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Original Article

PAFMJ. 2015; 65(4): 453-457


IMPACT OF USING PROPHYLACTIC ANTIBIOTIC ON PREVENTION OF WOUND INFECTION IN INGUINAL HERNIORRHAPHY

Kaleem Akhtar, Zakaullah Khan, Ahsan Manzoor Bhatti, Khalid Mahmood.

Abstract
Objective: To compare the effect of antibiotic prophylaxis with placebo in prevention of wound infection amongst patients undergoing clean open inguinal herniorrhaphy (without mesh).
Study Design: Randomized Controlled Trial.
Place and Duration of Study: Pakistan Air Force Hospital, Faisal Base Karachi from October 2009 to November 2011.
Material and Methods: One hundred and fifty patients undergoing inguinal herniorrhaphy were included and randomly assigned to one of the two groups using random numbers table. Group A patients were given intravenous antibiotic while those in Group B were given equal volume of normal saline just before the induction of anaesthesia. Patients from both groups were observed for the presence of wound infection.
Results: Total seven cases (4.7%) of surgical site infection were detected; two cases (2.7%) occurred in group A whereas five cases (6.7%) occurred in group B. The low frequency of post-operative wound infection was seen in group A as compared to group B but the difference was statistically insignificant.
Conclusion: Antibiotic prophylaxis has no signiļ¬cant effect on prevention of wound infection in inguinal herniorrhaphy

Key words: Antibiotic prophylaxis, Herniorrhaphy, Inguinal hernia, Surgical site infection.



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