Poly antimicrobial resistance as an unforeseen challenge in obstetric surgery: A case report from Bugando Medical Centre, Tanzania

Abstract

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. Multidrugresistant 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.