Antibiotic prophylaxis for selected gynecologic surgeries
dc.contributor.author | Morrill, Michelle Y. | |
dc.contributor.author | Schimpf, Megan O. | |
dc.contributor.author | Abed, Husam | |
dc.contributor.author | Carberry, Cassandra | |
dc.contributor.author | Margulies, Rebecca U. | |
dc.contributor.author | White, Amanda B. | |
dc.contributor.author | Lowenstein, Lior | |
dc.contributor.author | Ward, Renée M. | |
dc.contributor.author | Balk, Ethan M. | |
dc.contributor.author | Uhlig, Katrin | |
dc.contributor.author | Sung, Vivian W. | |
dc.date.accessioned | 2017-01-10T19:04:51Z | |
dc.date.available | 2017-01-10T19:04:51Z | |
dc.date.issued | 2013-01 | |
dc.identifier.citation | Morrill, Michelle Y.; Schimpf, Megan O.; Abed, Husam; Carberry, Cassandra; Margulies, Rebecca U.; White, Amanda B.; Lowenstein, Lior; Ward, Renée M. ; Balk, Ethan M.; Uhlig, Katrin; Sung, Vivian W. (2013). "Antibiotic prophylaxis for selected gynecologic surgeries." International Journal of Gynecology & Obstetrics 120(1): 10-15. | |
dc.identifier.issn | 0020-7292 | |
dc.identifier.issn | 1879-3479 | |
dc.identifier.uri | https://hdl.handle.net/2027.42/135267 | |
dc.description.abstract | BackgroundAntibiotic prophylaxis for surgery is commonly used and is recommended by multiple organizations.ObjectiveTo critically review gynecology‐specific data regarding surgical antibiotic prophylaxis in selected benign gynecologic surgeries.Search strategyMEDLINE and Cochrane databases were searched from inception to July 2010.Selection criteriaRandomized controlled trials of benign vaginal, cervical, transcervical, abdominal, or laparoscopic procedures other than hysterectomy comparing prophylactic antibiotic use with placebo or with another antibiotic. Outcomes of interest were postoperative infections, additional treatments, and adverse events.Data collection and analysisIn total, 19 trials met the inclusion criteria. Studies were individually assessed for methodologic quality, then grouped by procedure and evaluated for evidence quality.Main resultsThere was no difference in infectious outcome for loop electrosurgical excision, hysteroscopic ablation, or laparoscopy, although evidence quality was poor. Fair evidence supports antibiotic prophylaxis for suction curettage or laparotomy. There were insufficient data regarding vaginal surgery prophylaxis.ConclusionAntibiotic prophylaxis may be beneficial in first‐trimester suction curettage and laparotomy. No advantage was found for loop electrosurgical excision, hysteroscopy, or laparoscopic gynecologic surgery. Newer procedures and vaginal surgery lack research and merit study. | |
dc.publisher | Wiley Periodicals, Inc. | |
dc.subject.other | Gynecologic surgery | |
dc.subject.other | Prophylaxis | |
dc.subject.other | Antibiotics | |
dc.title | Antibiotic prophylaxis for selected gynecologic surgeries | |
dc.type | Article | en_US |
dc.rights.robots | IndexNoFollow | |
dc.subject.hlbsecondlevel | Obstetrics and Gynecology | |
dc.subject.hlbtoplevel | Health Sciences | |
dc.description.peerreviewed | Peer Reviewed | |
dc.contributor.affiliationum | Department of Obstetrics and Gynecology, University of Michigan, Ann Arbor, USA | |
dc.contributor.affiliationother | Department of Medicine, Tufts Medical Center, Boston, USA | |
dc.contributor.affiliationother | Department of Obstetrics and Gynecology, Kaiser Medical Center San Francisco, San Francisco, USA | |
dc.contributor.affiliationother | Department of Obstetrics and Gynecology, Henry Ford Health System, Detroit, USA | |
dc.contributor.affiliationother | Department of Obstetrics and Gynecology, Women and Infants Hospital of Rhode Island/Brown Medical School, Providence, USA | |
dc.contributor.affiliationother | Department of Obstetrics and Gynecology, Kaiser Medical Center Oakland, Oakland, USA | |
dc.contributor.affiliationother | Department of Obstetrics and Gynecology, University of Texas Southwestern at Seton Healthcare Family, Austin, USA | |
dc.contributor.affiliationother | Urogynecology Service, Rambam Health Care Campus, Technion Faculty of Medicine, Haifa, Israel | |
dc.contributor.affiliationother | Department of Obstetrics and Gynecology, Vanderbilt University Medical Center, Nashville, USA | |
dc.description.bitstreamurl | http://deepblue.lib.umich.edu/bitstream/2027.42/135267/1/ijgo10.pdf | |
dc.identifier.doi | 10.1016/j.ijgo.2012.06.023 | |
dc.identifier.source | International Journal of Gynecology & Obstetrics | |
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dc.owningcollname | Interdisciplinary and Peer-Reviewed |
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