TO FIND THE INCIDENCE OF TYPE OF POST OPERATIVE WOUND INFECTION IN UNCOMPLICATED ACUTE APPENDICITIS CASES USING PROPHYLACTIC POST OPERATIVE ANTIBIOTICS

Abstract

Background: The efficacy of antibiotic prophylaxis in patients undergoing appendectomy has been examined in several randomized and observational studies showing that appropriate use of antibiotics reduces the risk of SSI following appendectomy by 40-60%. These antibiotics are continued in postoperative period with different courses and combinations according to each case.

Methods: This randomized control prospective study was conducted in IGMC SHIMLA from August 2017 to July 2018. Cases of uncomplicated acute appendicitis undergoing emergency open appendectomy were included in this study.

Results: All the 9 patients who had wound infection developed superficial surgical site infection. None of the patients developed deep surgical site or intra abdominal infections in either of the two groups.

Conclusion: Frequency of post operative wound infection is generally very low in uncomplicated appendicitis. The prolonged use of antibiotics post operatively is unnecessary, can increase antibiotic resistance, can produce side effects and increase cost of treatment.

Keywords:  Wound infection, Antibiotic, Acute appendicitis.