DETERMINANTS OF DRAIN SITE INFECTION AND EFFICACY BY TYPES OF DRAIN – A PROSPECTIVE COHORT STUDY
Aims and Objectives: This study was undertaken to study the efficacy of various drains and whether the drains are a necessity or a matter of practice depending upon culture positivity of drain site. It also aimed to infer whether the duration of drain in situ influenced drain site infections.
Materials and Methods: All surgical patients operated in the department of surgery in a three-month period from January to March 2016 were included in the cohort study. Cases where no drain was kept were also included however they were not included in statistical analysis. The type and duration of drains were recorded. Culture was taken for the primary disease and later from drain site. Center for Disease Control (CDC) guidelines were used to classify drain site infection.
Results: In a sample size of 168 patients (n=168) drain was used in 143 patients whilst 25 patients had no drain. Majority of the faculty preferred a CWS or PTD. Drain site infection depended on the type of surgery done. In clean contaminated cases both CWS and PTD showed a less percentage of drain site infection. CWS works better in contaminated cases. Drains showed a significant advantage when the duration of drain was less than 48 hours. The drain site infection was directly proportional to the duration of drains.Conclusion: Drains have a definitive role to play in surgical patients and is still preferred by most faculties in our institute. Drains can be avoided in clean cases but its use in contaminated cases outweigh its complications. Corrugated drain has a poor patient compliance.
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