Please use this identifier to cite or link to this item: https://doi.org/10.1016/0195-6701(92)90080-6
Title: A study of 245 infected surgical wounds in Singapore
Authors: Esuvaranathan, K. 
Kuan, Y.F.
Kumarasinghe, G.
Bassett, D.C.J.
Rauff, A. 
Issue Date: 1992
Source: Esuvaranathan, K., Kuan, Y.F., Kumarasinghe, G., Bassett, D.C.J., Rauff, A. (1992). A study of 245 infected surgical wounds in Singapore. Journal of Hospital Infection 21 (3) : 231-240. ScholarBank@NUS Repository. https://doi.org/10.1016/0195-6701(92)90080-6
Abstract: The aims of the study were to correlate the laboratory detection rate of wound infections with the actual wound infection rate, and to analyse the bacteriology of these wounds to provide a rationale for antibiotic usage in prophylaxis and treatment of surgical wound infections. The wound infection rate in a general surgical unit was determined using the most comprehensive surveillance available to us and was correlated with the laboratory detection rate. A correlation coefficient of 0.8 was obtained, allowing a reasonable estimation of the actual wound infection rate from laboratory data. Review of the bacteriology of consecutive infected surgical wounds over a 4 year period in a university hospital, revealed that the commonest organisms cultured were Staphylococcus aureus, Escherichia coli, Klebsiella spp., Pseudomonas aeruginosa, enterococci and β-haemolytic streptococci. Methicillin-resistant S. aureus (MRSA) caused 50% of all staphylococcal wound infections. All MRSA isolates were sensitive to fusidic acid and vancomycin. All the non-MRSA isolates of S. aureus were sensitive to cephalexin. Some 89% of E. coli were sensitive to gentamicin, with 93% and 100% sensitive to cefuroxime and ceftriaxone respectively. Klebsiella isolates have shown an increased resistance to aminoglycosides, with a new strain from one patient, isolated in 1990, resistant to penicillins, aminoglycosides and third generation cephalosporins. Pseudomonas spp., enterococci and β-haemolytic streptococci did not show a change in resistance patterns over the same time period.
Source Title: Journal of Hospital Infection
URI: http://scholarbank.nus.edu.sg/handle/10635/29282
ISSN: 01956701
DOI: 10.1016/0195-6701(92)90080-6
Appears in Collections:Staff Publications

Show full item record
Files in This Item:
There are no files associated with this item.

SCOPUSTM   
Citations

14
checked on Dec 13, 2017

WEB OF SCIENCETM
Citations

10
checked on Dec 13, 2017

Page view(s)

229
checked on Dec 9, 2017

Google ScholarTM

Check

Altmetric


Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.