APPROPRIATE ANTIBIOTIC PROPHYLAXIS IN GYNAECOLOGY
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2018, Vol 7, Issue 53
Abstract
BACKGROUND Aseptic techniques have dramatically reduced the incidence of SSI, but it still remains the most common surgical complication affecting 5% of postoperative patients. Appropriate antibiotic prophylaxis will definitely help in preventing this, indirectly reducing antibiotic resistance and financial cost of surgery. Despite strong evidence, many surgeons are still reluctant to follow antibiotic prophylaxis. MATERIALS AND METHODS Objective was to compare the outcome like post-operative complications, need for change in antibiotic and duration of hospital stay after surgery in patients receiving single dose cefazolin prophylaxis as opposed to those receiving cefotaxime and metronidazole postoperatively for 5-7 days. It was a prospective observational study with appropriate statistical analysis. RESULTS Complication rate was comparable in both groups. Antibiotic change needed in both groups due to development of complications. This study concludes that antibiotic prophylaxis must be routinely used in uncomplicated surgeries as it reduces patient morbidity, antibiotic resistance and workload of hospital staff. CONCLUSION Antibiotic prophylaxis must be routinely used in uncomplicated surgeries as it reduces patient morbidity, antibiotic resistance and workload of hospital staff. This study proves that antibiotic prophylaxis is as effective as post-operative antibiotics in preventing postoperative complications.
Authors and Affiliations
Kala Bahuleyan Santha, Bessy Binu Sam
Keywords
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- EP ID EP550512
- DOI 10.14260/jemds/2018/1235
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