Mermer Hasan, Güven Mehmet, Yılmaz Mahmut Sinan, Karabay Oğuz, Kaymaz Recep, Yeniay Muhammet
Department of Otolaryngology, Medical Faculty of Sakarya University, 54100 Sakarya, Turkey.
Kulak Burun Bogaz Ihtis Derg. 2014 Jan-Feb;24(1):17-20. doi: 10.5606/kbbihtisas.2014.50336.
This study aims to investigate the efficacy of postoperative antibiotic use in the prevention of the surgical site infection.
Eighty patients who underwent septoplasty in our clinic between July 2012 and September 2012 were followed. Forty of them received preoperative antibiotic prophylaxis and postoperative oral antibiotics (group 1). The other 40 received only preoperative antibiotic prophylaxis (group 2). The patients were assessed at the time of removing packings and postoperative first and second week in terms of infection criteria; endoscopic examination was performed and complete blood counting, and C-reactive protein (CRP) levels were studied. Fifteen patients in each group who completed their follow-up were included in the study.
Two patients receiving postoperative antibiotics in addition to the prophylaxis developed infection during follow-up. No infection was seen in the prophylaxis group.
According to the comparison of the two groups, we conclude that there is no need to use postoperative antibiotics to prevent surgical site infections.
本研究旨在调查术后使用抗生素预防手术部位感染的疗效。
对2012年7月至2012年9月期间在我院接受鼻中隔成形术的80例患者进行随访。其中40例接受术前抗生素预防及术后口服抗生素治疗（第1组）。另外40例仅接受术前抗生素预防（第2组）。根据感染标准，在取出填塞物时以及术后第一周和第二周对患者进行评估；进行内镜检查，并研究全血细胞计数及C反应蛋白（CRP）水平。每组中完成随访的15例患者纳入本研究。
除预防用药外还接受术后抗生素治疗的2例患者在随访期间发生感染。预防组未发现感染病例。
通过两组比较，我们得出结论，无需使用术后抗生素来预防手术部位感染。
