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February 15th, 2018

LWH contributes to Lancet Infectious diseases

Surgical research in tiny hospitals is not impossible. The Lady Willingdon Hospital has been an contributing author to a landmark paper just published in the Lancet Infectious diseases as part of a global collaboration. 

The  paper can be acessed here: http://www.thelancet.com/journals/laninf/article/PIIS1473-3099(18)30101-4/fulltext

This international,  prospective, multi institutional cohort study included 12539 patients undergoing elective or emergent gastro intestinal surgery over a two week period. 343 hospitals contributed to the study from 66 countries. 

The results show that surgical site infections are a major source of morbidity and 30 day mortality. When examined across high, middle and low income countries according to the human developement index, low income countries fare very poorly both in terms of prevalent surgical site infections, antibiotic resistance and mortality. 

Indian contributors to the study have been few. 

The take home message for India is that there is a huge need to conduct a similar study across our country to assess the actual status and impact of surgical site infections. It was clear from this study that indiscriminate perioperative and postoperative antibiotic use was more prevalent in the low income countries.