The rate of infection is high and heterogeneous in developing countries. This study aimed to find the rate and
pattern of infection in a tertiary care hospital with a goal to improve the infection control practices.
The study was conducted in the orthopedic units of a multispecialty teaching hospital. Medical records of major
orthopedic surgery adult patients without immunosuppression state were included. The bacterial culture report of the wound
swabs were noted over a period of one year. The bacterial culture testing was performed by a recommended method.
Among 2,249 orthopedic surgery patients, 83.7% were males, 49.1% had open wounds during admission and 32.2%
patients were infected. Majority (64.2%) of the injuries were in the lower limb with 19.4% patients having undergone multiple
surgeries during hospitalization. A total of 946 pathogens were grown from 725 specimens. Staphylococcus aureus
was the maximum (48.4%) followed by Pseudomonas aeruginosa
(26.3%) and E coli
(16.7%). Among them, 57.3% were Methicillin Resistant
(MRSA) and was the leading pathogen causing infection among orthopedic patients.
MRSA infection was high. Consequent to this, an interventional program entitled ‘Extended Infection Control
Measures' was designed to reduce the burden of infection.
Cite as: Latha T, Anil B, Manjunatha H, Chiranjay M, Elsa D, Baby N, et al. MRSA: the leading pathogen of orthopedic infection in a tertiary
care hospital, South India. Afri Health Sci. 2019;19(1). 1393-1401. https://dx.doi.org/10.4314/ahs.v19i1.12