Aerobic bacteria isolation from post-caesarean surgical site and their antimicrobial sensitivity pattern in Karbala city, Iraq

Abstract

Objectives Surgical site infection represents a noteworthy issue in the surgery field and nosocomial infection, which is associated with expanded healing facility stay, patient suffering, reintervention, increase expenses and use a lot of antibiotic drugs. The latter helps in appearance and spread new strains of bacteria resistant to antibiotics. The contamination of the operating theatre, patients’ rooms and the medical and paramedical staff is a major cause of nosocomial infection. The aim of the study is to determine the bacteria isolates from caesarean section wound infections and their antimicrobial susceptibility patterns.
Methods In this study, a cross-sectional survey was guided at the Hospital of Gynecology and Obstetrics and education in the holy city of Karbala-Iraq amid a time of 9 months (February 2014 to October 2014), disease after caesarean section was classified by the purulent. The study included collection 50 swabs from surgical operations patients rooms in the hospital including bed, patient dressing, as well as the nose and hands and the people working in the hospital to determine the sources of the wound infection.
Results A total of 124 wound swabs were collected (75.81% ) had given bacteria growth, while the (24.19%) did not give any growth. More than half (57.77%) (mono isolate) while (32.97%) had (two isolations) in addition (9.57%) give more than two bacteria growth. The most commonly isolated bacterial species were Staphylococcus epidermidis (31.48%), Pseudomonas aeruginosa (18,51%) and Staphylococcus aureus (14.81%). And distributed the remaining isolates Klebsiella pneumonia (9.25%), Proteus mirabilis, Escherichia coli (5.55%) for each one.
Followed by Enterococcus faceless, Acinetobacter baumannii and provident state in the rate by (3.7%). The lowest rate (1.85%) where the Citrobacter youngae, Proteus vulgaris. The results were isolated bacteria from surgical operations, patients’ rooms and hospital staff, S. epidermidis was the most common isolate (36.5%), Staphylococcus aureus 29.25%, Escherichia coli 17%, Enterococcus faeclis 9.7%, Pseudomonas aeruginosa 4.9%, Proteus mirabilis 2.4%, All bacterial strains isolated from Surgical site infections (SSI) were submitted to sensitivity testing, results showed various reactions toward different types of antibiotics used in this study.
Conclusions S. epidermidis is the most common bacteria isolation from caesarean section wound infections and from hospital environment in Hospital of Gynecology and Obstetrics and education in the holy city of Karbala-Iraq.