A Study to Evaluate the Efficacy of Single Dose versus Multiple Dose of Pre Operative Antibiotic:

Santosh Kumar; Shri Krishna Ranjan

doi:10.21276/ajs.2019.2.2.8

Santosh Kumar Assistant Professor, Department of Surgery,Anugrah Narayan Magadh Medical College and Hospital, Gaya
Shri Krishna Ranjan Associate Professor, Department of Surgery, AnugrahNarayan Magadh Medical College and Hospital,Gaya

DOI: https://doi.org/10.21276/ajs.2019.2.2.8

Keywords: Single dose vs. multiple dose, Antibiotic prophylaxis, cholecystectomy

Abstract

Background: Our study is aimed to compare the impact of single vs. multiple dose of antibiotic in cholecystectomy in terms of post-operative infection related complications.Subjects and Methods:The present studywas prospective and longitudinal. Total 180 patients who were admitted for elective cholecystectomywere included in our study. The patientswere randomly divided in two equal groups: single dose (SD) group and multiple dose (MD) group, comprising of 90 patients in each group. SD group was given ceftriaxone (2 gm) intravenously at the time of induction of anaesthesia. Whereas, MD group was given ceftriaxone (2 gm) intravenously at the time of induction of anaesthesia followed by ceftriaxone (1 gm) intravenously twice a day for two days post-operatively.Results:In single dose antibiotic group, total post-operative infection rate was 4.4% and that in multiple dose groups was found to be 3.3%. Data was analyzed with Chi- square test and the difference in the rate of SSI in both the groups was found statistically insignificant.Conclusion: The rate of post-operative SSI after singledose antibiotic intravenously at inductionof anaesthesia is comparable with that of multiple dose antibiotics. So single dose antibiotic regimen can be safely practiced in elective cholecystectomy.

Downloads

Download data is not yet available.