Journal List > Korean J Urogenit Tract Infect Inflamm > v.9(2) > 1059939

Korean J Urogenit Tract Infect Inflamm. 2014 Oct;9(2):111-114. Korean.
Published online October 31, 2014.  https://doi.org/10.14777/kjutii.2014.9.2.111
Copyright © 2014, Korean Association of Urogenital Tract Infection and Inflammation. All rights reserved.
Is Postoperative Prophylactic Antibiotics Necessary for Pediatric Scrotal and Inguinal Outpatient Surgeries?
Seungsoo Lee,1,2,* Chang Soo Park,2,* Sung Hye Jo,1 and Sang Don Lee1,2
1Department of Urology, Pusan National University Yangsan Hospital, Yangsan, Korea.
2Department of Urology, Pusan National University School of Medicine, Yangsan, Korea.

Correspondence to: Sang Don Lee. Department of Urology, Pusan National University Yangsan Hospital, 20, Geumo-ro, Mulgeum-eup, Yangsan 626-770, Korea. Tel: +82-55-360-2134, Fax: +82-55-360-2164, Email: lsd@pusan.ac.kr

*These authors contributed equally to this study as co-first authors.

Received September 30, 2014; Revised October 12, 2014; Accepted October 22, 2014.

This is an open access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.


Abstract

Purpose

Excess usage of antibiotics can cause complications of antibiotics and rise of antibiotic-resistant strains. However, guidelines for antibiotic prophylaxis differ between countries. We evaluated necessity of postoperative prophylactic antibiotics for pediatric patients who underwent scrotal and inguinal outpatient surgeries.

Materials and Methods

From April 2011 to April 2014, 725 patients (mean age, 30.5±21.6 months) who underwent outpatient surgery (hydrocelectomy, orchiopexy, orchiectomy, and inguinal herniorrhaphy) were evaluated. In group 1 (556 cases), each patient had intravenous antibiotic prophylaxis only preoperatively. In group 2 (169 cases), each patient had intravenous antibiotic prophylaxis pre- and post-operatively. In group 1 and group 2, we analyzed postoperative complications including wound dehiscence, fever, skin erythema, pain, pus, and diarrhea with medical records.

Results

In group 1 and group 2, mean age was 30.4±21.7 months (5.0-108.0 months) and 30.8±21.2 months (7.0-108.0 months), respectively. In group 1 and group 2, the mean operative time was 29.6±2.4 minutes and 29.7±2.5 minutes, respectively. The differences of mean age and mean operative time were not statistically significant (p=0.82 and p=0.77, respectively). Nine patients in group 1 and two patients in group 2 had postoperative complications. The difference between two groups was statistically insignificant (p=0.69). According to age and operation, the differences of postoperative complications were not statistically significant. However, in patients under 2 years old, more complications tended to occur in group 1 than in group 2.

Conclusions

Postoperative prophylactic antibiotics may not be necessary for pediatric scrotal and inguinal outpatient surgeries.

Keywords: Antibiotic prophylaxis; Herniorrhaphy; Orchiopexy; Scrotal hydrocele

Tables


Table 1
Comparison of postoperative complications between group 1 and 2
Click for larger image


Table 2
Comparison of postoperative complications between group 1 and 2 according to age and operation
Click for larger image

Notes

No potential conflict of interest relevant to this article was reported.

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