@Article{, title={PROFILE OF MICROORGANISM AND ANTIBIOTIC SENSITIVITY PATTERN IN PATIENTS UNDERGOING EMERGENCY LAPAROTOMY FOR PERITONITIS}, author={Sunil Krishna M and Rajgopal Shenoy K and Poorvi V Sharma and Vishnu Jayaprakash}, journal={Basrah Journal of Surgery مجلة البصرة الجراحية}, volume={28}, number={1}, pages={46-60}, year={2022}, abstract={Peritonitis is one of the common emergencies and multiple organisms have been implicated in the pathogenesis.Inappropriate and prolonged use of antibiotics have been attributed to the emergence of antibiotic resistance. This is a retrospective observational study, from 1st January 2018 to 31st December 2019 (Two years). Patientswith secondary peritonitis undergoing surgery are included in this study. Common pathogens and its antibiotic sensitivity pattern from peritoneal fluid, blood and surgical site were studied. Perforation peritonitis is the most common cause of peritonitis. Cefaperazone-sulbactum and Piperacillin-tazobactum were the common empirical antibiotics prescribed. Escherichia coli followed by Klebsiella pneumonia were thecommonest microorganism isolated from the peritoneal fluid and found to have adequate sensitivity for the empirical antibiotics. Enterococus and candida were the common organism isolated in blood culture. E-coli and Klebsiellafrom wound swab showed higher resistance to the empirical antibiotics. Large intestine perforation has higherpercentage of surgical site infection. E-coli and Klebsiella pneumoniae were the common cause of secondary peritonitis. The empirical antibiotic isshown to be sensitive to the common organism isolated from peritoneal cavity. Wound swab isolates have shownhigher resistance to antibiotics hence isolating the organism and assessing the sensitivity might be prudent. Due togeographical variation of antibiotic resistance trends to microorganism, it is prudent to have antibiotic surveillanceon a local basis that can recommend appropriate antibiotics.

} }