World Journal of
Pharmaceutical and Life Sciences

BACTERIOLOGICAL STUDY FOR POST - OPERATIVE SURGICAL SITE INFECTION AND MEROPENEM RESISTANCE IN BAQUBA TEACHING HOSPITAL

Ali Ahmed Mahdi*, Burooj M. Razooqi Al-aajem and Mohammed Ahmed AL- Karkhi

ABSTRACT

Background: Postoperative SSI is the most common nosocomial infections in surgical patients. They lead to increased morbidity and mortality, prolonged hospital, and on average double the cost of medical care. Objective:-To assess of the bacteriological rate in the post - operative surgical site infection and meropenem resistant in Baquba teaching hospital. Materials and Methods: This study was done in the Baquba teaching hospital in Diyala province for the period from November 2017 to June 2018. 80 swabs were taken from different surgical site infection included:- Wound infection, Burn infection, Diabetic foot infection, Blast injury, Abdominal surgery, Testicular abscess, Protectomy, Cystectomy, Splenectomy, Breast surgery, Appendectomy, Hysterectomy, Colorectomy, Oophorectomy and others surgery. Swabs were taken cultured on different culture media and submitted to a serial of different biochemical tests for the diagnosis of type of bacteria. Results: In this study, 80 swabs were taken from different surgical site infections. The result showed that the higher rate of infection in wound infection was 16(20.0%), 15(18.8%) burn infection, 12(15.0%) diabetic foot infection, 7(8.8) blast injury, 5(6.2%) abdominal surgery and 3(3.8%) testicular abscess. The infection in males was (60%) more than females was (40%) in all types of surgery. The result also showed was 48 (60.0%) swabs show positive results for bacterial growth as single and mixed isolate, and 32(40.0%) were negative (no growth). The result also showed that the higher frequency rate of bacterial isolate from all type of surgery was 16(20.0%) Staphylococcus aureus, 13(16.2%) Acinetobacter.Spp and 10(12.5%) E.coli. The total rate of sensitive bacterial isolate was 28(58.3%) compared with resistant bacterial isolate was 18(37.5%) and 2(4.2%) one type resistant and other sensitive. Conclusion: There was predominance of Gram negative from SSIs, with Staphylococcus aureus being the most common isolates. The present study also found Acinetobacter baumannii, Staphylococcus aureus and E.coli were the most resistant microorganism to meropenem drug in Baquba Teaching Hospital.

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