Marchino G L, Mazza O, Baccarini G, Zaccheo F, Grio R
Istituto di Ginecologia e Ostetricia, Università degli Studi, Torino.
Minerva Ginecol. 1994 Jun;46(6):337-41.
It is now well known that even short operations of limited scope lower the body's defences by influencing the immune system. As a result this leads to a change in microbial flora which encourages an increase in the number of Gram-negative, aerobic, anaerobic and enterococcal colonies. In order to prevent infective postoperative complications which might occur after endoscopic surgery, the authors suggest using a series of valuable recommendations which are reported in this paper. Among these the most important is antibiotic prophylaxis which is able to limit the episodes of infection, thus making a positive contribution to the postoperative iter. Cefotaxime was chosen by the authors since this molecule offers both reliable and efficacious prophylaxis as has also been shown by other studies in the obstetrics and gynecological field. The results obtained by this study fully concord with data reported in the literature.
现在众所周知,即使是范围有限的短时间手术也会通过影响免疫系统降低身体的防御能力。结果,这会导致微生物菌群发生变化,促使革兰氏阴性菌、需氧菌、厌氧菌和肠球菌菌落数量增加。为了预防内镜手术后可能发生的感染性术后并发症,作者建议采用本文报告的一系列有价值的建议。其中最重要的是抗生素预防,它能够限制感染发作,从而对术后恢复起到积极作用。作者选择头孢噻肟是因为该分子提供了可靠且有效的预防效果,其他妇产科领域的研究也已表明这一点。本研究获得的结果与文献报道的数据完全一致。