الفهرس 
Definition of surgical site infectionOnly 14 pages are availabe for public view
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Abstract
Surgical site infection (SSI) is a leading cause of healthcare-associated
infections; it is associated with high mortality, prolonged duration of hospital
stay and high use of additional resources.The aggressive use of antimicrobials
has significantly improved survival, but has also led to an increased
colonization and infection by pathogens that have resistance to current
therapies.
This study was performed at Menoufia University Hospitals to determine
bacterial pathogens frequently causing surgical site infections in our hospitals
and their antimicrobial susceptibility patterns. Also, to determine the prevalence
of multi-drug resistance among the isolated pathogens, to evaluate the different
risk factors for the development of surgical site infection and to assess infection
control practice in Surgical Department.
This study included 148 patients who were chosen randomly from those
who were admitted to General Surgery and Orthopedic Departments of Menoufia
University hospitals. The patient personal history was taken including age and sex
of the patients, residence, occupation, socioeconomic status, diabetes, obesity, type
of surgery (emergent or elective), type of wound (clean, clean contaminated,
contaminated or dirty), use of antimicrobial prophylaxis, length of the procedure,
foreign material in the surgical site e.g. drainage and length of postoperative stay.
The specimens collected were wound swabs taken by dry sterile cotton
tipped swabs or aspirated pus by sterile disposable syringes from the surgical
wounds. The specimens were processed according to standard microbiological
methods. Antimicrobial susceptibility was determined by disk diffusion method
and results were interpreted according to the Clinical and Laboratory Standard
Institute (CLSI) guidelines.