SURGICAL SITE INFECTION;

POVIDONE-IODINE PRO¬PHYLAXIS AND SURGICAL SITE INFECTION IN APPENDECTOMY.

  • Abdul Salam Memon Liaquat University of Medical and Health Sciences Jamshoro.
  • Aijaz Ahmed Shaikh Liaquat University of Medical and Health Sciences Jamshoro.
  • Riaz Ahmed Memon Liaquat University of Medical and Health Sciences Jamshoro.
  • Afzal Junejo Liaquat University of Medical and Health Sciences Jamshoro.
Keywords: Surgical Site Infection, Povidone-Iodine, Appendectomy

Abstract

Objectives: Efficacy of postoperative Povidone-Iodine pro­phylaxis and surgical site infection in appendectomy surgery. Study Design: Randomized clinical trial. Place and Duration: Department of Surgery, Liaquat University Hospital Jamshoro/Hyderabad from March 2016 to November 2017. Subjects and Methods: Diagnosed cases of acute appendicitis with classical clinical presentation were included in the study protocol. 60 patients were those, who were applied 1% povidone-iodine solution (cases) to wound post operatively versus 60 patients (control) were those in whom wound not irrigated with Povidone- Iodine. Ethical approval and consent were taken. Data was noted in a proforma and analyzed on SPSS 22.0 (P≤0.05). Results: Age (mean ± SD) in control and cases was observed as 25.5 ± 8.5 and 24.5 ± 9.5 years respectively (P=0.76). Male and female were noted as 43 (%) and 17 (%) & 45 (%) and 15 (%) in control and cases respectively (P >0.05). Wound healing score by Southampton classification of wound healing shows lesser frequency of surgical site infection in cases compared to controls (P <0.05). Grade 4 pus discharging wound infection was noted in 2 (3.33%) control versus 3 (5.0%) in cases (P=0.021). Conclusion: It is concluded that the 1% Povidone- Iodine solution is effective in preventing the post appendectomy surgical site infection.

Author Biographies

Abdul Salam Memon, Liaquat University of Medical and Health Sciences Jamshoro.

MBBS, MS

Assistant Professor

Department of Surgery

Aijaz Ahmed Shaikh, Liaquat University of Medical and Health Sciences Jamshoro.

MBBS, MS

Assistant Professor

Department of Surgery

 

Riaz Ahmed Memon, Liaquat University of Medical and Health Sciences Jamshoro.

MBBS, MS

Senior Registrar

Department of Surgery

 

Afzal Junejo, Liaquat University of Medical and Health Sciences Jamshoro.

MBBS, FCPS

Professor

Department of Surgery

 

Published
2019-04-10