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预防性剖宫产抗生素:脐带结扎前后的母婴发病率

Prophylactic cesarean section antibiotics: maternal and neonatal morbidity before or after cord clamping.

作者信息

Gordon H R, Phelps D, Blanchard K

出版信息

Obstet Gynecol. 1979 Feb;53(2):151-6.

PMID:418966
Abstract

In an ongoing prospective study at 2 hospitals, 114 cesarean section patients were studied to determine whether giving ampicillin after umbilical cord clamping is as effective as perioperative ampicillin in reducing maternal postoperative morbidity. The same patients have also been studied to determine the effect of prophylactic cesarean section ampicillin on the newborn. Results have shown that prophylactic ampicillin initiated after cord clamping is as effective in reducing maternal morbidity as ampicillin initiated prior to the surgery. There is also no evidence from our study that the transplacental passage of prophylactic ampicillin increases immediate or delayed neonatal infections.

摘要

在两家医院正在进行的一项前瞻性研究中,对114例剖宫产患者进行了研究,以确定脐带结扎后给予氨苄西林在降低产妇术后发病率方面是否与围手术期使用氨苄西林同样有效。对同一批患者也进行了研究,以确定剖宫产预防性使用氨苄西林对新生儿的影响。结果表明,脐带结扎后开始预防性使用氨苄西林在降低产妇发病率方面与手术前开始使用氨苄西林同样有效。我们的研究也没有证据表明预防性使用的氨苄西林经胎盘传递会增加新生儿即时或延迟感染。

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1
Prophylactic cesarean section antibiotics: maternal and neonatal morbidity before or after cord clamping.预防性剖宫产抗生素:脐带结扎前后的母婴发病率
Obstet Gynecol. 1979 Feb;53(2):151-6.
2
The effect of prophylactic antibiotics on febrile morbidity following cesarean section.
Obstet Gynecol. 1979 Feb;53(2):162-5.
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Perioperative antimicrobials for cesarean delivery: before or after cord clamping?剖宫产围手术期抗菌药物:在脐带结扎前还是后使用?
Obstet Gynecol. 1983 Aug;62(2):151-4.
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Administration of cefazolin prior to skin incision is superior to cefazolin at cord clamping in preventing postcesarean infectious morbidity: a randomized, controlled trial.剖宫产皮肤切开前使用头孢唑林在预防剖宫产术后感染性并发症方面优于脐带钳夹时使用头孢唑林:一项随机对照试验。
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When should we perform prophylactic antibiotics in elective cesarean cases?在择期剖宫产病例中,我们应该何时使用预防性抗生素?
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Single dose cefazolin prophylaxis for postcesarean infections: before vs. after cord clamping.剖宫产术后感染的单剂量头孢唑林预防:脐带结扎前与脐带结扎后
J Matern Fetal Med. 1997 Jan-Feb;6(1):61-5. doi: 10.1002/(SICI)1520-6661(199701/02)6:1<61::AID-MFM13>3.0.CO;2-P.
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[Retrospective study of postoperative infectious morbidity following cesarean section].剖宫产术后感染发病率的回顾性研究
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Single-dose ampicillin for cesarean section prophylaxis.剖宫产预防用单剂量氨苄西林。
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Antibiotic prophylaxis in low-risk cesarean section.低风险剖宫产的抗生素预防
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[Prophylactic antibiotics in Cesarean section (author's transl)].剖宫产术中预防性使用抗生素(作者译)
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Antibiotic prophylaxis among Indian women undergoing cesarean sections.印度剖宫产妇女的抗生素预防措施。
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2
Antimicrobial prophylaxis in caesarean section delivery.剖宫产术中的抗菌预防
Exp Ther Med. 2016 Aug;12(2):961-964. doi: 10.3892/etm.2016.3350. Epub 2016 May 18.
3
Timing of intravenous prophylactic antibiotics for preventing postpartum infectious morbidity in women undergoing cesarean delivery.剖宫产术后预防产后感染性疾病的静脉预防性抗生素使用时机。
Cochrane Database Syst Rev. 2014 Dec 5;2014(12):CD009516. doi: 10.1002/14651858.CD009516.pub2.
4
Antibiotic prophylaxis versus no prophylaxis for preventing infection after cesarean section.剖宫产术后预防感染:抗生素预防与不预防的对比
Cochrane Database Syst Rev. 2014 Oct 28;2014(10):CD007482. doi: 10.1002/14651858.CD007482.pub3.
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Concerning the timing of antibiotic administration in women undergoing caesarean section: a systematic review and meta-analysis.关于剖宫产产妇使用抗生素时机的研究:系统评价和荟萃分析。
BMJ Open. 2013 Apr 18;3(4). doi: 10.1136/bmjopen-2012-002028. Print 2013.
6
Prophylactic ceftizoxime for elective cesarean delivery at Soba Hospital, Sudan.苏丹索巴医院择期剖宫产预防性使用头孢唑肟。
BMC Res Notes. 2013 Feb 8;6:57. doi: 10.1186/1756-0500-6-57.
7
Current debate on the use of antibiotic prophylaxis for caesarean section.目前关于剖宫产术预防性使用抗生素的争论。
BJOG. 2011 Jan;118(2):193-201. doi: 10.1111/j.1471-0528.2010.02729.x.
8
Antibiotic prophylaxis versus no prophylaxis for preventing infection after cesarean section.剖宫产术后预防感染:抗生素预防与不预防的比较
Cochrane Database Syst Rev. 2010 Jan 20(1):CD007482. doi: 10.1002/14651858.CD007482.pub2.
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Emerging concepts in antibiotic prophylaxis for cesarean delivery: a systematic review.剖宫产抗生素预防的新观念:一项系统评价
Obstet Gynecol. 2009 Mar;113(3):675-682. doi: 10.1097/AOG.0b013e318197c3b6.
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Cesarean section: trends and morbidity.剖宫产:趋势与发病率
Can Med Assoc J. 1981 Oct 1;125(7):723-6.