A RANDOMIZED CONTROLLED STUDY OF RISK FACTORS AND ROLE OF PROPHYLACTIC ANTIBIOTICS IN PREVENTION OF SURGICAL SITE INFECTIONS
Journal Title: International Journal of Medical Research & Health Sciences (IJMRHS) - Year 2015, Vol 4, Issue 1
Abstract
Background and Objectives: Surgical site infection (SSI) is the most common nosocomial infection encountered in post operative surgical wards. The use of prophylactic antibiotic in clean elective surgical cases is still a subject of controversy to surgeons. The objective of the study is to identify the need for using prophylactic antibiotics in clean surgeries, prevalence of organisms in patients who are not given prophylactic antibiotics and to study whether the presence of risk factors increase the incidence of surgical site infection. Methodology: The comparative study consists of 100 cases admitted under two groups of 50 each: Group A was given prophylactic antibiotic and Group B didn’t receive any. All surgeries other than clean surgical cases were excluded from the study. Results: Out of 50 patients in group B who were not given prophylactic antibiotic, 2 patients had more than one risk factor for development of SSI and both of them developed SSI. Of the 50 patients who received prophylactic antibiotic, none developed SSI. The rate of infection in group A was nil and in Group B was 4%. Conclusion: Prophylactic antibiotics are not recommended for clean elective surgical cases as there is no statistically significant change in the infection rate seen in patients not receiving prophylactic antibiotic(P=0.4952). Meticulous surgical technique and correcting risk factors prior to surgery is a must for reducing incidence of SSI.
Authors and Affiliations
Avijeet Mukherjee| Associate Professor, Department of General Surgery, College of Medicine and JNM Hospital, WBUHS, Kalyani, West Bengal, India, Corresponding author email: Naveen_uno1@yahoo.co.in, Naveen N| MCh Resident, Department of Plastic Surgery, Rajarajeswari Medical College and Hospital, Bangalore, Karnataka, India
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- EP ID EP11337
- DOI 10.5958/2319-5886.2015.00003.X
- Views 274
- Downloads 12
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