Role of postoperative antibiotics for prevention of infection after appendectomy in patients with complicated appendicitis

Background: Acute Appendicitis is the most common general surgical emergency. Despite improved asepsis and surgical techniques, postoperative complications are still common. The general assumption is that it is better to treat patients with complicated appendicitis (perforated or gangrenous) with a...

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Autor principal:	R Poudel
Formato:	article
Lenguaje:	EN
Publicado:	Society of Surgeons of Nepal 2016
Materias:	Appendicitis Complicated Gangrenous Perforated Postoperative antibiotics Surgery RD1-811
Acceso en línea:	https://doaj.org/article/79269c3246754d1284b332e5464ff0fa
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spelling	oai:doaj.org-article:79269c3246754d1284b332e5464ff0fa2021-12-05T19:16:41ZRole of postoperative antibiotics for prevention of infection after appendectomy in patients with complicated appendicitis10.3126/jssn.v18i3.152851815-39842392-4772https://doaj.org/article/79269c3246754d1284b332e5464ff0fa2016-07-01T00:00:00Zhttps://www.nepjol.info/index.php/JSSN/article/view/15285https://doaj.org/toc/1815-3984https://doaj.org/toc/2392-4772 Background: Acute Appendicitis is the most common general surgical emergency. Despite improved asepsis and surgical techniques, postoperative complications are still common. The general assumption is that it is better to treat patients with complicated appendicitis (perforated or gangrenous) with antibiotics, in contrast to patients with simple appendicitis. Aim of this study was to compare outcomes of patients treated with antibiotics after appendectomy in complicated appendicitis with those of patients who were not treated with antibiotics. Methods: This was a retrospective study carried out in Universal College of Medical Sciences, Bhairawha, Nepal. Patients who underwent emergency appendectomy in 2 years period were included in the study. Patients with complicated appendicitis were analyzed on the basis of whether they received postoperative antibiotics or not. Main outcome measured were wound complications and length of hospital stay. Results: During the 2-year study period, a total of 203 patients met inclusion criteria. Complicated appendicitis was identified in 71 patients (34.97%). Postoperative antibiotics were administered to 42 (59.2%). On Univariate and multivariate analyses Postoperative antibiotics were not associated with decrease in wound infection. But it is associated with increase in length of hospital stay (p <0.01, 95% confidence interval 2.68-6.05). Conclusion: Use of Postoperative antibiotics does not decrease the rate of wound infection in patient with complicated appendicitis but result in increase length of hospital stay. R PoudelSociety of Surgeons of NepalarticleAppendicitisComplicatedGangrenousPerforatedPostoperative antibioticsSurgeryRD1-811ENJournal of Society of Surgeons of Nepal, Vol 18, Iss 3 (2016)
institution	DOAJ
collection	DOAJ
language	EN
topic	Appendicitis Complicated Gangrenous Perforated Postoperative antibiotics Surgery RD1-811
spellingShingle	Appendicitis Complicated Gangrenous Perforated Postoperative antibiotics Surgery RD1-811 R Poudel Role of postoperative antibiotics for prevention of infection after appendectomy in patients with complicated appendicitis
description	Background: Acute Appendicitis is the most common general surgical emergency. Despite improved asepsis and surgical techniques, postoperative complications are still common. The general assumption is that it is better to treat patients with complicated appendicitis (perforated or gangrenous) with antibiotics, in contrast to patients with simple appendicitis. Aim of this study was to compare outcomes of patients treated with antibiotics after appendectomy in complicated appendicitis with those of patients who were not treated with antibiotics. Methods: This was a retrospective study carried out in Universal College of Medical Sciences, Bhairawha, Nepal. Patients who underwent emergency appendectomy in 2 years period were included in the study. Patients with complicated appendicitis were analyzed on the basis of whether they received postoperative antibiotics or not. Main outcome measured were wound complications and length of hospital stay. Results: During the 2-year study period, a total of 203 patients met inclusion criteria. Complicated appendicitis was identified in 71 patients (34.97%). Postoperative antibiotics were administered to 42 (59.2%). On Univariate and multivariate analyses Postoperative antibiotics were not associated with decrease in wound infection. But it is associated with increase in length of hospital stay (p <0.01, 95% confidence interval 2.68-6.05). Conclusion: Use of Postoperative antibiotics does not decrease the rate of wound infection in patient with complicated appendicitis but result in increase length of hospital stay.
format	article
author	R Poudel
author_facet	R Poudel
author_sort	R Poudel
title	Role of postoperative antibiotics for prevention of infection after appendectomy in patients with complicated appendicitis
title_short	Role of postoperative antibiotics for prevention of infection after appendectomy in patients with complicated appendicitis
title_full	Role of postoperative antibiotics for prevention of infection after appendectomy in patients with complicated appendicitis
title_fullStr	Role of postoperative antibiotics for prevention of infection after appendectomy in patients with complicated appendicitis
title_full_unstemmed	Role of postoperative antibiotics for prevention of infection after appendectomy in patients with complicated appendicitis
title_sort	role of postoperative antibiotics for prevention of infection after appendectomy in patients with complicated appendicitis
publisher	Society of Surgeons of Nepal
publishDate	2016
url	https://doaj.org/article/79269c3246754d1284b332e5464ff0fa
work_keys_str_mv	AT rpoudel roleofpostoperativeantibioticsforpreventionofinfectionafterappendectomyinpatientswithcomplicatedappendicitis
_version_	1718371073345454080

Role of postoperative antibiotics for prevention of infection after appendectomy in patients with complicated appendicitis

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