THE ROLE OF SINGLE DOSE ANTIBIOTIC PROPHYLAXIS DURING HERNIA SURGERY: A RANDOMIZED CONTROL TRIAL
European Journal of Molecular & Clinical Medicine,
2021, Volume 8, Issue 4, Pages 1667-1671
AbstractBackground: This prospective, randomised control experiment was conducted to determine the role of single-dose antibiotic prophylaxis after hernia surgery. This research also provides evidence for determining whether stringent aseptic precautions can reduce antibiotic use.
Materials and Methods: This study included 60 patients with inguinal hernias (direct or indirect) who were admitted to the surgical ward at the Pt. B.D. Sharma Post Graduate Institute of Medical Sciences in Rohtak. Prior to admission, each patient was given a thorough screening as well as a rigorous clinical evaluation that included Haemoglobin, Bleeding time, Clotting time, Urine complete examination, Blood urea, Blood sugar, Serum electrolytes, Chest X-ray and ECG.
Results: The average age of the presenters was 45.88 years old. The majority of the patients, sixteen (26.66 percent), were between the ages of 41 and 50. The youngest patient was an 18-year-old man, while the oldest was an 80-year-old man. Males made up 98.33% (n=59) of the cases, while females made up 1.66 percent (n=1). Lichtenstein's repair was performed in forty patients (66.66%) for indirect inguinal hernias, and Lichtenstein's repair was combined with posterior wall plication in eighteen patients (30%) for direct inguinal and Pantaloons' type hernias. Indirect inguinal hernias accounted for the most occurrences (40), with two having a sliding component.
Conclusion: There is substantial evidence in the international literature to support the claim that prophylactic antibiotic treatment does not reduce the incidence of wound infection. Given the findings of this study, it is possible to conclude that the variations in infection rates are not substantial, and that prophylactic antibiotics do not reduce the rate of SSI in mesh repair of inguinal hernias, and that routine use of prophylactic antibiotics is not indicated.
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