DOI: 10.36347/sjams.2019.v07i12.012

Pages: 3882-3886

Introduction: Contamination is inevitable especially in operations upon the patients with rupture or perforation of gastrointestinal tract as there is gross spillage. Contamination is also common in conditions with continuous drainage of faucal, tracheobronchial or genitourinary discharge or actual drainage of purulent materials. Contamination may also result from poor surgical technique. Postoperative wound infection results from bacterial contamination during or after the surgical procedure. Objective: The main objective of this research is to make a comparative study on factors contributing wound infection post-operative wound infection between first and subsequent cases in routine surgical procedure. Method: In this study 228 cases have been studied. The samples were divided into 3 cases for the purpose of this study.All cases belong to the surgical unit I of Mymensingh Medical College Hospital. Operation days were selected at random. The study duration was from September 2015 to August 2016. Result: It is clearly showed that host factors like Malnutrition, Obesity, Obstructive Jaundice, Malignancy render the wound prone to infection due to lower host resistance and impaired wound healing process, so adequate preoperative assessment and preparation of the patient is essential to minimize wound infection. Again, proper operation site skin preparation, personal cleanliness, gentle handling of tissue, proper haemostasis, all contribute to reduce wound infection. Conclusion: The study concludes that wound healing is a local phenomenon; care of the wounds is essentially the care of the patients.