Safety of clean urologic operations without prophylaxis antibiotic therapy in Cipto Mangunkusumo Hospital, Jakarta: A double-blind randomized controlled trial study

• Published in: Asian journal of surgery Vol. 38; no. 4; pp. 224 - 228
• Main Authors: Wahyudi, Irfan, Birowo, Ponco, Sanjaya, I. Putu Gde, Fawzi, Rizky, Rasyid, Nur, Mochtar, Chaidir A
• Format: Journal Article
• Language: English
• Published: China Elsevier Taiwan 01.10.2015; Elsevier
• Subjects: Adult; Anti-Bacterial Agents - therapeutic use; Antibiotic Prophylaxis; Cefazolin - therapeutic use; Child; Child, Preschool; clean urologic operation; Double-Blind Method; Humans; Indonesia; local and systemic infection postoperation; Preoperative Care - methods; prophylaxis antibiotics; Surgery; Surgical Wound Infection - prevention & control; Treatment Outcome; Urologic Surgical Procedures, Male; clean urologic operation; local and systemic infection postoperation; prophylaxis antibiotics
• ISSN: 1015-9584; 0219-3108
• DOI: 10.1016/j.asjsur.2015.03.004

Summary Objective This study was conducted to identify the safety measures of performing clean urologic operations without administration of prophylaxis antibiotics. Methods We conducted a double-blind randomized controlled trial with patients who underwent clean urologic operations in Cipto Mangunkusumo Hospital, Jakarta, Indonesia, from April 2013 to January 2014. The local and systemic infection states were compared between the prophylaxis and placebo groups. Local infection was identified as surgical site infection and systemic infection as fever and leukocytosis. Results A total of 42 patients participated in the study (21 patients in each group), comprising 14 (33.3%) children and 28 (66.7%) adults. The most frequently performed operation was surgical sperm retrieval. No patients in either group were found to have local or systemic infection. However, there was a statistical difference in the white blood cell counts between the two groups ( p  = 0.003), although there was no sign of local or systemic infection in any of the patients. Conclusion Clean urologic operations without prophylaxis antibiotic therapy can be safely applied to urologic patients.