Are antibiotics necessary after 48 hours of improvement in infected/septic abortions? A randomized controlled trial followed by a cohort study

Savaris, Ricardo Francalacci; Moraes, Gisele Silva de; Cristovam, Rafael A.; Braun, R. Daniel

doi:10.1016/j.ajog.2010.11.017

Cited by 15 publications

(11 citation statements)

References 12 publications

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“…Table (3) presents that the international hospital &old general hospital hadn't achieved (100%) all criteria of standard (1) & hadn't achieved (90% &100%) respectively all criteria of standard (2,7,8) which related to ". Limited sonography in abortion care " and there were highly significance differences among all studied hospitals (P<0.001) about standard (1, 2) but no statistical differences regarding standard (7,8). Also it shows that all studied hospitals were competent achieved (100%) all criteria of standard (3,5,6) which related to and there were no significance differences among all studied hospitals.…”

Section: Old General N(8)mentioning

confidence: 69%

“…Also, there was highly significance differences among all studied hospitals regarding to standard (5,7). These result is due to decrease the capacity of healthcare providers to deliver post abortion care and also due to decrease post abortion care health education programme.…”

Section: Discussionmentioning

confidence: 81%

“…In addition all studied hospitals hadn't achieved standard (1,2,4,7,8) and there were highly significance differences among all studied hospitals regarding to standard (1,2,4) .These result because each hospital has special policy, there are lack of training in obstetric ultrasound training program me and over load of cases, also poor provision about infection control.…”

Section: Discussionmentioning

confidence: 89%

“…In addition the international hospital and the old general hospital hadn't achieved (100%) and the health insurance hospital was competent achieved (100%) all criteria of standard (7,8) which related to "Early Medical Abortion" and there was highly significance differences among all studied hospitals (P<0.001**).And also the all studied hospitals hadn't achieved all criteria of standard (10, 11) which related to "Early Medical Abortion" and there was no significance differences among all studied. Table (4) presents that all studied hospitals were competent achieved (100%) all criteria of standard (1, 2, 3, 4, 5, 7, 8, 9) which related to "First-Trimester Surgical Abortion" and there weren't significance differences among all studied hospitals.…”

Section: Old General N(8)mentioning

confidence: 99%

See 3 more Smart Citations

Comparison between Nursing Performance and Standard of Care for Aborted Woman at Mansoura Hospitals

Amr¹,

Hassan²,

Gonied³

2017

IOSR JNHS

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Section: Old General N(8)mentioning

confidence: 69%

Section: Discussionmentioning

confidence: 81%

Section: Discussionmentioning

confidence: 89%

Section: Old General N(8)mentioning

confidence: 99%

See 2 more Smart Citations

Comparison between Nursing Performance and Standard of Care for Aborted Woman at Mansoura Hospitals

Amr¹,

Hassan²,

Gonied³

2017

IOSR JNHS

View full text Add to dashboard Cite

“…Cases of abortion with infection were not considered in the incidence of endometritis after curettage, but were considered to identify the laboratory (CBC, HIV, VDRL) and epidemiological profiles. The diagnosis of infected/septic abortion was made according to previously published criteria 9 . These data were verified by two independent investigators.…”

Section: Incidence Of Uterine Post Abortion Infection Atmentioning

confidence: 99%

Incidence of uterine post abortion infection at Hospital de Clínicas de Porto Alegre. Is prophylactic antibiotic necessary?

Panke

Bonilha

Loreto

et al. 2014

Rev. Col. Bras. Cir.

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ABSTRACT ABSTRACT ABSTRACTObjective Objective Objective Objective Objective: To identify the incidence of pelvic infection after miscarriage undergoing uterine evacuation in a tertiary hospital in southern Brazil and to compare with the international literature. MethodsMethods Methods Methods Methods: we reviewed electronic medical records of the Hospital de Clinicas de Porto Alegre of all patients who underwent uterine evacuation for miscarriage between August 2008 and January 2012 were reviewed. We included all patients submitted to uterine curettage due to abortion and who had outpatient visits for review after the procedure. We calculated emographic and laboratory data of the study population, number needed for treatment (NNT) and number needed to harm (NNH). Results Results ResultsResults Results: of the 857 revised electronic medical records, 377 patients were subjected to uterine evacuation for miscarriage; 55 cases were lost to follow-up, leaving 322 cases that were classified as not infected abortion on admission. The majority of the population was white (79%); HIV prevalence and positive VDRL was 0.3% and 2%, respectively. By following these 322 cases for a minimum of seven days, it was found that the incidence of post-procedure infection was 1.8% (95% CI 0.8 to 4). The NNT and NNH calculated for 42 months were 63 and 39, respectively. Conclusion Conclusion Conclusion Conclusion Conclusion: The incidence of post-abortion infection between August 2008 to January 2012 was 1.8% (0.8 to 4).

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Antibiotics for treating septic abortion

Udoh

Effa

Oduwole

et al. 2016

Cochrane Database of Systematic Reviews

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We found no strong evidence that intravenous clindamycin alone was better than penicillin plus chloramphenicol for treating women with septic abortion. Similarly, available evidence did not suggest that penicillin plus chloramphenicol was better than cephalothin plus kanamycin for the treatment of women with septic abortion. Tetracyline enzyme antibiotic appeared to be more effective than intravenous penicillin G in reducing the time to fever defervescence, but this evidence was provided by only one study at low risk of bias.There is a need for high-quality RCTs providing reliable evidence for treatments of septic abortion with antibiotics that are currently in use. The three included studies were carried out over 30 years ago. There is also a need to include institutions in low-resource settings, such as sub-Saharan Africa, Latin America and the Caribbean, and South Asia, with a high burden of abortion and health systems challenges.

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Are antibiotics necessary after 48 hours of improvement in infected/septic abortions? A randomized controlled trial followed by a cohort study

Cited by 15 publications

References 12 publications

Comparison between Nursing Performance and Standard of Care for Aborted Woman at Mansoura Hospitals

Comparison between Nursing Performance and Standard of Care for Aborted Woman at Mansoura Hospitals

Incidence of uterine post abortion infection at Hospital de Clínicas de Porto Alegre. Is prophylactic antibiotic necessary?

Antibiotics for treating septic abortion

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