The pattern of Bacterial Growth in Infected Wounds Following Emergency Laparotomy with The Variation of Sensitivity to Antibiotics-A Study of 58 Cases

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dc.contributor.authorGalib, Asadullahilen_US
dc.contributor.authorSardar, Anirudhaen_US
dc.contributor.authorHossain, Md. Sakhawaten_US
dc.contributor.authorHuq, Md. Zahirulen_US
dc.contributor.authorHowlader, Md. Reaz Ahmeden_US
dc.contributor.authorAkramuzzaman, SMen_US
dc.date.accessioned2023-07-21T11:26:07Z
dc.date.available2023-07-21T11:26:07Z
dc.date.issued2022-10
dc.description.abstractBackground: An emergency laparotomy is a commonly performed operation by general surgeons where the abdomen is opened and the abdominal organs examined for any injury or disease. A few major indications for an emergency laparotomy are perforation peritonitis, acute intestinal obstruction, burst appendix and blunt or penetrating abdominal injuries either due to roadside accidents, fall from height or gun shot or stab injuries. The study aims to see the causative organism of wound infection and prevent misuse of antibiotics in infected wounds following emergency laparotomy.Material & Methods:This observational study was carried out in the Department of Surgery, Khulna Medical College, Khulna from July 2008 to June 2009. A total of 58 specimens consisting of wound swabs, pus, purulent exudates or wound discharge were collected from patients who had emergency laparotomy at Khulna Medical College.Results:Out of 58 patients with abdominal operation developed wound infection following emergency laparotomy, 14 cases were ileal perforation, 19 cases were duodenal ulcer perforation, and 9 cases were sigmoid volvulus, and F13 cases were small intestinal obstruction and 3 were blunt abdominal trauma. Among 58 postoperative abdominal wound infected cases all require antibiotics and regular dressing 60.34% require a secondary stitch 25.86% require no secondary stitch and 13.79% required wound excision with a secondary stitch.Conclusions:Postoperative complications are more common after emergency laparotomies compared to elective laparotomies. Maximum complications were found in patients with delayed presentation or in patients having any associated co-morbidities. Therefore, early detection and immediate intervention with better postoperative care can minimize postoperative complications. The present study suggests that proper awareness among rural populations, adequate health education to seek prompt medical aid, a good referral and efficient transportation can reduce the delayed presentation which in turn will prevent postoperative complications following emergency laparotomy.en_US
dc.identifier.affiliationsAssistant Professor, Department of Surgery, Khulna Medical College Hospital, Khulna, Bangladesh, Email: drgalib@gmail.com, Orcid ID: 0000-0001-7459-0603en_US
dc.identifier.affiliationsResident Surgeon, Department of Surgery, Khulna Medical College Hospital, Khulna, Bangladesh. Email: dr.anirudha8@gmail.com, Orcid ID: 0000-0001-6092-6946en_US
dc.identifier.affiliationsAssistant Professor, Department of Medicine, Dhaka Dental College, Dhaka, Bangladesh. Email: sakhawat2311@gmail.com, Orcid ID: 0000-0001-9383-0078en_US
dc.identifier.affiliationsRegistrar (Medicine), Khulna Medical College Hospital, Khulna, Bangladesh. Email: drgalib@gmail.com, Orcid ID: 0000-0001-7459-0603en_US
dc.identifier.affiliationsJunior consultant, Neurosurgery, Khulna Medical college hospital, Khulna, Bangladesh. Email: drgalib@gmail.com, Orcid ID: 0000-0001-7459-0603en_US
dc.identifier.affiliationsAssistant Professor, Department of Surgery, Sheikh Sayera Khatun Medical College & Hospital, Gopalganj, Bangladesh. Email: drgalib@gmail.com, Orcid ID: 0000-0001-7459-0603en_US
dc.identifier.citationGalib Asadullahil, Sardar Anirudha, Hossain Md. Sakhawat, Huq Md. Zahirul, Howlader Md. Reaz Ahmed, Akramuzzaman SM. The pattern of Bacterial Growth in Infected Wounds Following Emergency Laparotomy with The Variation of Sensitivity to Antibiotics-A Study of 58 Cases. Annals of International Medical and Dental Research. 2022 Oct; 8(5): 166-172en_US
dc.identifier.issn2395-2822
dc.identifier.issn2395-2814
dc.identifier.placeIndiaen_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/220045
dc.languageenen_US
dc.publisherScholars Publisheren_US
dc.relation.issuenumber5en_US
dc.relation.volume8en_US
dc.source.urihttps://doi.org/10.53339/aimdr.2022.8.5.22en_US
dc.subjectBacterial growthen_US
dc.subjectInfected wounden_US
dc.subject& Laparotomy.en_US
dc.titleThe pattern of Bacterial Growth in Infected Wounds Following Emergency Laparotomy with The Variation of Sensitivity to Antibiotics-A Study of 58 Casesen_US
dc.typeJournal Articleen_US
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