chance of developing wound infection was effective. Culture and sensitivity test were found to be a beneficial test to identify and control effectively the micro-organisms causing infection. Further analysis of risk factors could play a role in minimizing the morbidity due to post-operative wound infection.

Keywords: E-coli and Staph-aureus.