Surgical site is very often infected under unhygienic cases.one of such case of post hernioplasty surgical site infection is dissected here.

1. A CASE STUDY ON SURGICAL SITE
INFECTION
VIGNAN PHARMACY COLLEGE
(Approved by AICTE, PCI- New Delhi and affiliated to JNTUK)
Vadlamudi, Guntur (dist), pincode: 522213
PRESENTED BY:
D.Priya chandana
V Pharm D
19AB1T0022
UNDER THE GUIDANCE OF :
Dr. M. Satyavathi
Assistant Professor
Pharm. D

2. Patient Details:
NAME: xxxx
GENDER: male
AGE:54
DEPARTMENT:general medicine
D.O.A: 31/8/23

3. SUBJECTIVE
C/O
 High grade fever with chills since 3 months on and off , abdominal pain
OBJECTIVE:
PAST MEDICAL HISTORY:
 Hypertension , DM type 2 ,
PAST MEDICATION HISTORY:
 Tab. Telmisartan – 40mg- PO – (1-0-0)
 Tab.glycomet – 500mg-po-(1-0-0)
HISTORY OF PRESENT ILLNESS:
Nil
Surgical: umblical hernia , laprotomy

4. • Physical Examination:
Cardiovascular system: S1 S2 +
Central nervous system: no focal neurological deficit
respiratory system: BAE+
GIT: Soft.
Head, eyes, ears, nose, throat: NAD.
Dermatology: NAD.
Extremities: NAD.
Pharmacist considerations: Nil.
Laboratory investigations
Vitals.
Temperature- 98.4.
BP- 100 / 60.
Pulse-103
RR-20

5. LAB INVESTIGATIONS
PARAMETERS RESULTS REFERENCE
Hb 10 12-16.5
PCV 30 35-50
Lymphocytes 18 15-30%
Neutrophils 74 40-70%
Platelets 4.28 1-4 lac/cum
RBC 3.60 3.8-5.8 lac/cum
WBC 11900 4000-11000 cells/ cum
Clotting time 4min 30 sec
Bleeding time 2 min
Sodium 139 135-145 mEq/l
Potassium 4.0 3.5-5.5 mEq/l

6. • GRAM STAIN : sample analysed put , smear –ve for AFB
• CT ABDOMEN:abdomen wall collection (appron42cc)along right
rectus abdominis muscle in supraumblical and umblical region
DIAGNOSIS:
Surgical site infection ( post op laprotomy )
Mesh removal was suggested , done on 1/9/23
ASSESMENT:
A 54 years old male patient came with chief complaints of high grade fever with chills since 3 moths
on and off with abdomen pain diagnosed with surgical site infection , mesh removal was suggested ,
done on 1/9/23

7. TREATMENT :
SNO TRADE NAME GENERIC
NAME
ROA DOSE FREQUENCY DAYS
1 Tab.ciprafloxa
cin
ciprofloxacin po 750 mg 1-0-1 7days
2 Tab.bactrium
DS
Sulfamethaxa
zole+trimetho
prim
po 800/160mg 1-0-1 7days
3 T.pantocid pantaprozole po 40mg 1-0-0 7 days
4 t.Surbex XT Vit B6,vit B12
flic acid
po 1 tab 1-0-1 7 days
5 Ensure vanilla powder po 2scoops 2s-0-2s 7 days
6 t.telma telmisartan po 20mg 1-0-0 7 days
7 t.glycomet metformin po 500mg 0-1-0 7 days
8 ultracet Tramadol+par
acetamol
po 35mg 1-1-1 7 days