Poly Antimicrobial Resistance as an Unforeseen Challenge in Obstetric Surgery: A Case Report from Bugando Medical Centre, Tanzania
DOI:
https://doi.org/10.66354/8zja1s30Keywords:
Antimicrobial resistance, Surgical site infection, Nosocomial infection, Acinetobacter species, Pseudomonas aeruginosa, Urinary Tract InfectionAbstract
Background: Post-operative wound sepsis by hospital multidrug-resistant strains is a life-threatening phenomenon that poses significant management challenges to medical personnel and often results in increased morbidity and mortality.
Case presentation: We report a case of a 38-year-old African woman, para 5 living 4, referred to our facility from a health centre after sustaining an iatrogenic bilateral ureteric injury while undergoing supracervical hysterectomy following a complicated cesarean delivery. Bilateral ureteric re-implantation was done, and 6 days post-operation, she developed wound dehiscence with foul-smelling pus discharge. Multidrug-resistant Acinetobacter spp. and Pseudomonas aeruginosa were isolated from pus and urine cultures, respectively.
Conclusion: Healthcare-associated wound sepsis from multidrug-resistant (MDR) pathogens poses severe challenges. Adhering strictly to antibiotic stewardship and infection control measures is crucial, with culture and sensitivity testing essential for appropriate treatment.
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