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替硝唑对行负压吸引术患者术后感染率预防作用的研究。

Investigation of the prophylactic effect of tinidazole on the postoperative infection rate of patients undergoing vacuum aspiration.

作者信息

Krohn K

出版信息

Scand J Infect Dis Suppl. 1981;26:101-3.

PMID:6941444
Abstract

In a double-blind randomized trial the effect of a single oral tinidazole dose of 2 g, given pre-operatively, on the infection rate was assessed in 210 patients undergoing first trimester abortion by vacuum aspiration (VA) and compared to placebo medication. Anaerobic and facultative anaerobic bacteria were the predominant organisms isolated from the cervix. Six patients in the tinidazole group and 11 from the control group developed a postoperative pelvic infection necessitating antibiotic therapy. In 2 patients, one in each group, hospitalization was necessary. This study indicated that identification of the bacteria present in the cervix before VA does not make it possible to predict the likelihood of the postoperative pelvic infection. Tinidazole administration preoperatively seems to reduce the postoperative pelvic infection rate after VA.

摘要

在一项双盲随机试验中,对210例接受孕早期人工流产负压吸引术(VA)的患者,评估术前单次口服2g替硝唑对感染率的影响,并与安慰剂治疗进行比较。从宫颈分离出的主要微生物是厌氧菌和兼性厌氧菌。替硝唑组有6例患者,对照组有11例患者发生术后盆腔感染,需要抗生素治疗。每组各有1例患者需要住院治疗。这项研究表明,在VA术前识别宫颈中存在的细菌并不能预测术后盆腔感染的可能性。术前给予替硝唑似乎可以降低VA术后盆腔感染率。

相似文献

1
Investigation of the prophylactic effect of tinidazole on the postoperative infection rate of patients undergoing vacuum aspiration.替硝唑对行负压吸引术患者术后感染率预防作用的研究。
Scand J Infect Dis Suppl. 1981;26:101-3.
2
A clinical double-blind study on the effect of prophylactically administered single dose tinidazole on the occurrence of endometritis after first trimester legal abortion.一项关于预防性单次给予替硝唑对孕早期合法流产后子宫内膜炎发生影响的临床双盲研究。
Scand J Infect Dis Suppl. 1981;26:104-9.
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[Prevention of infection in closure surgery in colostomies. Double-blind study with tinidazole].
Arq Gastroenterol. 1986 Apr-Jun;23(2):70-5.
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Effect of tinidazole on postoperative complications after surgical removal of impacted mandibular third molars.替硝唑对下颌阻生第三磨牙拔除术后并发症的影响。
Scand J Infect Dis Suppl. 1981;26:135-9.
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Clinical trial of prophylaxis of wound sepsis in elective colorectal surgery comparing ticarcillin with tinidazole. University of Melbourne Colorectal Group.在择期结直肠手术中比较替卡西林与替硝唑预防伤口脓毒症的临床试验。墨尔本大学结直肠研究小组。
Aust N Z J Surg. 1986 Mar;56(3):209-13.
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Tinidazole prophylaxis in appendicectomies. A controlled study of single-dose versus 3-day therapy.替硝唑在阑尾切除术中的预防作用。单剂量与3天疗法的对照研究。
Scand J Gastroenterol. 1984 Jan;19(1):111-5.
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[Perioperative antibiotic prevention in colon and rectum surgery. A randomized study on the value of single dose prevention].[结肠和直肠手术围手术期抗生素预防。单剂量预防价值的随机研究]
Zentralbl Chir. 1985;110(9):532-8.
8
Effect of tinidazole prophylaxis on the normal microflora in patients undergoing colorectal surgery.
Scand J Infect Dis Suppl. 1981;26:84-91.
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Clinical trial of prophylaxis of wound sepsis in elective colorectal surgery. Cephamandole with tinidazole versus tinidazole alone.
Med J Aust. 1983 Oct 29;2(9):440-3.
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Should antimicrobial prophylaxis in colorectal surgery include agents effective against both anaerobic and aerobic microorganisms? A double-blind, multicenter study. The Norwegian Study Group for Colorectal Surgery.结直肠手术中的抗菌预防措施是否应包括对厌氧和需氧微生物均有效的药物?一项双盲、多中心研究。挪威结直肠外科学术研究小组
Surgery. 1985 Apr;97(4):402-8.

引用本文的文献

1
Perioperative antibiotics to prevent infection after first-trimester abortion.围手术期使用抗生素预防早期妊娠流产后的感染。
Cochrane Database Syst Rev. 2012 Mar 14;2012(3):CD005217. doi: 10.1002/14651858.CD005217.pub2.
2
Prophylactic antibiotics for suction curettage in incomplete abortion.不全流产吸宫术预防性使用抗生素。
Infect Dis Obstet Gynecol. 1995;2(5):213-7. doi: 10.1155/S1064744995000044.
3
Tinidazole in anaerobic infections: a review of its antibacterial activity, pharmacological properties and therapeutic efficacy.
替硝唑在厌氧菌感染中的应用:抗菌活性、药理特性及治疗效果综述
Drugs. 1982 Aug;24(2):85-117. doi: 10.2165/00003495-198224020-00001.
4
Antibiotic prophylaxis in hysterectomy and induced abortion. A review of the evidence.子宫切除术和人工流产中的抗生素预防。证据综述。
Drugs. 1991 Jan;41(1):19-37. doi: 10.2165/00003495-199141010-00003.