Antibiotic Prophylaxis Use in Acute Uncomplicated Appendicitis in Manila Doctors Hospital: A Retrospective Study of Cases from January 2014 to December 2015 Group II
Arnulfo Agustino Jr., MD, Zhahida Amil, MD, Lloyd Amparado, MD, Ma. Clarissa Belen, MD John Benvic Dinglasan, MD, Leslie Kimberly Lisay, MD & Ross Jacob Rosales, MD
Jose Ronald P. Galang, MD*
Appendectomy for appendicitis is one of the most surgical procedures done, ranking 12th in the Philippines. Preoperative prophylactic antibiotics in uncomplicated acute appendicitis have been proven to reduce the incidence of postoperative infectious complications. This study reviewed charts of patients in Manila Doctors Hospital diagnosed with acute uncomplicated appendicitis and who underwent appendectomy from January 2014 to December 2015. The results of the study showed that the most common antibiotics given were Cefoxitin, Ampicillin-Sulbactam, and Co-amoxiclav which conforms to the recommendations of the Evidence-Based Clinical Practice Guidelines on the Diagnosis and Treatment of Acute Appendicitis by the Philippine College of Surgeons. However, our study also showed that the prophylactic antibiotics were given longer than what is recommended. The results of this study may help lay the foundation for future studies regarding the proper utilization of prophylactic antibiotics in Manila Doctors Hospital and facilitate a review of the currently accepted guidelines.
*Adviser/Consultant, Department of Surgery