Surgical wound infection post surgery in perforated appendicitis in children
Chatwiriyacharoen, W.
Journal of the Medical Association of Thailand 85(5): 572-576
2002
ISSN/ISBN: 0125-2208 PMID: 12188387 Document Number: 1963
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.
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