ISSN 2394-5125
 

Review Article 


Effect of Single Dose Antibiotics as a Standard Protocol in Hernioplasty

Bharathidasan. R, Vishal Raj, Karthik Yadav, Maheshwari Narayanan.

Abstract
While undergoing any surgical procedure, a patient tends to increase surgical site infections over all
morbidity and mortality. With the advancement of antibiotics surgeons can prevent and treat surgical site
infections effectively. However, overzealous administration of antibiotics leads to resistance among
microorganism. Surgeries are classified as clean, clean contaminated, contaminated and dirty. Lichtenstein
tension free hernioplasty belong to clean surgical procedure. It is well recognized that surgical site infections
can vary from 2% for inguinal hernia repair, 26% for colectomy and even higher for emergency surgeries. Thus,
rational use of prophylactic antibiotics is necessary in modern era. A hospital based double blinded randomized
control study undergone for period of 12 months which involved 100 patients of age group 18-70years. All
cases in the study received single dose inj. Cefuroxime 1.5gm 30minute before skin incision and all controls
received inj. Cefuroxime 1.5gm IV twice a day for 3 days followed by oral antibiotics for 3 days. Data obtained
from above study was analyzed for age, sex, post-operative fever, duration of postoperative stay, and cost of
treatment and was noted in prescribed format. Based on the current work I conclude that it is recommendable to
use single dose antibiotic prophylaxis for clean cases, as per the study results there is no significant difference in
incidence of SSI when compared to multiple doses. In addition, the irrational use of antibiotics for clean cases is
unnecessary, and helps in preventing drug resistance due to overuse of antibiotics.

Key words: hernioplasty, surgical site infections, antibiotics, drug resistance


 
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How to Cite this Article
Pubmed Style

Bharathidasan. R, Vishal Raj, Karthik Yadav, Maheshwari Narayanan. Effect of Single Dose Antibiotics as a Standard Protocol in Hernioplasty. JCR. 2020; 7(17): 746-753. doi:10.31838/jcr.07.17.98


Web Style

Bharathidasan. R, Vishal Raj, Karthik Yadav, Maheshwari Narayanan. Effect of Single Dose Antibiotics as a Standard Protocol in Hernioplasty. http://www.jcreview.com/?mno=20605 [Access: May 31, 2021]. doi:10.31838/jcr.07.17.98


AMA (American Medical Association) Style

Bharathidasan. R, Vishal Raj, Karthik Yadav, Maheshwari Narayanan. Effect of Single Dose Antibiotics as a Standard Protocol in Hernioplasty. JCR. 2020; 7(17): 746-753. doi:10.31838/jcr.07.17.98



Vancouver/ICMJE Style

Bharathidasan. R, Vishal Raj, Karthik Yadav, Maheshwari Narayanan. Effect of Single Dose Antibiotics as a Standard Protocol in Hernioplasty. JCR. (2020), [cited May 31, 2021]; 7(17): 746-753. doi:10.31838/jcr.07.17.98



Harvard Style

Bharathidasan. R, Vishal Raj, Karthik Yadav, Maheshwari Narayanan (2020) Effect of Single Dose Antibiotics as a Standard Protocol in Hernioplasty. JCR, 7 (17), 746-753. doi:10.31838/jcr.07.17.98



Turabian Style

Bharathidasan. R, Vishal Raj, Karthik Yadav, Maheshwari Narayanan. 2020. Effect of Single Dose Antibiotics as a Standard Protocol in Hernioplasty. Journal of Critical Reviews, 7 (17), 746-753. doi:10.31838/jcr.07.17.98



Chicago Style

Bharathidasan. R, Vishal Raj, Karthik Yadav, Maheshwari Narayanan. "Effect of Single Dose Antibiotics as a Standard Protocol in Hernioplasty." Journal of Critical Reviews 7 (2020), 746-753. doi:10.31838/jcr.07.17.98



MLA (The Modern Language Association) Style

Bharathidasan. R, Vishal Raj, Karthik Yadav, Maheshwari Narayanan. "Effect of Single Dose Antibiotics as a Standard Protocol in Hernioplasty." Journal of Critical Reviews 7.17 (2020), 746-753. Print. doi:10.31838/jcr.07.17.98



APA (American Psychological Association) Style

Bharathidasan. R, Vishal Raj, Karthik Yadav, Maheshwari Narayanan (2020) Effect of Single Dose Antibiotics as a Standard Protocol in Hernioplasty. Journal of Critical Reviews, 7 (17), 746-753. doi:10.31838/jcr.07.17.98