Identification Of Bacterial Isolates and Antimicrobial Susceptibility Pattern Among Patients Diagnosed with Surgical Site Infections

Bacterial Isolates and Antimicrobial Susceptibility Pattern

Authors

  • Muskaan Elahi NUR International University
  • Shamaila Habib NUR International University
  • Sajida Munir NUR International University
  • Dr Alia Batool
  • Muskan Fatima University of Veterinary and Animal Sciences, Lahore, Pakistan
  • Muhammad Ahsan NUR International University

Keywords:

Surgical site infections, surgical wounds, bacterial isolates, antimicrobial susceptibility

Abstract

Background: Despite the use of prophylactic antibiotics and preventive measures, surgical site infections (SSIs) continue to be a common postoperative complication, attributed mostly to increasing antimicrobial resistance.

Objective: To investigate the bacterial profile and antimicrobial susceptibility patterns of isolates from patients diagnosed with SSIs at Jinnah Hospital, Lahore, Pakistan.

Methodology: A cross-sectional study design was used for sampling, and 65 surgical wound samples were collected from admitted patients. All specimens (Pus and wound swabs) were collected for bacterial isolation, identification, and antimicrobial testing using standard microbiological techniques. SPSS software was used for statistical analysis, and a P value (<0.05) was considered statistically significant.

Results: This research found that SSIs were found in 24 (37%) of patients who belonged to the 16-30 years of age group. More males, 41(63%), were affected as compared to females. SSIs were more common in the lower extremities 43 (66%). The majority of patients, 30(46%) were diagnosed with double microbial infections at SSIs. More males, 14 (22%) developed SSIs due to E. coli (P<0.05), and double microbial infection was also common in males (P < 0.05). MRSA was found resistant to antimicrobial drugs, while S. aureus was found sensitive to antimicrobial drugs. (P value<0.05).

Conclusion: In our study, SSIs were found prevalent in the lower extremities and mostly due to double microbial infections. E. coli was found to cause SSIs in males.

References

Misha G, Chelkeba L, Melaku T. Bacterial profile and antimicrobial susceptibility patterns of isolates among patients diagnosed with surgical site infection at a tertiary teaching hospital in Ethiopia: a prospective cohort study. Ann Clin Microbiol Antimicrob. 2021; 20(1):1–10. doi:10.1186/s12941-021-00440-z

Bath MF, Davies J, Suresh R, Machesney MR. Surgical site infections: a scoping review on current intraoperative prevention measures. Ann R Coll Surg Engl. 2022; 104(8):571-576. doi: 10.1308/rcsann.2022.0075.

Gillespie BM, Harbeck E, Rattray M, Liang R, Walker R, Latimer S, Thalib L, Andersson AE, Griffin B, Ware R, Chaboyer W. Worldwide incidence of surgical site infections in general surgical patients: A systematic review and meta-analysis of 488,594 patients. Int J Surg. 2021; 95:106136. doi: 10.1016/j.ijsu.2021.106136.

Coccolini F, Improta M, Cicuttin E, Catena F, Sartelli M, Bova R, De' Angelis N, Gitto S, Tartaglia D, Cremonini C, Ordonez C, Baiocchi GL, Chiarugi M. Surgical site infection prevention and management in immunocompromised patients: a systematic review of the literature. World J Emerg Surg. 2021; 16(1):33. doi: 10.1186/s13017-021-00375-y.

Salamon D, Gosiewski T. The alliance of surgery, microbiology, and microbiota in the fight against surgical site infections. Przegląd Lekarski. 2025; 77(4). doi:10.20452/jmr.2025.20013.

Blumenthal KG, Ryan EE, Li Y, Lee H, Kuhlen JL, Shenoy ES. The Impact of a Reported Penicillin Allergy on Surgical Site Infection Risk. Clin Infect Dis. 2018; 66(3):329-336. doi: 10.1093/cid/cix794.

Abosse S, Genet C, Derbie A. Antimicrobial Resistance Profile of Bacterial Isolates Identified from Surgical Site Infections at a Referral Hospital, Northwest Ethiopia. Ethiop J Health Sci. 2021;31(3):635-644. doi: 10.4314/ejhs.v31i3.21.

Haile Z, Mengist HM, Dilnessa T. Bacterial isolates, their antimicrobial susceptibility pattern, and associated factors of external ocular infections among patients attending eye clinic at Debre Markos Comprehensive Specialized Hospital, Northwest Ethiopia. PLoS One. 2022; 17(11):e0277230. doi: 10.1371/journal.pone.0277230.

Ali A, Gebretsadik D, Desta K. Incidence of surgical site infection, bacterial isolate, and their antimicrobial susceptibility pattern among patients who underwent surgery at Dessie Comprehensive Specialized Hospital, Northeast Ethiopia. SAGE Open Med. 2023; 11:20503121231172345. doi: 10.1177/20503121231172345.

Gebissa T, Bude B, Yasir M, Mekit S, Noorulla KM. Bacterial isolates and their antibiotic sensitivity pattern of surgical site infections among the surgical ward patients of Asella Referral and Teaching Hospital. Future J Pharm Sci. 2021;7(1):100. https://doi.org/10.1186/s43094-021-00255-x

Amulioto J, Muturi MW, Mathenge S, Mutua GM. Antibiotic susceptibility patterns of bacteria isolates from post-operative wound infections among patients attending Mama Lucy Kibaki Hospital, Kenya. Afr J Microbiol Res. 2020;14(8):420–425. https://doi.org/10.5897/AJMR2020.9357

Seidelman JL, Mantyh CR, Anderson DJ. Surgical Site Infection Prevention: A Review. JAMA. 2023; 329(3):244-252. doi: 10.1001/jama.2022.24075.

Bucataru A, Balasoiu M, Ghenea AE, Zlatian OM, Vulcanescu DD, Horhat FG, Bagiu IC, Sorop VB, Sorop MI, Oprisoni A, Boeriu E, Mogoanta SS. Factors Contributing to Surgical Site Infections: A Comprehensive Systematic Review of Etiology and Risk Factors. Clin Pract. 2023;14(1):52-68. doi: 10.3390/clinpract14010006.

Pinchera B, Buonomo AR, Schiano Moriello N, Scotto R, Villari R, Gentile I. Update on the Management of Surgical Site Infections. Antibiotics. 2022; (11):1608. https://doi.org/10.3390/antibiotics11111608

National Healthcare Safety Network, Centers for Disease Control and Prevention. Surgical site infection (SSI) event. Atlanta (GA): CDC; 2022. Available from: http://www.cdc.gov/nhsn/pdfs/pscmanual/9pscssicurrent.pdf

Marzoug OA, Anees A, Malik EM. Assessment of risk factors associated with surgical site infection following abdominal surgery: a systematic review. BMJ Surg Interv Health Technol. 2023; 5(1):e000182. doi: 10.1136/bmjsit-2023-000182.

Hinson C, Kilpatrick C, Rasa K, Ren J, Nthumba P, Sawyer R, Ameh E. Global surgery is stronger when infection prevention and control is incorporated: a commentary and review of the surgical infection landscape. BMC Surg. 2024; 24(1):397. doi: 10.1186/s12893-024-02695-7.

Bischoff P, Kramer TS, Schröder C, Behnke M, Schwab F, Geffers C, Gastmeier P, Aghdassi SJS. Age as a risk factor for surgical site infections: German surveillance data on total hip replacement and total knee replacement procedures 2009 to 2018. Euro Surveill. 2023; 28(9):2200535. doi:10.2807/1560-7917.ES.2023.28.9.2200535.

Kalladi AK, Thomas N, Ahmed SM. Bacteriological profile of aerobic isolates from surgical site infections and their antibiogram J. Med. Allied Sci. 2025;15(1):41-6. doi:10.5455/jmas.215350

Bonnevialle P, Bonnomet F, Philippe R, Loubignac F, Rubens-Duval B, Talbi A, Le Gall C, Adam P; SOFCOT. Early surgical site infection in adult appendicular skeleton trauma surgery: a multicenter prospective series. Orthop Traumatol Surg Res. 2012; 98(6):684-9. doi: 10.1016/j.otsr.2012.08.002.

Downloads

Published

2026-06-23