THỰC TRẠNG NHIỄM KHUẨN VẾT MỔ TẠI BỆNH VIỆN ĐA KHOA HÀ ĐÔNG

Abstract

Objectives: This study aims to describe the situation of surgical site infections at Ha Dong General Hospital in 2021. Material and Methods: A cross-sectional descriptive study was conducted through observation combined with medical record analysis of patients who had undergone surgery for ≥3 days and were being treated in the surgical departments at Ha Dong General Hospital from March 2021 to September 2021. Results: Among 155 patients, 12 cases of surgical site infections were identified, accounting for 7.7%. The surgical site infection rates were as follows: Gastrointestinal Surgery Department with 19.5%, Neurosurgery 9.1%, Urology 7.6%, Orthopedic Surgery 2.4%, and no cases were found in the Obstetrics and Gynecology Department. Out of the 12 surgical site infection cases, 8 (67.7%) had bacterial isolation performed, and four main pathogens were identified: Escherichia coli (37.5%), Pseudomonas aeruginosa (25%), Klebsiella pneumonia (25%), and Staphylococcus epidermidis (12.5%). P. aeruginosa showed 50% resistance to Levofloxacin and Piperacillin, and 100% resistance to Ticarcillin/ Clavulanic and Cefotaxime. E. coli showed 50% resistance to Ceftazidime and 100% resistance to Penicillin G and Aztreonam, Staphylococcus epidermidis exhibited 100% resistance to Erythromycin, Levofloxacin, Oxacillin, Trimethoprim/ sulfamethoxazole, and Ciprofloxacin. Conclusion: The rate of surgical site infection at Ha Dong General Hospital in 2021 was moderate (7.7%). No infections were detected in the Obstetrics and Gynecology Department. Four main pathogens were isolated: Escherichia coli, Pseudomonas aeruginosa, Klebsiella pneumonia, and Staphylococcus epidermidis.