264497

Prophylactic Antibiotic in Elective Laparoscopic Cholecystectomies: Is it Mandatory?

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Last updated: 01 Jan 2025

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Abstract

Abstract Background: Prophylactic Antibiotics is an efficient tool in reduction of surgical infection. One of the most prevalent surgeries in laparoscopic field is laparoscopic cholecystectomy (LC). Still the role of prophylactic antimicrobial in elective LC with low risk patients is unclear. Aim of Study: This research was undertaken to evaluate the efficacy of prophylactic antibiotics in reducing surgical site infection (SSI) in elective LC. Patients and Methods: During the period from November 2019 to November 2021, A randomized double-blind controlled trial was conducted in gastrointestinal and laparoscopic unit, Tanta University Hospital. Elective cholecystectomy for low risk patients with gall bladder stones were randomized into two groups. Group A patients received single dose of 1 gram of Ceftriaxone as a prophylactic antibiotic at induction of anesthesia while group P patients received a placebo of 10 ml isotonic sodium chloride. All patients were followed-up for 30 days. Results: No significant difference were found between both groups in the percentage of superficial site infection (A versus P: 4 (2.1%) versus 8 (4%) p=0.271). In both groups, no cases was presented with deep site infection as sub-phrenic collection or distant infection in form of urinary tract infection or pneumonia. Conclusion: Based on our findings, no role was found for prophylactic antibiotic in reducing the rate of surgical site infection for low risk cases who underwent elective LC.

DOI

10.21608/mjcu.2022.264497

Keywords

prophylactic antibiotics, Surgical Site Infection

Authors

First Name

SHERIF ELGARF, M.D.;

Last Name

AHMED H. AMER, M.D.

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First Name

HOSAM B. BARAKAT, M.D.;

Last Name

GAMAL I. MOUSSA, M.D.

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First Name

AHMED

Last Name

SWELAM, M.D.

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Affiliation

The Department of General Surgery, Faculty of Medicine, Tanta University

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Volume

90

Article Issue

9

Related Issue

37084

Issue Date

2022-09-01

Receive Date

2022-10-08

Publish Date

2022-09-01

Page Start

1,407

Page End

1,412

Print ISSN

0045-3803

Online ISSN

2536-9806

Link

https://mjcu.journals.ekb.eg/article_264497.html

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https://mjcu.journals.ekb.eg/service?article_code=264497

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264,497

Type

Original Article

Type Code

263

Publication Type

Journal

Publication Title

The Medical Journal of Cairo University

Publication Link

https://mjcu.journals.ekb.eg/

MainTitle

Prophylactic Antibiotic in Elective Laparoscopic Cholecystectomies: Is it Mandatory?

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Article

Created At

22 Jan 2023