Health Condition 1: C15-C26- Malignant neoplasms of digestive organs
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Patient willing to give consent for being participant in the study 2.Patient undergoing WHIPPLE- pancreaticoduodenectomy for benign and malignant etiology 3.Inj Piptaz( piperacillin + tazobactam) 4.5g IV four times a day empirically. Antibiotic will be replaced accordingly to intraoperative bile culture and sensitivity 4. Renal dose adjustment of Injection Piperacillin + Tazobactam will be considered in patients with renal compromise
Exclusion criteria
Exclusion criteria: 1.Patient not giving informed consent 2.Patients undergoing total pancreatectomy. enucleation, distal pancreatectomy 3.Post operative complications other than infectious complications 4.If patients of Group A develop prolonged septic complications requiring extended antibiotic course will either be excluded or be accounted in group B 5. Patient developing organ failure, requiring mechanical ventilation or pressure support or ICU admission or operated outside or lost to follow up/absconded
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| To assess the effect of the antibiotic duration in two groups 4days (96hr) and 8 days(192hr) undergoing pancreaticoduodenectomy with infectious complications mainly surgical site infection (SSI) postoperativelyTimepoint: TILL 4 WEEKS | — |
Secondary
| Measure | Time frame |
|---|---|
| To see reduction of other post operative infectious complications such as intra abdominal abscess, post operative pancreatitis, cholangitis, and non specific such as pneumonia, urinary tract infection , sepsis and length of hospital stayTimepoint: TILL 3 MONTHS | — |
Countries
India
Contacts
PGIMER CHANDIGARH