single prophylactic antibiotic dose versus no prophylaxis in simple clean operative procedures in pediatrics
Mohamed y.Batiehk MD & Abdelbaset A.Ahmed,MSc
Sohag university, Egypt
Abstract
Introduction
Different studies underline the use of pre-operative antibiotic prophylaxis in clean surgeries. But, the meta-analyses do not recommend nor discard the use of prophylactic pre-operative antibiotics. Prophylaxis is uniformly recommended for all clean-contaminated, contaminated and dirty procedures. It is considered optional for most clean procedures.. Most of the pediatric surgeon use perioperative prophylactic antibiotic in this clean procedure because of undue fear of infection in their mind. Recently there is no massive difference to use or to not use single prophylactic dose of antibiotic in simple clean pediatric surgical procedures.
Aim of the work
The objective of this study is to compare the outcomes of using perioperative single prophylactic antibiotic dose versus no prophylaxis in simple clean operative procedures in pediatrics.
Patients and methods
This study was conducted in the pediatric surgery unit,sohag university hospital from January 2017 to augest 2017. One hundred and twenty patients who were undergone simple(such as hernia, undescended testis, tongue tie,circumcision,lipoma and hydrocele)also clean( show no signs of inflammation and do not involve the respiratory, gastrointestinal or genitourinary tracts and laparoscopic surgeries) were included in this study. They were empirically divided into two groups (Group A and Group B). The patients of Group A( 45 patients) were given intravenous single dose of ampicillin clavulenic acid in dosage 50-100mg/kg 30 minutes before incision . The patients of Group B( 75 patients) were not given any perioperative antibiotic. All the patients of both groups were evaluated on 3rd, 6th and 10th postoperative day for examination of wound.
Results
In Group A one patient (0.83%) developed postoperative wound infection and in Group B two patients (1.6%) developed postoperative wound infection.there is insignificant difference between the two groups.
Conclusion
Based on the result of this study, it may be concluded that the antibiotic prophylaxis is not necessary in simple clean surgery in pediatric age group.