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Association of Paediatric Surgeons of Bangladesh
Journal of Paediatric Surgeons of Bangladesh
Original Articles · Vol. 12 No. 1-2 (2021)

Impact of single dose versus multidose prophylactic use of antibiotics in elective inguinal herniotomy in children: A prospective study

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JPSB
Journal of
Paediatric Surgeons of Bangladesh
Published : July 2021
CONTENTSVolume 12Number 1 & 2January - July 2021
Editorial
Birth defects: a challenge of Neonatal surgery
Md Tosaddeque Hossain Siddiqui
01
Original Articles
Comparative Outcomes of the Bishop Koop Procedure and Primary Anastomosis in Jejunoileal atresia
Fatema Sayeed, Md Ashraf Ul Huq, Md Tawhidul Islam, Bipul Bhusan Das, Samiul Hasan
03
Understanding the Unseen Burden of Common Health Problems of School-going Children in Sub-urban Area: Insights from a Single-day Health Programme
Arpita Biswangree, Md Fahadul Islam, Rifah Sanjeedah Tahsin, Rahatil Asyekin Raha, Mustari Nailah Tabassum, Bijita Biswangree, Zarrin Tasnim Anwar, Debjyoti Barua, Tarannum Mahmood, Md Sharif Imam, Tahmina Banu
10
Perspective Determination of the relationship between Bacteriuria and D-J Stent Colonization due to the indwelling of D-J Stent following A-H Pyeloplasty
Md Sharif Imam, Tanvir Kabir Chowdhury, Md Khurshid Alam Sarwar, Md Abdullah Al Farooq
17
Advancement in Paediatric Laparoscopic Surgery: Two Years’ Experience in A Tertiary Level Medical College Hospital in Bangladesh
Md Shahin Reza, Md Samidur Rahman, Elora Afroz Leema, Mashkurul Alam Minar, Mohammad Mahabubul Alam, Umma Fatema
24
Outcomes and Predictors of Ventriculoperitoneal Shunt Failure in Children with Hydrocephalus
Md Delwar Hossain, Ferdous K M N, Rahman A
30
Impact of single dose versus multidose prophylactic use of antibiotics in elective inguinal herniotomy in children: A prospective study
Muhammad Mizanur Rahman Shibli, Mahabur Rahman Sarker, Md Moniruzzaman, S M Noor E Shadid, A K M Mahbub Alam
37
Case Reports
Staged Pediatric Scalp Reconstruction for Extensive Lacerations with Necrosis Following Agricultural Machinery Injury: A Case Report
Aminur Rashid Sangeet, Ashik Ahsan, Kamrul Islam Mamun, Tazin Ahsan
41
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ASSOCIATION OF PAEDIATRIC SURGEONS OF BANGLADESH (APSB)
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Authors

  • Muhammad Mizanur Rahman ShibliAssistant Professor, Department of Paediatric Surgery, Shaheed Ziaur Rahman Medical College, Bogura, Bangladesh.
  • Mahabur Rahman SarkerAssistant Professor, Department of Paediatric Surgery, Shaheed Ziaur Rahman Medical College, Bogura, Bangladesh.
  • Md MoniruzzamanResident Surgeon, Department of Paediatric Surgery, Shaheed Ziaur Rahman Medical College Hospital, Bogura, Bangladesh.
  • S M Noor E ShadidAssistant Registrar, Department of Paediatric Surgery, Shaheed Ziaur Rahman Medical College Hospital, Bogura, Bangladesh
  • A K M Mahbub AlamIndoor Medical Officer, Department of Paediatric Surgery, Shaheed Ziaur Rahman Medical College Hospital, Bogura, Bangladesh.

Keywords

Single dose multiple doses prophylactic antibiotic wound infection haematoma herniotomy

Abstract

Aim: To compare the difference of outcome from single dose versus multidose of prophylactic antibiotics use in elective herniotomy in children. Introduction: There are lot of studies to find out the role of using prophylactic antibiotics in clean surgery, but still there is controversies whether it is necessary or not for preventing post operative surgical site infection. Irrational use of antibiotics in surgery is a major problem in our country and it also increases the total treatment cost. This study will help our surgeons to take decision about the use of prophylactic antibiotic in clean surgery like herniotomy. Methodology: This prospective comparative study was conducted in the Department of Paediatric Surgery, Shaheed Ziaur Rahman Medical College Hospital, Bogura, Bangladesh. Results: Out of 100 patients of group A (single dose antibiotic) only four patients developed serous wound discharge (seroma 4%) and none of them developed wound infection. In 100 patients of group B (multiple dose antibiotic) single patient developed seroma and none of them developed wound infection. Conclusion: In this study we found that the difference of postoperative outcome in terms of surgical site infection between single dose versus multiple doses antibiotic use in herniotomy is minimum and statistically insignificant. We conclude that single dose antibiotic prophylaxis is sufficient in clean surgery like herniotomy that is also cost effective.

Journal of Paediatric Surgeons of Bangladesh (2021) Vol. 12 (1 & 2): 37–40

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