Antibiotic prophylaxis in open inguinal hernia repair: a literature review and summary of current knowledge.

Zamkowski, Mateusz; Makarewicz, Wojciech; Ropel, Jerzy; Bobowicz, Maciej; Kąkol, Michał; Śmietański, Maciej

doi:10.5114/wiitm.2016.62800

Cited by 15 publications

(14 citation statements)

References 62 publications

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“…while in developing countries, the incidence is reported to be nearly 8-10%. 4,5,[8][9][10] Current guidelines for perioperative prophylaxis are not clear on the routine use of antibiotics in children undergoing clean surgeries.…”

Section: Discussionmentioning

confidence: 99%

Incidence of wound infection in common paediatric day care surgeries following a no-antibiotic protocol: a viable recommendation for a public hospital in India

et al. 2018

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Background: The use of broad spectrum antibiotic administered intravenously 1 hour before incision has a well-established role in preventing surgical site infection following major surgeries. However, the benefit of this practice in clean, day care surgeries is less clear. The aim of the our study is to determine the incidence of wound infection in paediatric day care surgeries where antibiotics were not used. The objective of the present study was to observe the rate of Surgical Site Infection in paediatric day care surgery at a tertiary care public hospital where prophylactic antibiotics are not used empirically.Methods: We reviewed all paediatric patients undergoing day care common procedures namely herniotomy, open orchiopexy, circumcision and other minor procedures such as lymph node biopsy, lipoma excision, mucous retention cyst excision and dermoid cyst excision at our institute in a public hospital between January 2015 and December 2016. Those with heart diseases requiring infective endocarditis prophylaxis, those with immunosuppression and those who had received antibiotics perioperatively for any reason other than treatment of surgical site infection were excluded. Surgical site infection (SSI) was classified as superficial or deep as defined by the Centre For Disease Control (CDC). Results: A total of 576 paediatric patients underwent clean day- care procedures at our institute between January 2015 and December 2016, of which 478 patients met the inclusion criteria and were included in the study. 2 (0.41%) of these 478 patients developed surgical site infection. 1 patient had serous discharge at one point along the suture line while the other developed pus and required debridement.Conclusions: Clean day- care surgeries in children can be carried out safely without the empiric use of perioperative antibiotics even in the setting of a public hospital in a developing country.

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Section: Discussionmentioning

confidence: 99%

Incidence of wound infection in common paediatric day care surgeries following a no-antibiotic protocol: a viable recommendation for a public hospital in India

et al. 2018

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“…However, Kekre et al reported a surgical site infection incidence of 0.41% [26]. Other studies have reported incidences as high as 8-10% in developing countries [27,28]. These differences in the incidence of surgical site infection following paediatric day case surgery are difficult to explain.…”

Section: Discussionmentioning

confidence: 99%

Paediatric Day Case Surgical Practice at a Tertiary Hospital in Enugu, Nigeria

Emeka¹,

Ikemefuna²,

Chukwuebuka³

2019

AJP

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Background: An increasing number of paediatric day case surgeries are being carried out in developing countries due to the benefits of day case surgery and lots of papers are being published. However, there is no published paper on paediatric day case surgery from Enugu State University Teaching Hospital (ESUTH), Enugu. Methodology: This was a prospective study of children who had surgery on day case basis at the paediatric surgery unit of a tertiary hospital in Enugu, south east Nigeria, over a period of one year. Result: Out of the 135 surgeries done during the period of the study, 81 cases were day case surgeries, accounting for 60% of the cases. There were 69 males (85.2%) and 12 females (14.8%). The mean age and weight of the patients was 44.9 months and 16.5 kilograms respectively. The mean duration of surgery was 35.1 minutes while the mean duration of stay in the hospital post-surgery before going home was 5.2 hours. The most common diagnosis was hydrocele and herniotomy/herniorraphy was the most common surgical procedure performed. Conclusion: Paediatric day case surgery constitutes a significant workload of the paediatric surgeon. Herniotomy/herniorraphy was the most common procedure performed and most parents were satisfied. The scope of paediatric day case can be improved and the practice made more effective.

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“…Although several authors suggest that the number of the present bacteria, the bacterial virulence, and the wound microenvironment may have a critical role in the development of late-onset deep mesh infection there are not enough data to support this theory. It is more possible that these factors may play a more crucial role in the early infections than the late ones especially in those that develop several years after the operation [ 4 – 6 , 13 ].…”

Section: Discussionmentioning

confidence: 99%

“…Lichtenstein technique is an open surgical technique for inguinal hernia repair based in the enhancement of the weakened inguinal floor by tension-free placing of a polypropylene mesh [ 3 , 4 ].…”

Section: Introductionmentioning

confidence: 99%

Late Ps. aeruginosa Inguinal Mesh Infection 12 Years after the Initial Operation: Report of the Case and Short Review of the Literature

Filippou

2017

Case Reports in Surgery

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Inguinal hernia mesh repair is one of the most frequent operations performed worldwide. The Lichtenstein technique and its various modifications are the most popular operations for groin hernia repair. The rate of surgical site infection (SSI) following inguinal hernia repair ranges between 0 and 14% in various series. Most of these infections developed early postoperatively. The incidence of late mesh infection following open inguinal hernia repair still remains unclear and highly variable. Late deep mesh infections are relatively rare specially after more than 10 years. The most common pathogens reported in the literature are E. coli and St. aureus. The infection is treated by conservative means initially but in case of failure then the mesh should be removed surgically. A unique case of a patient with very late (chronic) mesh infection is presented. The infection was due to Pseudomonas aeruginosa, which occurred 14 years after the initial operation and presented as subcutaneous fistula.

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Antibiotic prophylaxis in open inguinal hernia repair: a literature review and summary of current knowledge.

Cited by 15 publications

References 62 publications

Incidence of wound infection in common paediatric day care surgeries following a no-antibiotic protocol: a viable recommendation for a public hospital in India

Incidence of wound infection in common paediatric day care surgeries following a no-antibiotic protocol: a viable recommendation for a public hospital in India

Paediatric Day Case Surgical Practice at a Tertiary Hospital in Enugu, Nigeria

Late Ps. aeruginosa Inguinal Mesh Infection 12 Years after the Initial Operation: Report of the Case and Short Review of the Literature

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