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Review of the literature over the last 25 years leads us to emphasize both the importance of adequate study size and of stratification of the severity of the sepsis found at operation. For critical comparison of prophylactic regimens the high percentage of wound infections disclosed after discharge from hospital must be taken into account. Antibiotics reduce the frequency of wound sepsis and although low wound sepsis rates have been reported with systemic antibiotics active against only anaerobes, the cumulative evidence favours a spectrum of antibacterial activity against both aerobic and anaerobic organisms. Topical antiseptics have no significant effect but topical antibiotics are beneficial. Wide variations in outcome for similar antibiotic regimens reflect the importance of technical factors in determining the frequency of wound sepsis.<\/jats:p>","DOI":"10.1002\/bjs.1800751023","type":"journal-article","created":{"date-parts":[[2007,3,3]],"date-time":"2007-03-03T10:47:16Z","timestamp":1172918836000},"page":"1023-1033","source":"Crossref","is-referenced-by-count":63,"title":["Preventing wound infection after appendicectomy: A review"],"prefix":"10.1093","volume":"75","author":[{"given":"Z H","family":"Krukowski","sequence":"first","affiliation":[{"name":"Department of Surgery, University of Aberdeen , Aberdeen,","place":["UK"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"S T","family":"Irwin","sequence":"additional","affiliation":[{"name":"Department of Surgery, University of Aberdeen , Aberdeen,","place":["UK"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"S","family":"Denholm","sequence":"additional","affiliation":[{"name":"Department of Surgery, University of Aberdeen , Aberdeen,","place":["UK"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"N A","family":"Matheson","sequence":"additional","affiliation":[{"name":"Department of Surgery, University of Aberdeen , Aberdeen,","place":["UK"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[1988,10,1]]},"reference":[{"key":"2024092719500084700_bib1","doi-asserted-by":"crossref","first-page":"117","DOI":"10.1002\/bjs.1800580209","article-title":"The prevention of infection in appendicectomy wounds","volume":"58","author":"Longland","year":"1971","journal-title":"Br J Surg"},{"key":"2024092719500084700_bib2","doi-asserted-by":"crossref","first-page":"220","DOI":"10.1016\/S0140-6736(73)90063-9","article-title":"Prevention of wound infection after appendicectomy","volume":"i","author":"Gilmore","year":"1973","journal-title":"Lancet"},{"key":"2024092719500084700_bib3","doi-asserted-by":"crossref","first-page":"318","DOI":"10.1136\/bmj.1.6005.318","article-title":"Metronidazole in prevention and treatment of bacteroides infections after appendicectomy","volume":"i","author":"Willis","year":"1976","journal-title":"Br Med J"},{"key":"2024092719500084700_bib4","doi-asserted-by":"crossref","first-page":"973","DOI":"10.1002\/bjs.1800631222","article-title":"Prophylactic lincomycin in the prevention of wound infection following appendicectomy: a double blind study","volume":"63","author":"Leigh","year":"1976","journal-title":"Br J Surg"},{"key":"2024092719500084700_bib5","doi-asserted-by":"crossref","first-page":"27","DOI":"10.1016\/S0039-6109(16)42031-1","article-title":"The epidemiology of wound infection. 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