Assessment of Antimicrobial Sensitivity of Bacterial Pathogens Isolated from Post-Cesarean Surgical Site Infection of Patients in Al-Elwiyah Maternity Hospital
Background: Cesarean section is the most frequent surgical procedure in obstetrics. Surgical site infection is one of the most common post-cesarean complications. Objective: Assessment of sensitivity of common bacterial pathogens in surgical site infection to some of the clinically used antimicrobials. Patients and methods: this study was conducted in Al-Elwiyah maternity hospital for the whole year 2016. Sixty in- and outpatients presented complaining of post cesarean surgical site infection signs and symptoms were subjected to wound swab for culture and sensitivity to identify the causative bacteria and evaluate their sensitivity to the commonly used antimicrobials. Results: thirty-four out of sixty cultures were contaminated. The main isolated bacterial pathogens were staphylococcus aureus (47%), E. coli (23.5%), pseudomonas aeruginosa (11.7%) and others. Antimicrobial sensitivity of Gram positive bacteria (Staphylococcus aureus) was high for vancomycin (100%), amikacin (93.8%) and tobramycin (87%). Gram negative microbes were susceptible for amikacin (100%), vancomycin (100%) and imipenem (100%). Conclusions: The major microbial species isolated from infected post-cesarean SSI were S. aureus, E. coli and P. aeruginosa. Their sensitivity to antimicrobials was variable; vancomycin and amikacin have shown the best effect against all isolated species.