Metronidazole prophylaxis to prevent infections after total abdominal hysterectomy

Methods. In a randomized double-blind study, 134 patients were given 500 mg metronidazole as an intravenous infusion immediately before operation for abdominal total hysterectomy and again 8 hours later and 124 patients received placebo. Results. There was more wound infection, postoperative hospita...

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Veröffentlicht in:Acta obstetricia et gynecologica Scandinavica 1998, Vol.77 (1), p.116-119
Hauptverfasser: Henriksson, Lars, Colling-Saltin, Ann-Sofie, Frick, Göran, Kullander, Stig, Sandholm, Lars-Erik, Ursing, Jan, Cederberg, Åke
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container_end_page 119
container_issue 1
container_start_page 116
container_title Acta obstetricia et gynecologica Scandinavica
container_volume 77
creator Henriksson, Lars
Colling-Saltin, Ann-Sofie
Frick, Göran
Kullander, Stig
Sandholm, Lars-Erik
Ursing, Jan
Cederberg, Åke
description Methods. In a randomized double-blind study, 134 patients were given 500 mg metronidazole as an intravenous infusion immediately before operation for abdominal total hysterectomy and again 8 hours later and 124 patients received placebo. Results. There was more wound infection, postoperative hospitalization was longer and the sedimentation rate on the sixth postoperative day was significantly higher in the placebo group. There was no difference in postoperative temperature. Postoperative wound infections occurred in 12% in the placebo group and 6% in the metronidazole group. Eight percent in the total material had urinary tract infections, the diagnosis was based on urine cultures. Conclusions. Prophylaxis with intravenous infusion of metronidazole is recommended in total hysterectomies.
doi_str_mv 10.1080/00016349808565824
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In a randomized double-blind study, 134 patients were given 500 mg metronidazole as an intravenous infusion immediately before operation for abdominal total hysterectomy and again 8 hours later and 124 patients received placebo. Results. There was more wound infection, postoperative hospitalization was longer and the sedimentation rate on the sixth postoperative day was significantly higher in the placebo group. There was no difference in postoperative temperature. Postoperative wound infections occurred in 12% in the placebo group and 6% in the metronidazole group. Eight percent in the total material had urinary tract infections, the diagnosis was based on urine cultures. Conclusions. 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In a randomized double-blind study, 134 patients were given 500 mg metronidazole as an intravenous infusion immediately before operation for abdominal total hysterectomy and again 8 hours later and 124 patients received placebo. Results. There was more wound infection, postoperative hospitalization was longer and the sedimentation rate on the sixth postoperative day was significantly higher in the placebo group. There was no difference in postoperative temperature. Postoperative wound infections occurred in 12% in the placebo group and 6% in the metronidazole group. Eight percent in the total material had urinary tract infections, the diagnosis was based on urine cultures. Conclusions. Prophylaxis with intravenous infusion of metronidazole is recommended in total hysterectomies.</description><subject>Anti-Infective Agents - administration &amp; dosage</subject><subject>Antibacterial agents</subject><subject>Antibiotics. Antiinfectious agents. 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subjects Anti-Infective Agents - administration & dosage
Antibacterial agents
Antibiotics. Antiinfectious agents. Antiparasitic agents
Bacterial Infections - prevention & control
Biological and medical sciences
Double-Blind Method
Female
Humans
Hysterectomy
Infusions, Intravenous
Medical sciences
Metronidazole - administration & dosage
Pharmacology. Drug treatments
Postoperative Complications - prevention & control
Premedication
Surgical Wound Infection - prevention & control
Urinary Tract Infections - etiology
Urinary Tract Infections - prevention & control
title Metronidazole prophylaxis to prevent infections after total abdominal hysterectomy
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