Comparative Study of One Day Pre-Operative Antibiotic Prophylaxis Versus Five Days Post-Operative Antibiotic Coverage in Laproscopic Cholecystectomy.

Indian Journal of Applied Basic Medical Sciences
Year: 2020, Volume: 22(A), Issue. (1)
First page: (34) Last page: (49)
Online ISSN: 2249-7935
Print ISSN: 0975-8917
doi:10.48165/ijabms.2020.22104

Comparative Study of One Day Pre-Operative Antibiotic Prophylaxis Versus Five  Days Post-Operative Antibiotic Coverage in Laproscopic Cholecystectomy.  
Mansi S. Patel1*, Monal S. Shah2,  Paras R. Lalwan3
1R3, 2R2, 3Professor Department of GENERAL SURGERY ,SVP HOSPITAL,& NHL medical college AHMEDABAD Pin  380008
Corresponding author email id:

Online Published on 02-Jan-2020

ABSTRACT

INTRODUCTION:  Antimicrobial agents were considered as magic bullets and effective tools to combat  infection in various therapeutic settings. In conventional antibiotic use, antimicrobials are  used for a predetermined period after therapeutic procedure to combat the infection  because most often in public hospitals due to lack of maintainance of environmental  hygiene & overload of surgical patients fear of SSI (surgical site infection) are more.  AIMS AND OBJECTIVES:  To study the wound infection rate and recognition and prevention of exogenous and  endogenous sources of SSI in laproscopic cholecystectomy, whether long term antibiotics  should be given or antibiotics given at the maximum time of concentration are  sufficient.  MATERIALS AND METHODS:  Study size and period: 50 cases, June 2017 to December 2018.  Study conducted at: V.S.G.H, Ahmedabad.  Single dose of antibiotic, 1 gm ceftriaxone was administered one hour before surgery by  IV route & 5 days course, 2 days IV and 3 days oral (cefixime). Study on patients with age  group of 18-60 years both males & females with no co-morbid condition posted for  laproscopic cholecystectomy for gall bladder stones. Wound inspection done on 3rd, 5th,  and 7th day. RESULTS:  1 day pre-operative antibiotic is almost as effective as to multiple dose antibiotics.Hence  a single-day prophylaxis is recommended to reduce the financial burdens, the emergence  of resistant strains and avoid the side effects of the drugs.However , it is of utmost  importance that complete asepsis be maintained during the surgery and post-operative  care, irrespective of the antibiotic prophylaxis, to achieve the most desired goal of  elimination of post-operative infections, thus reducing the morbidity and mortality.  CONCLUSION:  Single dose antibiotic is sufficient in preventing wound infection and also some other  factors like proper preoperative skin preparation, sterile surgical practice & operative  theatre & good postoperative nursing care to be taken care of. Prolonged administration  of antibiotics is unnecessary and costlier. Prolonged use of antibiotics is associated with  emergence of resistant strains and super-infections, which can be prevented by cost effective short term antibiotic prophylaxis.

Keywords

surgical site infection,  laproscopic cholecystectomy , prophylaxis