Perioperative antibiotics to prevent infection after first-trimester abortion

Abstract

Levallois 1988 {published data only} Levallois P, Rioux JE. Prophlactic antibiotics for suction curettage abortion: results of a clinical controlled trial.

Surgical antimicrobial prophylaxis

“…However, there are exceptions, including intracameral use for ophthalmic procedures, 3,19 oral antibiotics for transurethral resections of the prostate 3 and surgical terminations of pregnancy, 3,20 and oral amoxicillin before certain dental procedures for endocarditis prophylaxis. 3,12,21 Within the acute setting, the 2016 Surgical National Antimicrobial Prescribing Survey identified intravenous administration as the most common route for procedural (94.2%) and post-procedural antimicrobials (64.5%).…”

Commentary on “Assessment of Risk Factors of Intrauterine Adhesions in Patients with Induced Abortion and the Curative Effect of Hysteroscopic Surgery”

“…We also believe that the accuracy of the presented study could be considerably improved considering that the use of periabortal antibiotic therapy in induced abortion suction can decrease the risk of postoperative inflammation, as it is clearly reported in the work of Sawaya 17 and Low. 18 Antibiotics have a substantial protective effect in women treated for abortion and the use of periabortal medication may prevent up to 50% of all cases of postoperative infections. In addition, several studies recommended the routine usage of the antibiotic prophylaxis in all women undergoing the surgical abortion procedure to avoid postabortal sequelae.…”

Barriers to safe abortion access: uterine rupture as complication of unsafe abortion in a Ugandan girl

“…While there has been a global decline in total abortions, the proportion of unsafe abortions has increased from 44% in 1995, and 47% in 2003, to 49% in 2008 6. Almost all of the unsafe abortions occur in low/middle-income countries 7.…”