Antibiotic Prophylaxis Using Cefpirome Sulfate in Gynecologic Surgery and Elimination Rate of Enterococcus faecalis from the Vagina

1996 ◽  
Vol 1 (3) ◽  
pp. 197-200
Author(s):  
Takeyoshi Kubota ◽  
Sakae Utsuono
Keyword(s):  
Antibiotic Prophylaxis ◽  
Enterococcus Faecalis ◽  
Elimination Rate ◽  
Gynecologic Surgery ◽  
Cefpirome Sulfate

Modifying pre-operative antibiotic overuse in gynecologic surgery

2018 ◽  
Vol 31 (5) ◽  
pp. 400-405 ◽  
Author(s):  
Robert Shapiro ◽  
Rose Laignel ◽  
Caitlin Kowcheck ◽  
Valerie White ◽  
Mahreen Hashmi
Keyword(s):  
Antibiotic Prophylaxis ◽  
Tertiary Care ◽  
Retrospective Chart Review ◽  
Secondary Outcome ◽  
Gynecologic Surgery ◽  
Content Type ◽  
Antibiotic Overuse ◽  
Perioperative Antibiotic Prophylaxis ◽  
System A ◽  
Before And After

Purpose Previous studies indicate adherence to pre-operative antibiotic prophylaxis guidelines has been inadequate. The purpose of this paper is to determine adherence rates to current perioperative antibiotic prophylaxis guidelines in gynecologic surgery at a tertiary care, academic institution. As a secondary outcome, improving guidelines after physician re-education were analyzed. Design/methodology/approach A retrospective chart review (2,463 patients) was completed. The authors determined if patients received perioperative antibiotic prophylaxis in accordance with current guidelines from the America College of Obstetricians and Gynecologists. Data were obtained before and after physician tutorials. Quality control was implemented by making guideline failures transparent. Statistical analysis used Fisher’s exact and agreement tests. Findings In total, 23 percent of patients received antibiotics not indicated across all procedures. This decreased to 9 percent after physician re-education and outcome transparency (p<0.0001). Laparoscopy was the procedure with the lowest guideline compliance prior to education. The compliance improved from 52 to 92 percent (p<0.0001) after re-education. Practical implications Gynecologic surgeons overuse antibiotics for surgical prophylaxis. Physician re-education and transparency were shown to enhance compliance. Originality/value Educational tutorials are an effective strategy for encouraging physicians to improve outcomes, which, in turn, allows the healthcare system a non-punitive way to monitor quality and mitigate cost.

scholarly journals Use of Guideline-Based Antibiotic Prophylaxis in Women Undergoing Gynecologic Surgery

2013 ◽  
Vol 122 (6) ◽  
pp. 1145-1153 ◽  
Author(s):  
Jason D. Wright ◽  
Khalid Hassan ◽  
Cande V. Ananth ◽  
Thomas J. Herzog ◽  
Sharyn N. Lewin ◽  
...  
Keyword(s):  
Antibiotic Prophylaxis ◽  
Gynecologic Surgery

scholarly journals The Effect of Short v.s Long -Term Antibiotic Prophylaxis in Gynecologic Surgery

2021 ◽  
Vol 26 (4) ◽  
pp. 526-532
Author(s):  
Ecem Kaya ◽  
Onur Kaya ◽  
Cemre Celik ◽  
Cem Dane
Keyword(s):  
Antibiotic Prophylaxis ◽  
Gynecologic Surgery

Surgeon Practice Patterns for Antibiotic Prophylaxis in Gynecologic Surgery

2012 ◽  
Vol 18 (5) ◽  
pp. 281-285 ◽  
Author(s):  
Megan O. Schimpf ◽  
Michelle Y. Morrill ◽  
Rebecca U. Margulies ◽  
Renée M. Ward ◽  
Cassandra L. Carberry ◽  
...  
Keyword(s):  
Antibiotic Prophylaxis ◽  
Practice Patterns ◽  
Gynecologic Surgery
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