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.
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.
Authors: Akan W Inyang; Usang E Usang; Ademola O Talabi; Lofty-John C Anyanwu; Oludayo A Sowande; Olusanya Adejuyigbe Journal: Afr J Paediatr Surg Date: 2017 Oct-Dec