摘要

To estimate the incidence and risk factors of surgical site infections, to determine the antimicrobial susceptibility pattern among the organisms isolated and to assess the ability of our protocol for preoperative antibiotic prophylaxis to prevent surgical site infections (SSI), a prospective SSI surveillance in Cairo University hospital using the criteria of the Centers for Disease Control of elective procedures, 881 patients were recruited in six months. Data of surgical procedures, and preoperative antibiotic prophylaxis were collected. Patients were followed up for 30 days after surgery. The incidence of SSI infections was 9.2%. A significant increase was associated with a prolonged preoperative hospital stay, prolonged surgery, contaminated wounds and presence of the drain. The most common organism was Staphylococcus aureus (24.3%) then Klebsiella pneumonia (18.5%). MRSA constituted 68% of S. aureus, ESBL-producing Gram negative bacilli 41.8% and multidrug-resistant 25.4%. This is an insight to risk factors associated with SSI, the causative pathogens and their sensitivity in our hospital that can help in updating the preoperative antimicrobial prophylaxis.

  • 出版日期2012-3-30