WOUND INFECTION IN IMMUNE COMPROMISED PATIENTS WHO WERE OPERATED IN EMERGENCY DEPARTEMENT.

JPUMHS; 2025:15:01,99 105. http://doi.org/10.46536/jpumhs/2025/15.01.602

Abstract

AIM OF STUDY: To determine the wound infection in immune compromised patients
who were operated in Emergency department. STUDY DESIGN: Prospective observational
study. PLAC E & DURA TION: Two years’ study January 2018 to March 2020 conducted
at Liaquat University of Medical and Health Sciences / Jamshoro in department of surgery
PATIENTS & METHOD: The study comprises 100 patients. All were admitted from
Emergency department. All patients were evaluated fully after history & clinical
examinations and specific investigations pre operatively ,per operatively and post operatively
(CBC) complete blood count , C reactive protein , Blood culture , urine culture, IV cannula
Tip culture ,Pus culture and Sensitivity, ultra sound of abdomen, pelvis and Chest , X- ray
abdomen supine and erect posture ,X Ray chest PA view ,Urine DR, Protein A/G Ratio, level
of serum Albumin, Liver function Test (LFT) Serum ferritin , Lactate Dehydrogenase, Blood
urea, sugar, serum electrolyte, HBSAG, HCV, & HIV, PT, APTT, INR and ECG . Typhi dot,
Tuberculin test, Biopsy report and general assessment of the patients. Post operatively
Contrast iv and Oral C T scan if needed RESULTS: This was a hospital based case series
study of 100 patients, the maximum number of patients were in age group between 12 to 75
years. Out of 100 patients 33 patients were presented with age group between 12 to 34 year.
45 patients were presented with age group between 35 to 55 years. 22 patients were presented
with age group between 54 to 75 years. Out of 100 patients, 62 were operated through mid
line incisions, 25 patients were operated through right Para median incision. Out of 100
patients 10 patients were operated through Gird Iron incisions. Out of 100 patients 61 patient
present with serious discharge, 25 patients with Pus discharge, 10 patients with abdominal
dehiscence 4 patients presented with fecal fistula. Out of 00 patients 55 patients were
presented with serum Albumin level 2 gram ,22 patients were presented Serum Albumin level
2.5 gram ,13 patients were presented Serum albumin level 3 gram ,12 patients Were presented
serum Albumin level 3.3 gram Out of 100 patients 31 patient were presented hemoglobin 10
to 12 gram .44 patients were presented Hemoglobin 8 to 10 gram. 13 patients were present
HBA1c 7 to 8 gram. 12 patients were presented serum creatinine. Level between 2 to 3.
CONCLUSION: Patients were admitted and operated in emergency department, already
immune compromised, depleted, comorbid, anemic and edematous prone to developed wound
infection either superficial or deep if not treat as soon as possible patient can die systemic
complications.