Efficiency of Local Antiseptic solution on the Incidence of Surgical Site Infection after Inguinal Hernia repair – A Prospective Study in a Tertiary Rural Hospital
Journal Title: Journal of Medical Science And clinical Research - Year 2017, Vol 5, Issue 7
Abstract
Introduction: The risk of wound infection after inguinal hernia repair depends on several factors. One of the most important factors is the preoperative skin preparation. The use of antisepsis is performed to reduce the risk of surgical site infections (SSIs) and to remove causing organisms. This work compares two different agent forms for preoperative skin preparation to prevent Surgical site infections (SSIs) Materials and Methods: 100 adult patients were divided and randomized into two groups, each containing 50 patients. Both groups included patients that are scheduled for elective Lichtenstein inguinal hernia repair. The first group includes patients whose skin preparations were done with povidone iodine (PI) only. The second group included patients that are treated with two antiseptics; Alkosol (96% ethanol, isopropanol-30g and ortophenilphenol- 0.1g) and povidone iodide. The povidone iodide is applied after Alkosol has evaporated. The presence of bacterial growth in the wound was determined 24 and 48 hours after operation. Swabs were used to take samples, which were then cultivated to check for bacterial growth. The presence of infection was also determined by the following criteria: pain or tenderness, induration, erythema, local warmth of the wound etc Results: The surgeon or clinician declared that after 24 hours the wound was infected in 20 patients in the control group and in 22 patients after 48 hours. In the Alkosol (96% ethanol, isopropanol-30g and ortophenilphenol0.1g) andpovidone iodide group infection was declared in only 3 patients after 24 hours. Discussion: Compared to the use of providone only, the use of Alkosol (96% ethanol, isopropanol-30g and ortophenilphenol-0.1g) and povidone iodide has many advantages and was associated with lower rates of SSIs following clean surgery. A larger trial is warranted in order to add definitive and more conclusive data to the current evidence base
Authors and Affiliations
Shashirekha CA
Keywords
Related Articles
- EP ID EP527020
- DOI -
- Views 64
- Downloads 0
Encephalotrigeminal Hemangiomatosis: Two Case Reports
Encephalotrigeminal Hemangiomatosis also known as sturge- weber syndrome is specifically congenital, non-hereditary, rare condition occurring with a frequency of 1:50,000 live births, with equal predilection for either s...
A Study on knowledge, Attitude and Practice of voluntary blood donation among the undergraduates of Raja Rajeswari Group of institutions (Medical, Dental and Engineering) Bangalore Karnataka
Aim: The study aims to assess the level of knowledge, attitude and practice of voluntary blood donations among the undergraduate students of Raja Rajeswari group of the institution Bangalore. Objective: To understand the...
Evaluation of Safety, Efficacy and Continuation Rates of Postpartum Intrauterine Contraceptive Devices (PPIUCD) (Cu-T 380 A)
Introduction: Copper intrauterine devices (IUDs) are the most commonly used type of IUD. This study is aimed at assessing the safety, efficacy and continuation rates of postpartum Cu T380A in women delivering at our cent...
Prevalence of Diabetic Macular Edema in association with Severity of Diabetic Retinopathy
Introduction: Diabetic eye disease is a leading cause of vision loss in persons aged 20 to 74 years.1Diabetic retinopathy is the most common microvascular complication of diabetes 2 , and can be broadly divided into two...
Easy way of Converting Dental Micro drill in to Neuro Surgical Craniotome by attaching custom made dural guard- A Matter of Hundred Rupees
For doing craniotomy/craniectomy Hand driven HUDSON BRACE, electrical, Battery neuro drills are commonly used in neurosurgery. Neurosurgeons working in peripheral hospitals particularly developing country like India coul...