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KMID : 0378019730160030062
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New Medical Journal
1973 Volume.16 No. 3 p.62 ~ p.66
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Postoperative Wound Infection (I)
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Abstract
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This paper was based on the 91 cases of postoperative wound infection which were encountered in the Dept. of Surgery, S.N.U. Hospital during the period of Jan. 1972 through Dec. 1972. The results are:
1. Incidence of wound infection after surgery is 10.6%. (Total number of surgery are 856 cases) 2. No significant correlations about sex and age distribution are observed. 3. Obesity is not contributing factor for postoperative wound infection. 4. The rate of wound infection was higher in contaminated wound than clean one. 5. The severity of infection is more marked in more contaminated wound. 6. Classification and rate of organism isolated from infected wounds are:
Coagulase (-1--) Staph. 14.5%
Coagulase (-) Staph. 1.4
E. coli 33.3
Coliform bacteria 13.0%
Pseudomonas species 14.5
Proteus 13.0%
Klebsiella 7.2
Others 5.7
7. Antibiotics used for sensitivity test are penicillin, streptomycin, chloramphenicol, oxytetraey￢
cline, ampicillin, cloxacillin, lincomycin, kanamycin, gentamycin, and neomycin.
Resistant strains for all antibiotics are: Staph. Ono
E. coli 17.4%
Coliform 33.3%
Pseudomonas 30.0%
Proteus 14.3
Klebsiella 80.0
8. In coagulase (+) staphylococcal infection, more effective antibiotics are neomycin, streptomycin
and kanamycin.
9. In gram negative bacterial infection, more effective antibiotics are gentamycin, kanamycin oxytetracycline and chloramphenicol in order of efficacy.
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