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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Does routine prophylactic oral flucloxacillin reduce the incidence of post-circumcision infections?
American Journal of Infection Control, Volume 41, No. 10, Year 2013
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Description
Background: Cost-effective and safe practices are required for the scale-up of medical male circumcision (MMC), a strategy recommended for biomedical HIV prevention. Methods: A retrospective medical record review was conducted of post-circumcision wound infection incidence at a massive MMC program in Soweto, South Africa. We compared patients who received routine 250 mg prophylactic flucloxacillin 4 times daily orally for 5 days with those who did not receive prophylaxis. Patients with HIV infection and those with missing prophylaxis data were excluded from the analysis. Collated data included prophylaxis received, age, return for follow-up, and presence and grading of wound infection at follow-up. Results: In total, 1,291 patients were eligible: 646 flucloxacillin recipients and 645 non-recipients. Median age of flucloxacillin recipients was 24 years (interquartile range 20-29 years) and for nonrecipients it was 23 years (interquartile range 16-28 years). Eighty-one percent of flucloxacillin recipients and 87% of nonrecipients (P =.0019) returned for follow-up. Wound infection was present in 0.7% (5 of 646) of flucloxacillin recipients and 1.2% (8 of 645) of non-recipients (P =.4). Use of routine prophylactic flucloxacillin did not significantly reduce incidence of post-MMC wound infection (odds ratio, 0.6; 95% confidence interval, 0-1.2). Conclusions: When compared with no prophylactic flucloxacillin, routine prophylactic flucloxacillin does not significantly reduce the risk of post-MMC wound infection in a massive circumcision program. Copyright © 2013 by the Association for Professionals in Infection Control and Epidemiology, Inc.
Authors & Co-Authors
Lebina, Limakatso
South Africa, Johannesburg
University of the Witwatersrand
Laher, Fatima
South Africa, Johannesburg
University of the Witwatersrand
Mukudu, Hillary
South Africa, Johannesburg
University of the Witwatersrand
Essien, Thandekile
South Africa, Johannesburg
University of the Witwatersrand
Otwombe, Kennedy N.
South Africa, Johannesburg
University of the Witwatersrand
Gray, Glenda E.
South Africa, Johannesburg
University of the Witwatersrand
Martinson, Neil Alexander
South Africa, Johannesburg
University of the Witwatersrand
Statistics
Citations: 7
Authors: 7
Affiliations: 1
Identifiers
Doi:
10.1016/j.ajic.2012.12.015
ISSN:
01966553
e-ISSN:
15273296
Research Areas
Health System And Policy
Infectious Diseases
Study Design
Cohort Study
Case-Control Study
Study Locations
South Africa
Participants Gender
Male