Multicenter Trial of Prophylaxis with Clindamycin Plus Aztreonam or Cefotaxime in Gynecologic Surgery

Mangioni, Costantino; Bianchi, Luigi; Bolis, Pierfrancesco; Lomeo, Alberto; Mazzeo, Filomena; Ventriglia, L; Scalambrino, S.

doi:10.1093/clinids/13.supplement_7.s621

Cited by 7 publications

(3 citation statements)

References 3 publications

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“…(29) Nonetheless, in practice, we observed postoperative use as studied in United Kingdom, 70% of surgeons used 3 days or more of SAP in laryngectomy. (30) Regarding gynecological and obstetric surgeries, the scientific literature reports the use of many types of drugs for SAP with similar effectiveness: clindamycin combined with aztreonam or cefotaxime, (31) cefoperazone combined with sulbactam, (32) cefazoline (33) and ampicillin more metronidazole. (34) Despite this variety of drugs, all studies showed that a single dose is as effective as the administration of SAP for multiple days.…”

Section: ❚ Discussionmentioning

confidence: 99%

Surgical antibiotic prophylaxis: is the clinical practice based on evidence?

Pereira¹,

Feliciano²,

Siqueira³

et al. 2020

Einstein (São Paulo)

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Section: ❚ Discussionmentioning

confidence: 99%

Surgical antibiotic prophylaxis: is the clinical practice based on evidence?

Pereira¹,

Feliciano²,

Siqueira³

et al. 2020

Einstein (São Paulo)

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“…Although hair removal might be required for adequate exposure and preoperative skin marking, any microscopic trauma of the skin could increase the risk of SSIs. 22–25) Five recent randomized controlled trials (RCTs) or quasi-RCTs compared the effects of preoperative hair removal and no hair removal, or hair removal using shaving, clipping, and depilatory cream. Hair removal did not affect the incidence of SSIs compared with no hair removal, with the quality of evidence rated as moderate.…”

Section: Discussionmentioning

confidence: 99%

Questionnaire Survey Regarding Prevention of Surgical Site Infection after Neurosurgery in Japan: Focus on Perioperative Management and Administration of Surgical Antibiotic Prophylaxis

Matsuda

Ikawa

Ohba

et al. 2019

Neurol. Med. Chir.(Tokyo)

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Various guidelines regarding surgical site infection (SSI) have recently been established. However, perioperative management of the wound and use of antibiotics have never been standardized completely in departments of neurosurgery in Japan. This survey investigated current perioperative management and administration of surgical antibiotic prophylaxis (SAP) and compared with guidelines intended to reduce SSI associated with neurosurgery in Japan. Questionnaires were distributed to members of the conference on Neurosurgical Techniques and Tools and the Japan Society of Aesthetic Neurosurgery via internet. The questionnaires asked about methods of perioperative management. A total of 255 members returned answers to the questionnaires. The questionnaires revealed that partial or no removal of the hair and hair shampooing at the day before surgery were performed in 96.1% and 88.1% of each institute following the World Health Organization (WHO) guidelines. Use of SAP at just before, during, and after surgery were 65.0%, 86.2%, and 63.0%, respectively. The postoperative period of use of intravenous SAP prolonged beyond 24 h in 80.0% against the recommendation of WHO. Perioperative management of wounds and use of SAP varies in institutes in Japan and some procedures were far different from the WHO guidelines. Japanese neurosurgeons should notice the prolonged SAP and comply with the WHO guidelines.

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“…38 De las guías disponibles, cuatro explícitamente recomiendan evitar la remoción de pelo como medida preoperatoria para disminuir la infección del sitio quirúrgico. [39][40][41][42] PREPARACIÓN ANTISÉPTICA DEL SITIO QUIRÚRGICO La preparación del sitio quirúrgico se refiere al tratamiento de la piel intacta del paciente dentro del quirófano. La preparación incluye no sólo el sitio inmediato para la incisión quirúrgica, sino un área más amplia de la piel del paciente.…”

Section: ¿Qué Antibiótico Usar?unclassified

Medidas preoperatorias para la prevención del sitio quirúrgico en ortopedia

Hernández¹,

Lara²,

López³

2020

Ortho-Tips

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RESUMENLas infecciones relacionadas al cuidado de la salud son de las complicaciones más frecuentes en el mundo. En la cirugía ortopédica, la infección del sitio quirúrgico puede ser devastadora para los pacientes intervenidos en cirugías de urgencia o programadas. Existen diversas medidas para prevenir la infección del sitio quirúrgico (ISQ), en este artículo abordaremos las medidas preoperatorias que se utilizan y discutiremos el nivel de la evidencia que existe para recomendarlas. Las principales medidas que se discuten en esta revisión son: baño preoperatorio, descontaminación de S. aureus con ungüento de mupirocina, profilaxis antibiótica, remoción de vello, preparación antiséptica del sitio quirúrgico, selladores de piel y preparación antiséptica de manos.

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Multicenter Trial of Prophylaxis with Clindamycin Plus Aztreonam or Cefotaxime in Gynecologic Surgery

Cited by 7 publications

References 3 publications

Surgical antibiotic prophylaxis: is the clinical practice based on evidence?

Surgical antibiotic prophylaxis: is the clinical practice based on evidence?

Questionnaire Survey Regarding Prevention of Surgical Site Infection after Neurosurgery in Japan: Focus on Perioperative Management and Administration of Surgical Antibiotic Prophylaxis

Medidas preoperatorias para la prevención del sitio quirúrgico en ortopedia

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