Korean J Urogenit Tract Infect Inflamm.  2014 Oct;9(2):111-114. 10.14777/kjutii.2014.9.2.111.

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

• Lee S
• Park CS
• Jo SH
• Lee SD

• KMID: 1732624
• DOI: http://doi.org/10.14777/kjutii.2014.9.2.111

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.

Keyword

Antibiotic prophylaxis; Herniorrhaphy; Orchiopexy; Scrotal hydrocele

MeSH Terms

Ambulatory Surgical Procedures*
Anti-Bacterial Agents*
Antibiotic Prophylaxis
Diarrhea
Erythema
Fever
Herniorrhaphy
Humans
Medical Records
Operative Time
Orchiectomy
Orchiopexy
Postoperative Complications
Skin
Suppuration
Testicular Hydrocele
Wounds and Injuries
Anti-Bacterial Agents

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