Surgical site infection and role of intraoperative wound irrigation with antibiotics.
Dr. N.H. Wankhade
, Dr. R.L. Bhosale , Dr. H.V. Tanwar
Keywords Surgical site infection. Abdominal surgery . Wound irrigation . Antiseptic solutions . Topical antibiotics
Abstract Background: Patients undergoing midline laparotomies with contaminated and dirty surgical incision wounds were studied to determine the effectiveness of antibiotic wound irrigation in preventing surgical site infection (SSI). Methods: This pilot study included all patients who underwent abdominal surgery with class-IV dirty and class III (contaminated) surgical incisions, as defined by the CDC (Centre for Disease Control and Prevention). Patients for the study were split into an irrigation group given antibiotics and a control group. After the rectus sheath was closed in the control group, the wound was irrigated with 100 mL of normal saline prior to skin closure. Following rectus sheath closure, the wound in the antibiotic irrigation group was irrigated with Ceftriaxone (10 mL) and Metronidazole (100 mL).The frequency, severity, and duration of hospital stay of SSI were evaluated for the two groups. Results: The study involved 20 patients in all, 10 in each group. In terms of age, gender, comorbidities, and grade of surgical wound, both groups were comparable. When compared to the control group, the incidence of SSI was lower in the antibiotic irrigation group (10% versus 30%; p=0.06). However, there was no statistically significant change. The hospital stays in the two groups were about the same length (12.5 vs. 14.5 days; p=0.74). Additionally, there was no discernible difference in the two group’s pain scores. Conclusions: When compared to saline irrigation, antibiotic irrigation reduces the risk of surgical site infection (SSI) while maintaining a similar hospital stay and postoperative discomfort in patients with contaminated and dirty surgical wounds. Nonetheless, there was no statistically substantial change.
"Surgical site infection and role of intraoperative wound irrigation with antibiotics.", IJSDR - International Journal of Scientific Development and Research (www.IJSDR.org), ISSN:2455-2631, Vol.7, Issue 9, page no.970 - 973, September-2022, Available :https://ijsdr.org/papers/IJSDR2209156.pdf
Volume 7
Issue 9,
September-2022
Pages : 970 - 973
Paper Reg. ID: IJSDR_201778
Published Paper Id: IJSDR2209156
Downloads: 000347252
Research Area: Health Science
Country: Ahmednagar, Maharashtra, India
ISSN: 2455-2631 | IMPACT FACTOR: 9.15 Calculated By Google Scholar | ESTD YEAR: 2016
An International Scholarly Open Access Journal, Peer-Reviewed, Refereed Journal Impact Factor 9.15 Calculate by Google Scholar and Semantic Scholar | AI-Powered Research Tool, Multidisciplinary, Monthly, Multilanguage Journal Indexing in All Major Database & Metadata, Citation Generator
Publisher: IJSDR(IJ Publication) Janvi Wave
