Is Postoperative Prophylactic Antibiotics Necessary for Pediatric Scrotal and Inguinal Outpatient Surgeries?

Seungsoo Lee; Chang Soo Park; Sung Hye Jo; Sang Don Lee

doi:10.14777/kjutii.2014.9.2.111

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

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Lee, Park, Jo, and Lee: Is Postoperative Prophylactic Antibiotics Necessary for Pediatric Scrotal and Inguinal Outpatient Surgeries?

Original Article

Korean J Urogenit Tract Infect Inflamm 2014;9(2):111-114.

Published online: 17 October 2014

DOI: https://doi.org/10.14777/kjutii.2014.9.2.111

Is Postoperative Prophylactic Antibiotics Necessary for Pediatric Scrotal and Inguinal Outpatient Surgeries?

Seungsoo Lee^1,^2,^∗, Chang Soo Park^2,^∗, Sung Hye Jo¹, Sang Don Lee^1,^2,

¹Department of Urology, Pusan National University Yangsan Hospital, Yangsan, Korea

²Department of Urology, Pusan National University School of Medicine, Yangsan, Korea

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

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 E-mail: lsd@pusan.ac.kr

Received 30 September 201412 October 2014 Accepted 22 October 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 postoperatively. 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

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Table 1.

Comparison of postoperative complications between group 1 and 2

Complication	Group 1 (n=9/556)^a	Group 2 (n=2/169)^b
Wound dehiscence	2 (0.36)	1 (0.60)
Fever	2 (0.36)	0
Skin erythema	5 (0.90)	1 (0.60)
Pain	0	0
Pus	0	0
Diarrhea	0	0

Values are presented as number (%).

^a :Patients who had intravenous antibiotics prophylaxis only preoperatively.

^b :Patients who had intravenous antibiotics prophylaxis pre- and postoperatively.

Table 2.

Comparison of postoperative complications between group 1 and 2 according to age and operation

	n	Group 1 (n=9/556)^a	Group 2 (n=2/169)^b	p-value
Age (y)
＜2	375	7/288	0/87	0.54
≥2	350	2/268	2/82	0.21
Operation
Hydrocelectomy	218	3	1	0.81
Orchiopexy	403	6	1	0.53
Orchiectomy	27	0	0	-
Inguinal	77	0	0	-
herniorrhaphy

^a :Patients who had intravenous antibiotics prophylaxis only preoperatively.

^b :Patients who had intravenous antibiotics prophylaxis pre- and postoperatively.

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