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Year : 2022  |  Volume : 28  |  Issue : 1  |  Page : 56-61

Effectiveness of antibacterial-coated suture material to prevent post-operative superficial surgical site infection among patients undergoing abdominal wall closure

Department of General Surgery, Azeezia Institute of Medical Science, Kollam, Kerala, India

Correspondence Address:
Dr. M R. Rakesh Praveen Raj
Department of General Surgery, Azeezia Institute of Medical Science, Kollam, Kerala
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/ksj.ksj_21_22

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Background: Despite the use of prophylactic antibiotics, surgical site infection (SSI) is still a real risk of surgery. This study focuses on the method of wound closure with regard to the suture material used since the suture material itself has long been known to be a significant cause or cofactor in SSIs. We compared the rates of superficial SSIs in patients in whom the subcutaneous layer of abdominal incisions was closed with antibacterial-coated polyglactin 910 suture materials with those in whom coated polyglactin 910 alone was used. Materials and Methods: Patients were divided into two groups as per the unit system. The patients selected for the study were those undergoing abdominal wall closures. All patients above 18 years of age, who undergoes abdominal surgery for various ailments at our hospital, were included in the study. All the patients were given antibiotics pre-operatively and post-operatively. The patients were followed up for up to the day of discharge, 1-week post-discharge and 30-day post-operative as routinely followed in our institute. Results: There was a statistically significant relationship between plain polyglactin 910 and triclosan-coated polyglactin 910 (P < 0.05). The infection rate associated with the use of plain polyglactin 910 was 22.6% and with triclosan-coated polyglactin 910 was 12.3 (P = 0.025). The most common organism causing skin and skin-structure infection were Klebsiella (26%) and Staphylococcus (26%). Conclusion: Our study confirms a significant benefit to the patient in reducing superficial SSI in abdominal wall closure with the use of triclosan-coated polyglactin 910 when compared to plain polyglactin 910 usage for the same.

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