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2004, Number 4

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Cir Cir 2004; 72 (4)

Cost analysis: metronidazole-amikacin vs. preoperative monodose of ceftriaxone in appendicitis. Preliminary report

Baeza-Herrera C, Jaimes G, Rico-Mejía E, Sanjuan-Fabián H

Language: Spanish
References: 21
Page: 277-280
PDF size: 70.98 Kb.


ABSTRACT

Introduction: Postoperative management of acute appendicitis in our country has been supported by results from studies overseas. Ampicillin, clindamycin and gentamicin is the classic association of antimicrobial drugs. However, it is expensive, unnecessary and risky. We believe that a single dose can be useful. Material and methods: We studied two groups comprised of 82 patients each in whom an appendectomy was performed. In group A an intravenous (i.v.) dose of ceftriaxone was given 30-240 minutes before skin incision. Group B or control group was comprised by the same number of patients previously operated and managed under traditional method (amikacin-metronidazole). Results: In group A, three wound infections and an intraperitoneal abscess were identified, while in group B only one wound infection was seen. Average cost for patients in group A was 2,108.91 pesos (approx. $200 USD). In group B, the average cost was 9,407.48 pesos (approx. $900 USD). Conclusions: One dose of preoperative ceftriaxone proved to be most financially economical.


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