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阴道子宫切除术中单剂量与多剂量预防用药:头孢噻吩钠与甲硝唑的比较

Single-dose and multidose prophylaxis in vaginal hysterectomy: a comparison of sodium cephalothin and metronidazole.

作者信息

Hamod K A, Spence M R, Rosenshein N B, Dillon M B

出版信息

Am J Obstet Gynecol. 1980 Apr 15;136(8):976-9. doi: 10.1016/0002-9378(80)90620-1.

DOI:10.1016/0002-9378(80)90620-1
PMID:6989245
Abstract

A total of 79 patients underwent vaginal hysterectomy and were randomly assigned to three regimens of prophylactic antibiotics: multidose intravenous sodium cephalothin, single-dose intravenous sodium cephalothin, and single-dose oral metronidazole. Control groups were selected from two previous studies conducted at our institution. The incidence rates of infectious morbidity following all three regimens of antibiotics were substantially lower than in the control groups. There was no statistically significant difference in the incidence of standard febrile morbidity and serious pelvic infections among the three groups. The fever index was lowest in the single-dose sodium cephalothin group.

摘要

共有79例患者接受了阴道子宫切除术,并被随机分配到三种预防性抗生素治疗方案中:多剂量静脉注射头孢噻吩钠、单剂量静脉注射头孢噻吩钠和单剂量口服甲硝唑。对照组选自本机构之前进行的两项研究。所有三种抗生素治疗方案后的感染发病率均显著低于对照组。三组之间标准发热发病率和严重盆腔感染的发生率没有统计学上的显著差异。单剂量头孢噻吩钠组的发热指数最低。

相似文献

1
Single-dose and multidose prophylaxis in vaginal hysterectomy: a comparison of sodium cephalothin and metronidazole.阴道子宫切除术中单剂量与多剂量预防用药:头孢噻吩钠与甲硝唑的比较
Am J Obstet Gynecol. 1980 Apr 15;136(8):976-9. doi: 10.1016/0002-9378(80)90620-1.
2
[Local administration of metronidazole before hysterectomy--effect on infectious morbidity. A prospective study].[子宫切除术前局部应用甲硝唑——对感染发病率的影响。一项前瞻性研究]
Geburtshilfe Frauenheilkd. 1991 Oct;51(10):839-42. doi: 10.1055/s-2008-1026220.
3
[Local prevention of infection with metronidazole before vaginal hysterectomy--comparative effect compared with systemic prevention?].[阴道子宫切除术前行甲硝唑局部预防感染——与全身预防相比的效果比较?]
Gynakol Geburtshilfliche Rundsch. 1992;32(3):155-8. doi: 10.1159/000271872.
4
[Effectiveness of perioperative preventive use of antibiotics with metronidazole or doxycycline in vaginal hysterectomy].
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5
Prophylactic metronidazole or suction drainage in abdominal hysterectomy.
Obstet Gynecol. 1984 Mar;63(3):291-4.
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A comparison of piperacillin, cephalothin and cefoxitin in the prevention of postoperative infections in patients undergoing vaginal hysterectomy.
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Comparison of systemic prophylaxis with metronidazole-fosfomycin and metronidazole-cephalothin in elective colorectal surgery.甲硝唑-磷霉素与甲硝唑-头孢噻吩用于择期结直肠手术的全身预防性用药比较
Acta Chir Scand. 1981;147(4):277-83.
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Increased incidence of postoperative infections during prophylaxis with cephalothin compared to doxycycline in intestinal surgery.在肠道手术中,与强力霉素相比,头孢噻吩预防期间术后感染的发生率增加。
BMC Surg. 2009 Dec 7;9:17. doi: 10.1186/1471-2482-9-17.
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Vaginal hysterectomy: cefuroxime, metronidazole or both?阴道子宫切除术:头孢呋辛、甲硝唑还是两者并用?
Pharm Weekbl Sci. 1990 Dec 14;12(6A):284-8. doi: 10.1007/BF01967834.
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[Antibiotic prophylaxis in surgery by vaginal route].[经阴道途径进行手术的抗生素预防]
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引用本文的文献

1
Prophylactic perioperative use of clindamycin and metronidazole in vaginal hysterectomy without pelvic floor repair.在未进行盆底修复的阴道子宫切除术中围手术期预防性使用克林霉素和甲硝唑。
Arch Gynecol Obstet. 1988;244(1):53-7. doi: 10.1007/BF00931403.
2
Antibiotic prophylaxis in vaginal hysterectomy. Three doses of cefuroxime plus metronidazole versus one dose of ciprofloxacin.阴道子宫切除术中的抗生素预防。三剂头孢呋辛加甲硝唑与一剂环丙沙星的比较。
Pharm Weekbl Sci. 1990 Dec 14;12(6A):292-4; discussion 294-5. doi: 10.1007/BF01967836.
3
Vaginal hysterectomy: cefuroxime, metronidazole or both?
阴道子宫切除术:头孢呋辛、甲硝唑还是两者并用?
Pharm Weekbl Sci. 1990 Dec 14;12(6A):284-8. doi: 10.1007/BF01967834.
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.