Effects of antibiotics administration on the incidence of wound infection in percutaneous dilatational tracheostomy

Hideharu Hagiya, Hbomichi Naito, Shingo Hagioka, Shuji Okahara, Naoki Morimoto, Nobuchika Kusano, Fumio Otsuka

Research output: Contribution to journalArticle

5 Citations (Scopus)

Abstract

The effect of antibiotics during the perioperative period of percutaneous dilatational tracheostomy (PDT) is still controversial. A total of 297 patients who underwent the PDT procedure were divided into 2 groups: those administered antibiotics perioperatively and those not administered antibiotics. Wound infections were noted in 7 cases (incidence rate, 2.36%) and no death was recorded. Of the 69 patients without antibiotics, 5 developed wound infections (incidence rate, 7.25%), while only 2 of the 228 patients with antibiotics developed wound infections (incidence rate, 0.88%) (p = 0.002; risk ratio, 8.82; 95% confidence interval, 1.67-46.6). Of the 7 cases of wound infection, 5 cases occurred during the early period after PDT (within 7 days). Collectively, the present results suggest that prophylactic administration of antibiotics may prevent the incidence of PDT-induced wound infection, especially in the early phase after the PDT procedures. The need for antibiotics in PDT should be reconsidered.

Original languageEnglish
Pages (from-to)57-62
Number of pages6
JournalActa medica Okayama
Volume68
Issue number2
Publication statusPublished - 2014

Keywords

  • Airway management
  • Critically ill patient
  • Percutaneous dilatational tracheostomy
  • Surgical site infection

ASJC Scopus subject areas

  • Biochemistry, Genetics and Molecular Biology(all)

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