Surgical Site Infections and Role of Prophylactic Antibiotics in Elective Surgeries

Dr Sushama Surapaneni; Dr Pothula Pavan Sai; Dr Prabhakara Rao Yella

Volume : VII, Issue : VIII, August - 2018

Surgical Site Infections and Role of Prophylactic Antibiotics in Elective Surgeries

Dr Sushama Surapaneni, Dr Pothula Pavan Sai, Dr Prabhakara Rao Yella

Abstract :

The prevention of surgical site infection (SSIs) remains a focus of attention because wound infections continue to be a major source of expense, prolonged hospitalization, morbidity and even mortality. There is substantial published evidence demonstrating that antimicrobial therapy after wound closure is unnecessary in clean and clean contaminated wound. Prolonged use of antibiotics is associated with emergence of resistant bacterial strains. The objective of the study was to compare the efficacy of single dose of prophylacticintravenous ceftriaxone a third generation cephalosporin pre–operatively one hourbefore surgical procedure (Protocol–1)v/s ceftriaxone IV for 3–5 days post–operatively (Protocol–2).A prospective study was carried out on 100 patients between theage group of 12–60 years, both sexes, who underwent elective surgeries in the department of surgery during the period of August 2015 to July 2017. In this study, Protocol–1 showed 8% infection rates whereas Protocol–2 showed 12% infection rates. Single dose of inj.ceftriaxone1gm IV given one hour before incision is sufficient to prevent SSIs.