Role of Topical Usage of Vancomycin Powder in Prevention of Wound Infection in Spinal Surgery

Authors

  • Muhammad Ajmal Khan Department of Neurosurgery Unit – II Lahore General Hospital,
  • RIZWAN SHARIF Department of Neurosurgery, 1Lahore General Hospital
  • MUZAMMIL IRSHAD Nishtar Medical College, Multan

Keywords:

Spinal surgery,, Topical application, Vancomycin, Wound infection

Abstract

Objective: To determine the efficacy of topical usage of vancomycin powder at wound site to prevent wound infection in spinal surgery.
Material and Methods: A prospective study of 62 patients during a period of 6 months with follow-up of 2 weeks post-operatively was performed at Lahore General Hospital Lahore. Patients were divided into two groups: group A and group B, each containing equal numbers of patients. In group A, only prophylactic intravenous antibiotics were used for 5 days. In group B intravenous antibiotics along with topical Vancomycin powder were used at operative site in spinal surgery.
Results: During period of follow-up in 2 weeks post-operatively, incidence of wound infection in group A patients was 6.42% in comparison to Group B patients which was 2.4%. No adverse effects were documented by direct usage of Vancomycin powder at wound site.
Conclusion: Topical usage of Vancomycin powder at wound site reduces infection rate significantly in spinal surgery.

References

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Published

2018-10-04

Issue

Vol. 21 No. 1 (2017): January-March

Section

Original Articles

License

The work published by PJNS is licensed under a Creative Commons Attribution-NonCommercial 4.0 International (CC BY-NC 4.0). Copyrights on any open access article published by Pakistan Journal of Neurological Surgery are retained by the author(s).