Decubitus ulcers in neurosurgery

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The document discusses decubitus ulcers in a neurosurgery ward and how adult diapers can contribute to their development. It finds that the majority of sacral ulcers were caused by indiscriminate use of adult diapers, which can cause skin moisture and bacterial growth. As a result of the study, the neurosurgery ward stopped routinely using adult diapers and now more strictly monitors their use.

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Decubitus Ulcers in Neurosurgery Ward Implications of Adult Diapers Presented by:- Anu Susan Mathew Sister Grade II JPNATC,AIIMS Guided by :- Dr.Deepak Agrawal Consultant of Neurosurgery JPNATC,AIIMS

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DOI:10.21276/ijlssr.2016.2.4.1 ABSTRACT- Introduction: Surgical Site Infections (SSI) still remains a significant problem following an operation and the third most frequently reported nosocomial infections. SSI contributes significantly to increased health care costs in terms of prolonged hospital stay and lost work days. Objective: The current study was undertaken to identify incidence of SSI and the risk factors associated with it, and the common organism isolated and its antibiotic sensitivity and resistance. Material and Methods: A total number of 3211 patients admitted in general surgical wards for elective surgery in the study period, out of which 1225 were clean and clean contaminated cases, fulfilling our study criteria. Totally 56 cases had surgical site infections which had been taken up for this study. Wound discharges were sent for culture and sensitivity. Results and Conclusions: The overall infection rate was 4.57%. The SSI rate was almost equal in clean surgeries and clean contaminated ones. Superficial surgical site infections in the most commonest type and accounted for about 66.07% of all the SSI’s and deep surgical site infection accounted for about 25% with 8.92% was organ space. The most commonly isolated organism from surgical site infections was staphylococcus aureus followed by pseudomonas and then E. coli. Drains, prosthesis usage and other risk factors of SSI have been identified. Most of the organisms which were isolated were multidrug resistant. The high rate of resistance to many antibiotics underscored the need for a policy that could promote a more rational use of antibiotics. Key-words- Surgical site infections, National Nosocomial Infections Surveillance (NNIS) risk index, Antibiotic

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Decubitus ulcers in neurosurgery

1. Decubitus Ulcers in Neurosurgery Ward Implications of Adult Diapers Presented by:- Anu Susan Mathew Sister Grade II JPNATC,AIIMS Guided by :- Dr.Deepak Agrawal Consultant of Neurosurgery JPNATC,AIIMS

2. INTRODUCTION

7. PROBLEM STATMENT

10.

11. RESULTS

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16. COMMON SITES Sacral Bilateral ankles Occipital Common

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19.