Comparison of 2-days and 7-days of prophylactic antibiotic therapy in
the prevention of surgical site infection in coronary artery bypass
grafting: A randomized, double-blind placebo-controlled trial
Abstract
Objectives: The current study aimed to compare the
efficacy of the two different prophylactic antibiotic regimens (2-days
vs. 7-days) in preventing surgical site infection in coronary artery
bypass grafting (CABG). Methods: Patients undergoing
CABG were included in this randomized, double-blind, placebo-controlled
trial. From 2016 to 2017, 370 cases were allocated to one of two groups.
The groups received prophylactic antibiotic therapy for either 2-days or
7-days. All CABG patients were followed for days for surgical site
infections. Two of the patients died after surgery, and 3 patients did
not show up during the three-month follow-up evaluation and thus did not
meet the study criteria. Results: Of the remaining 365
patients who participated in the full study, 198 (54.2%) were male, and
167 (45.7%) were female patients. The mean age of these cases was
58.64± 11.4. Of the 365 study participants who received prophylactic
antibiotics prior to surgery, 16 patients developed surgical site
infections (legs and sternum). Among these 16 patients, nine cases
belong to the 7-days prophylactic antibiotic therapy group (2.4%), and
seven cases belong to the 2-day prophylactic antibiotic therapy group
(1.9%) (P=0.771). Conclusion: Comparison of two 2-day
and 7-day prophylactic antibiotic regimens showed no significant
difference in the incidence of post-surgical infection in the two
groups.