Volume 6, Issue 1, June 2018, Page: 36-40
The Use of Prophylactic Antibiotics in Day Case Herniotomy at Abia State University Teaching Hospital, Aba, Nigeria
Samuel Chidi Ekpemo, Department of Surgery, Abia State University, Aba, Nigeria
Sebastain Okwuchukwu Ekenze, Department of Surgery, University of Nigeria, Enugu, Nigeria
Uchechukwu Obiora Ezomike, Department of Surgery, University of Nigeria, Enugu, Nigeria
Received: Jul. 23, 2018;       Accepted: Aug. 17, 2018;       Published: Sep. 10, 2018
DOI: 10.11648/j.ass.20180601.17      View  362      Downloads  21
Abstract
Background: There has been tremendous improvement in the knowledge of prophylactic antibiotics use in surgery. There are controversies on the use of prophylactic antibiotics clean surgical cases. This study aims to determine if there is need to use prophylactic cefuroxime in day case herniotomy at the Abia State University Teaching Hospital Aba. Objective: To determine if there is need for prophylactic antibiotics in paediatric day case herniotomy and to compare the rate of surgical site infection in patients that receive preoperative cefuroxime to patients that did not receive it. Method: This was a hospital based prospective study carried out between April 2017 and April 2018 during which 126 herniotomy were performed as day cases at the Abia State University Teaching Hospital Aba. The patients were randomly placed into two groups: 63 patients in group A that received prophylactic cefuroxime at induction of anaesthesia and 63 patients in group B that did not receive cefuroxime. The two groups were compared to determine the factors that influenced development of surgical site infection. Results: There were 115(91.3%) males and 11(9.7%} females. Their ages ranged from 1-14 years with a median of 2 years. The average duration of the operative procedure was 34.8 minutes (34.3 minutes in group A and 35.4 minutes in group B). After a follow up of 3 weeks, a total of 8 patients developed surgical site infection (3 patients in group A; 5 patients in group B) (p=0.358). The duration of operation (p= 0.549) and mode of transport (p=0.605) did not affect rate of surgical site infection. Conclusion: Development of surgical site infection after day case herniotomy in our hospital is not affected by the use of prophylactic antibiotics and duration of operation. The study confirms that day case herniotomy can be undertaken without prophylactic antibiotics.
Keywords
Day Case Herniotiomy, Prophylactic Antibiotics, Surgical Site Infection
To cite this article
Samuel Chidi Ekpemo, Sebastain Okwuchukwu Ekenze, Uchechukwu Obiora Ezomike, The Use of Prophylactic Antibiotics in Day Case Herniotomy at Abia State University Teaching Hospital, Aba, Nigeria, Advances in Surgical Sciences. Vol. 6, No. 1, 2018, pp. 36-40. doi: 10.11648/j.ass.20180601.17
Copyright
Copyright © 2018 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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