1. "MICROBIOLOGICAL ANALYSIS OF APPENDECTOMY SPECIMENS AND ITS CORRELATION WITH POSTOPERATIVE WOUND INFECTIONS".
- Author
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TOPPO, ARADHANA, INDORIA, CHANDRASHEKHAR, KAUR, SURENDER, MATHIAS, ANUNITI, and MESHRAM, SUNITA
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SURGICAL site infections , *SURGICAL emergencies , *SURGICAL site , *AEROBIC bacteria , *APPENDECTOMY , *WOUND infections - Abstract
Introduction: Acute appendicitis, a prevalent surgical emergency that frequently necessitates an appendectomy. It underscores the critical complication of postoperative wound infections, which can result in heightened morbidity and increased healthcare expenditures. The objective of this investigation is to analyze the predominant organisms identified in appendectomy specimens, along with their antibiotic resistance patterns, particularly in cases of complicated appendicitis, in order to assess their correlation with postoperative wound infections. Materials and Methods: A prospective observational study conducted over a 12-month period, focusing on patients undergoing appendectomy for suspected acute appendicitis. The study excluded individuals who had recently received antibiotics or who had immunocompromised conditions. Microbiological profiles of appendectomy specimens and postoperative wound infections were collected and analysed. Data were analyzed using SPSS, employing statistical methods to determine significant associations, with a significance level set at p < 0.05. Results: The study found that Escherichia coli was the most common aerobic bacterium isolated in appendicectomy specimens and postoperative postoperative wound infection. Aminopenicillins and ceftriaxone showed the highest antibiotic resistance rates. Staphylococcus aureus was strongly associated with wound infections, while Escherichia coli showed a moderately positive association. Bacteroides species showed a negative association. This study confirms Escherichia coli as the primary pathogen in appendectomy-related wound infections, with significant implications for postoperative care. Despite its lower prevalence, Staphylococcus aureus shows a strong association with wound infections, emphasizing the need for vigilant screening and targeted prophylaxis. The observed resistance to Ampicillin, Amoxicillin and Ceftriaxone underscores the necessity for localized antimicrobial strategies. The potential protective role of Bacteroides species invites further exploration into microbial dynamics in surgical wounds. [ABSTRACT FROM AUTHOR]
- Published
- 2024