Surgical Site Infection with and without Prophylatic Antibiotic in Children undergoing Elecltive Inguinal Herniotomy

  • Nabi Bux Napar Ghulam Muhammad Mahar Medical College
  • Noor Ahmed Shaikh Ghulam Muhammad Mahar Medical College, Sukkur
  • Imamuddin Baloch Ghulam Muhammad Mahar Medical College, Sukkur
  • Azhar Ali Shah Ghulam Muhammad Mahar Medical College, Sukkur
  • Bushra Shaikh Ghulam Muhammad Mahar Medical College, Sukkur
  • Ishrat Mahtam Shaikh Zayed Hospital, Larkana
Keywords: Herniotomy, Pediatric surgery, Prophylactic antibiotics, Surgical site infection

Abstract

Objective: This study was aimed at determining the frequency of surgical site infection in children undergoing elective inguinal herniotomy with and without prophylactic antibiotic.

Study design: Prospective comparative study.

Settings: Pediatric surgery Department, Ghulam Muhammad Mahar Medical College Sukkur.

Study duration: From 1st February 2020 to 31th March 2021.

Methodology: One hundred and sixty patients selected for this study and were equally divided into two groups. Group A received antibiotic prophylaxis (Injection ceftriaxone 50mg/kg) before the induction of general anesthesia, whereas Group P received placebo before the induction of general anesthesia. Demographic data and duration of surgery was noted on a proforma. Surgical procedure was carried out following standard surgical protocols. Post-operatively all patients were observed by an independent observer. Patients were observed for post-operative fever, inflammation of the surgical site and discharge from the site of incision. Wound was examined on 1st, 3rd, 7th and 30th post-operative day. For labeling Surgical Site Infection, Center of Disease criteria was followed.

Results: Demographic data of both groups was comparable. Mean duration of surgery in group A was 29.61±7.47 minutes, while it was 32.97±8.73 minutes in group P with p-value of 0.08. Out of 160 patients, thirteen patients developed surgical site infection; 5 (6.25%) patients belonged to group A, while 8 (10%) belonged to group P with a p-value of 0.385.

Conclusion: It is concluded in our study that use of prophylactic antibiotics in elective herniotomy cases performed in pediatric patients do not significantly decrease the incidence of Surgical Site Infection.

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Published
2021-12-31
How to Cite
1.
Napar NB, Shaikh N, Baloch I, Shah A, Shaikh B, Mahtam I. Surgical Site Infection with and without Prophylatic Antibiotic in Children undergoing Elecltive Inguinal Herniotomy. JRMC [Internet]. 31Dec.2021 [cited 4Oct.2022];25(4):462-5. Available from: https://journalrmc.com/index.php/JRMC/article/view/1681

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