J Med Assoc Thai 2002; 85 (5):572

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Surgical Wound Infection Post Surgery in Perforated Appendicitis in Children
Chatwiriyacharoen W Mail

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.
Key word : Surgical Wound Infection, Perforated Appendicitis, Primary Wound Closure

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