Online ISSN: 2515-8260

A study comparing preoperative intra incisional antibiotic infiltration and prophylactic intravenous antibiotic administration for reducing surgical site infection

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Dr. Jambukala AY, Dr. Mahadevaswamy KM, Dr. Ashok Ganiger S,Dr. Shiv Kumar

Abstract

Many methods have been evolved to combat wound infection during last century. Shortly after the introduction of the first antimicrobial agent Penicillin alone was shown to reduce the infection rate in abdominal surgery to 10% from a control rate of 25%.Initially, the antibiotics were only used post-operatively for treatment of already established SSI. Later, the concept of antibiotic prophylaxis was introduced. Many studies established the fact that preoperative prophylaxis with antibiotics reduces wound infection. All patients were given spinal anaesthesia all patients were painted with 10%povidone and recleaningwith spirit Surgical field was drappedproperly and aseptic precautions followed group a: prophylaxis by preoperative intraincisional infiltration of the antibiotic. One gram of cefotaxime diluted in 10 ml of distilled water will be infiltrated along the skin and the subcutaneous tissue in the proposed line of incision, 20 minutes before surgical incision. In Group 1, wound discharge was present in 1% on day 5. In group 2, wound discharge was present in 2% on day 5. There was no significant difference in wound discharge between two groups. At other intervals there was no discharge in both the groups

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