[The influence of antibiotic prophylaxis on the incidence of fever and wound infection after gynecological operations in patients with increased risk of infection].

Antibiotic prophylaxis was applied to patients with high risk of infection undergoing: myomectomy m. Martin, procedures on the uterine adnexa, total and/or subtotal hysterectomy and laparoscopy. The influence of this prophylaxis on the incidence of fever and wound infection was observed. For vaginal hysterectomy antibiotic prophylaxis was not applied. The risk factors included: the history of at least 1 laparotomy, suffer from chronic adnexitis in the past, past thrombophlebitis, diabetes and obesity. Statistically significant decrease of wound infections among patients underwent total and/or subtotal hysterectomy was noted, the highest incidence of fever occurred after myomectomy m. Martin, there was no wound infection following laparoscopy, the rate of infections after vaginal hysterectomy was much lower than after abdominal hysterectomy.