Role of antibiotics in postoperative period in planned surgeries
Journal Title: International Journal Of Research In Medicine - Year 2014, Vol 3, Issue 1
Abstract
BACKGROUND: Surgical Site Infections (SSI) are the third most frequently reported nosocomial infections and account for 14 to 16% of all nosocomial infections among hospitalized patients. Planned Surgeries performed in an elective approach with proper preparation of the part to be operated and of the patient himself, has itself a low risk for infection. This study is an effort to know the efficacy of post-operative antibiotic usage in planned surgeries. MATERIALS AND METHODS: In the study, 100 cases were randomly selected from the cases posted for planned surgery from April 2010 to August 2010 at Civil Hospital Ahmedabad. Data was divided in two groups (A and B). In group A patients received antibiotics and in group B patients did not receive antibiotics in post-operative period. Evaluation of patients was done in Pre-operative, Operative and Post-operative periods. RESULTS: In both the groups A and B, 4 out of 50 patients had wound infection bringing the total infection rate of 8%. Overall infection rate with drain wassignificantly higher but there was no significant difference between the two groups. The overall SSI rate was higher in those patients in whom prolene mesh was implanted compared to those patients in whom no prosthesis was put (10.34% vs 7.04%). Between the groups, Group B had significantly higher infection rate in those patients in whom prolene mesh was implanted compared to the patients without the mesh (21.43% vs 2.7%). CONCLUSION: Post-operative antibiotics are not required if the clean surgery has been performed under strict aseptic precautions. Indiscriminate use of antibiotics in post-operative period is not in the best interest of patient and also increases the financial burden on the hospital administration.
Authors and Affiliations
Paryani Jeetendra1* , Rathod Gunvant2 , Makwana Rakesh3 , Gadani Ravi3 , Patel Rajesh3 , Paryani Disha
Keywords
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