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[阴道产科手术后预防性使用抗生素的价值]

[Value of the preventive use of antibiotics following vaginal obstetric operations].

作者信息

Rechlin D, Wolf M, Koeniger W

机构信息

Frauenklinik, Krankenhauses der Volkspolizei Berlin.

出版信息

Zentralbl Gynakol. 1988;110(9):570-4.

PMID:3407359
Abstract

For a period of 6 years 838 puerperal cases after vaginal obstetric operations (forceps delivery, vacuum extraction, delivery with speculum, manual placenta separation, palpation of the uterus) were critically analysed. The result of the studies suggest that an antibiotic or chemoprophylaxis after vaginal obstetric operations is not successful because of the relatively low infectious morbidity. In obstetrics this prophylaxis is indicated only in delivery by caesarean section as a perioperative short-time prophylaxis.

摘要

在6年的时间里,对838例阴道产科手术后(产钳助产、真空吸引、阴道窥器助产、人工剥离胎盘、子宫触诊)的产褥期病例进行了严格分析。研究结果表明,由于感染发病率相对较低,阴道产科手术后使用抗生素或化学预防并不成功。在产科领域,这种预防仅适用于剖宫产分娩,作为围手术期的短期预防措施。

相似文献

1
[Value of the preventive use of antibiotics following vaginal obstetric operations].[阴道产科手术后预防性使用抗生素的价值]
Zentralbl Gynakol. 1988;110(9):570-4.
2
[Preventive use of antibiotics in obstetric-gynecologic operations].[妇产科手术中抗生素的预防性应用]
Zentralbl Gynakol. 1988;110(19):1218-23.
3
[Maternal morbidity following cesarean section: effect of infection control and preventive use of antibiotics].剖宫产术后的孕产妇发病率:感染控制及预防性使用抗生素的影响
Geburtshilfe Frauenheilkd. 1988 Jan;48(1):1-7. doi: 10.1055/s-2008-1035685.
4
[Perioperative antibiotic prevention with cefoxitin in cesarean section. Management and uses].剖宫产术中使用头孢西丁进行围手术期抗生素预防。管理与应用
Geburtshilfe Frauenheilkd. 1986 Oct;46(10):706-9. doi: 10.1055/s-2008-1035946.
5
[Maternal morbidity following cesarean section. Comparison of isthmo-corpus longitudinal section and isthmian transverse section in premature labor].
Geburtshilfe Frauenheilkd. 1988 Jan;48(1):8-12. doi: 10.1055/s-2008-1035686.
6
[Antibiotic prevention and treatment in cesarean section].剖宫产术中抗生素的预防与治疗
Akush Ginekol (Sofiia). 1990;29(6):13-7.
7
Prophylactic antibiotics in Caesarean section: effect of a short preoperative course of benzyl penicillin or clindamycin plus gentamicin on postoperative infectious morbidity.剖宫产术中预防性使用抗生素:术前短期使用苄星青霉素或克林霉素加庆大霉素对术后感染性发病率的影响。
Ann Clin Res. 1980 Apr;12(2):45-8.
8
[Antibiotic prophylaxis in obstetrics].[产科抗生素预防]
Akush Ginekol (Sofiia). 1983;22(5):394-400.
9
Timing of prophylactic antibiotic administration in the uninfected laboring gravida: a randomized clinical trial.未感染的待产孕妇预防性使用抗生素的时机:一项随机临床试验。
Am J Obstet Gynecol. 2006 Sep;195(3):876-7; author reply 877-8. doi: 10.1016/j.ajog.2005.11.038. Epub 2006 Apr 21.
10
Perioperative mezlocillin prophylaxis in cesarean section.
Clin Ther. 1984;6(4):467-74.

引用本文的文献

1
Prophylactic antibiotics for manual removal of retained placenta in vaginal birth.阴道分娩时人工剥离胎盘预防性使用抗生素。
Cochrane Database Syst Rev. 2024 Oct 30;10(10):CD004904. doi: 10.1002/14651858.CD004904.pub4.
2
Antibiotic prophylaxis for operative vaginal delivery.手术助产的抗生素预防
Cochrane Database Syst Rev. 2020 Mar 26;3(3):CD004455. doi: 10.1002/14651858.CD004455.pub5.
3
Antibiotic prophylaxis for operative vaginal delivery.手术助产的抗生素预防
Cochrane Database Syst Rev. 2017 Aug 5;8(8):CD004455. doi: 10.1002/14651858.CD004455.pub4.
4
Prophylactic antibiotics for manual removal of retained placenta during vaginal birth: a systematic review of observational studies and meta-analysis.阴道分娩时人工剥离胎盘预防性使用抗生素:观察性研究的系统评价与荟萃分析
BMC Pregnancy Childbirth. 2015 Nov 26;15:313. doi: 10.1186/s12884-015-0752-4.
5
Antibiotic prescribing in women during and after delivery in a non-teaching, tertiary care hospital in Ujjain, India: a prospective cross-sectional study.印度乌贾因一家非教学型三级医院中产妇分娩期间及产后的抗生素处方情况:一项前瞻性横断面研究。
J Pharm Policy Pract. 2013 Nov 4;6:9. doi: 10.1186/2052-3211-6-9. eCollection 2013.