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Surgical wound infection post surgery in perforated appendicitis in children
1Department of Surgery, Surin Hospital, Thailand.
Insights
Primary wound closure significantly reduces wound infection rates in children with perforated appendicitis compared to delayed closure. This finding highlights a critical factor in managing pediatric appendicitis complications.
Area of Science:
- Pediatric Surgery
- Infectious Disease Control
- Surgical Site Infections
Background:
- Perforated appendicitis in children presents a significant risk of wound infection.
- Current management strategies for perforated appendicitis require careful consideration of wound closure techniques.
Purpose of the Study:
- To compare the incidence of surgical site infections between primary and delayed primary wound closure in pediatric perforated appendicitis cases.
- To evaluate the efficacy of different wound management approaches in reducing infection rates.
Main Methods:
- A prospective clinical trial was conducted involving children diagnosed with perforated appendicitis.
- Patients received broad-spectrum antibiotics (gentamicin and metronidazole) perioperatively.
- Wound infection rates were compared between groups undergoing primary wound closure and delayed primary wound closure.
Main Results:
- Out of 198 appendicitis cases, 44 (22.22%) were perforated.
- Overall wound infection rate was 18.18% (8 out of 44 cases).
- The primary wound closure group had a lower infection rate (9.1%) compared to the delayed primary wound closure group (27.3%).
Conclusions:
- The incidence of wound infection following perforated appendicitis in children remains high.
- Primary wound closure is associated with a significantly lower rate of wound infection than delayed primary wound closure.
- This study supports the use of primary wound closure to minimize surgical site infections in this patient population.
Objective:
To compare the rate of wound infection of perforated appendicitis in children between primary wound closure and delayed primary wound closure.
Study Design:
Prospective clinical trial.
Material And Method:
Children diagnosed with perforated appendicitis between January 1999 and December 1999 received gentamicin and metronidazole pre- and post-operatively. Intra-abdominal fluid cultured and tested for sensitivity. The rate of wound infection, skin closure for patients were compared between primary wound closure and delayed primary wound closure.
Results:
Among 198 children diagnosed with appendicitis, 44 cases were perforated (22.22%). Of these 44 cases, 8 cases had wound infection (18.18%), 2 of 8 Infected cases (9.1%) were in the primary wound closure group, 6 of 8 (27.3%) were in the delayed primary wound closure group.
Conclusion:
The rate of wound infection from perforated appendicitis in children is still high. Primary wound closure has a significantly lower rate of wound infection compared with delayed primary wound closure.