Chemoprophylaxis in Complicated Appendicitis in Children

Original article


D.B. Gahunkamble 1 and F.S. Rakas 2

1-D.B. Gahunkamble and F.S. Rakas 2-Department of Surgery, Faculty of Medicine, AL-Arab Arab Medical University, Benghazi, S.P.L.A.J.

Garyounis Medical Journal Vol. 10, No. 1-2 . January 1987: 32-34


Of the 130 children who either had gangrenous or perforated appendicitis, 70 (53.8%) of them developed local peritonit is and 41 (31.5%) generalised peritonitis. In addition to appendicectomy in all cases, saline lavage and intraperitoneal drainage were used in cases of generalised peritonitis. An antibiotic combination of ampicillin, gentamicin and metronidazole was uniformly used. 3 (2.3%) patients developed intraperitoneal sepsis and 38 (29.2%) superficial wound infection. The study showed that the adopted regime significantly reduced the rate of formation of in Ira-abdominal sepsis and major wound infections.

Keywords: Chemoprophylaxis in Complicated Appendicitis in Children