Indian Journal of Public Health Research & Development

Purushothama Acharya ¹

Affiliations
1 Department of General Surgery, Srinivas Institute of Medical Sciences, Mukka, Suratkal Mangalore, Karnataka, IN

Abstract

96 patients (all males) aged between 50-80 years with urinary tract infection with indwelling catheters for more than 2 weeks were studied. The reasons for catheterization -62(64.5%) had BPH, 7(7.2%) had cancer of prostate, 9(9.3%) had urethral stricture, 11(11.4%) had CVA, 2(2%) had penile cancer, 2(2%) had poly trauma, 3(3.1%) had C.V.D. Only those with monomicrobial isolates were selected for the study. The isolated organism from urine culture in a calibrated wire loop delivering 10/41 urine sample was used to inoculate blood, Mac conkey and agar plates and incubated aerobically at 37.c for 24-48 hours. Isolated colonies were biochemically identified. All isolates were tested for susceptibility to commonly used antibiotics on Mueller-Hinton agar by standard Kirby–Bauer disc diffusion method. There were 57(59.3%) e.coli, 15(15.6%) Klebsiellaspp, 7(7.2%) Enterobater sp., 5(5.2%) Acinetobacter, 12(12.5%) p. Aeruginosa infections. The susceptibility of isolated bacteria to antibiotics was studied. This practical study of urinary tract infections associated with catheterization will help the urologist to treat such patients efficiently to avoid the risk of morbidly and mortality.

Keywords

BPH= Benign Prostate Hyper Trophy, Catheter, MacConkey and CLED, Kirby-Bauer Disc.

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Purushothama Acharya ¹

Affiliations
1 Department of General Surgery, Srinivas Institute of Medical Sciences, Mukka, Suratkal Mangalore, Karnataka, IN

Abstract

There were 192 patients (110 males and 82 females) who underwent surgeries which were considered clean pre operatively (not contaminated or infected). Of these, 15(7.8%) had surgical site infections. Among 15 patients, 2(13.3%) had DM with obesity, 4(26.6%) had obesity only, 5(33.3%) had D.M. only, 2(13.3%) were anemic and 2(13.3%) had hypoalbuminemia. The surgeries in which infections observed were 4(26.6%) hydrocoelectomy, 2(13.3%) Thyroidectomy, 3(20%) Hernioplasty, 2(13.3%) lumpectomy, 2(13.3%) lipoma excision and 2(13.3%) mastectomy. The organism observed in surgical site infected area were 2(13.3%) klebesella, 5(33.3%) staphylococcus, 8(53.3%) had E.coli. Prevalence of surgical site infection varies with duration of hospital stay, increased duration of surgery, age, type of wound, electivity of procedure etc. Obesity and diabetes were also more prone to cause surgical site infection.

Keywords

SSI = Surgical Site Infection DM = Diabetes Mellitus, Nosocomial Organism.

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