Prophylactic Antibiotics Use In Obstetrics And Gynecology

Yıl 2017, Cilt: 31 Sayı: 2, 103 - 111, 23.08.2017

Sefa Kurt Mehmet Tunç Canda

Öz

Major and minor surgical procedures are commonly performed applications in obstetrics and gynecology practice. Today, conventional surgical methods tend to evolve towards less invasive methods. Laparoscopic and robotic methods replace surgeries performed with open incisional methods, patient-friendly approaches have come to the fore. Obstetric and particularly gynecological procedures develop in this direction; the importance of minimally invasive, evidence-based medicine applications and patient-friendly treatments increase. As in all areas of surgery; asepsis and antisepsis rules as well, prophylactic use of antibiotics are important practices that reduce   morbidity and mortality in patients with obstetric and gynecological procedures. In this review, in the light of current knowledge the use of prophylactic antibiotics, in terms of evidence-based medical practices in obstetric and gynecologic surgery was examined.

Anahtar Kelimeler

surgical site infection, prophylactic antibiotics, obstetric and gynecology

Obstetrik ve jinekolojide profilaktik antibiyotik kullanımı

Öz

Obstetrik ve jinekoloji pratiğinde major ve minör cerrahi prosedürler yaygın yapılan uygulamalardır. Günümüzde konvansiyonel cerrahi yöntemler daha az invaziv yöntemlere doğru evrilme eğilimindedir. Açık insizyonel yöntemlerle yapılan cerrahilerin yerini laparoskopik ve robotik yöntemler almakta, hasta dostu yaklaşımlar ön plana çıkmaktadır. Obstetrik ve özellikle jinekolojik girişimler bu yönde gelişmekte, minimal invaziv, kanıta dayalı tıp uygulamaları ve hasta dostu tedavilerin önemi artmaktadır. Cerrahinin tüm alanlarında olduğu gibi; asepsi ve antisepsi kuralları yanı sıra, profilaktik antibiyotik kullanımı obstetrik ve jinekolojik prosedürler içinde hasta morbidite ve mortalitesini azaltan önemli uygulamalardır. Bu derlemede güncel bilgiler ışığında obstetrik ve jinekolojik cerrahi girişimlerde, kanıta dayalı tıp uygulamaları açısından, profilaktik antibiyotik kullanımı incelendi.

Anahtar Kelimeler

cerrahi alan enfeksiyonu, antibiyotik, obstetrik ve jinekoloji

Kaynakça

• Referans1 Berghella V, Baxter JK, Chauhan SP. Evidence-based labor and delivery management. American Journal of Obstetrics Gynecology 2008:441-454.
• Referans2 Wu JM, Wechter ME, Geller EJ, Nguyen TV, Visco AG. Hysterectomy rates in the United States 2003. Obstet Gynecol 2007;110:1091-5.
• Referans3 Turan H. Current Recommendations on Surgical Antimicrobial Prophylaxis. Klimik Dergisi 2015:28:2-10.
• Referans4 Horan TC, Andrus M, Dudeck MA. CDC/NHSN surveillance definition of health care-associated infection and criteria for specific types of infections in the acute care setting. Am J Infect Control 2008;36:309-32.
• Referans5 Bratzler DW, Dellinger EP, Olsen KM, Perl TM, Auwaerter PG, et all. Clinical practice guidelines for antimicrobial prophylaxis in surgery. Am J Health Syst Pharm 2013;70:195-283.
• Referans6 Steinberg JP, Baraun BI, Hellinger WC, Kusek L, Bozikiz MR et all. Timing of antimicrobial prophylaxis and risk of surgical site infections: results from the Trial to Reduce Antimicrobial Prophylaxis Errors. Ann Surg 2009; 250:10-6.
• Referans7 Janson B, Thursky K. Curr Opin Infect Dis 2012;25:634-49.
• Referans8 Markantonis SL, Kostopanagiotou G, Panidis D, Smirniotis V, Voros D. Effects of blood loss and fluid volume replacement on serum and tissue gentamicin concentrations during colorectal surgery. Clin Ther 2004;26:271-81.
• Referans9 Mangram AJ, Horan TC, Pearson ML, Silver LC, Jarvis WR. Guideline for prevention of surgical site infection, 1999. Hospital Infection Control Practices Advisory Committee. İnfect Control Hosp Epidemiol 1999;20:250-78.
• Referans10 Lee JT. Not just another guideline. İnfect Control Hosp Epidemiol 1999;20:231-2.
• Referans11 Mangram AJ, Horan TC, Pearson ML, Silver LC, Jarvis WR. Guideline for Prevention of Surgical Site Infection, 1999. Centers for Disease Control and Prevention (CDC) Hospital Infection Control Practices Advisory Committee. Am J Infect Control 1999;27:97-132.
• Referans12 Edwards JR, Peterson KD, Mu Y, Banerjee S, Allen-Bridson K, et all. National Healthcare Safety Network (NHSN) report: data summary for 2006 through 2008, issued December 2009. Am J Infect Control 2009;37:783-805.
• Referans13 Smaill FM, Gyte GM. Antibiotic prophylaxis versus no prophylaxis for preventing infection after cesarean section.Cochrane Database Syst Rev. 2010 Jan 20;CD007482.
• Referans14 Mackeen AD, Packard RE, Ota E, Berghella V, Baxter JK. Timing of intravenous prophylactic antibiotics for preventing postpartum infectious morbidity in women undergoing cesarean delivery. Cochrane Database Syst Rev 2014;12:CD009516.
• Referans15 Brubaker SG, Friedman AM, Cleary KL, Prendergast E, DʼAlton ME. Patterns of use and predictors of receipt of antibiotics in women undergoing cesarean delivery. Obstet Gynecol 2014;124:338-44.
• Referans16 Carignan A, Allard C, Pépin J, Cossette B, Nault V, Valiquette L. Risk of Clostridium difficile infection after perioperative antibacterial prophylaxis before and during an outbreak of infection due to a hypervirulent strain. Clin Infect Dis 2008;46:1838-43.
• Referans17 Bratzler DW, Dellinger EP, Olsen KM, Perl TM, Auwaerter PG et al. Clinical practice guidelines for antimicrobial prophylaxis in surgery. Am J Health Syst Pharm 2013;70:195-28.
• Referans18 Smaill FM, Grivell RM. Antibiotic prophylaxis versus no prophylaxis for preventing infection after cesarean section. Cochrane Database Syst Rev 2014;28;10:cd007482.
• Referans19 ACOG Practice Bulletin No. 74. Antibiotic prophylaxis for gynecologic procedures. Obstet Gynecol 2006;108:225-34.
• Referans20 Dowdy SC. Improving value in gynecologic surgery: we can all do beter. Obstet Gynecol 2013;122:1143-4.
• Referans21 Van Eyk N, van Schalkwyk J; Infectious Diseases Committee. Antibiotic prophylaxis in gynaecologic procedures. J obstet Gynnaecol Can 2012;34:382-91.
• Referans22 Andy UU, Harvie HS, Ackenbom MF, Arya LA. Single versus multi-dose antibiotic prophylaxis for pelvic organ prolapse surgery with graft/mesh. Eur J Obstet Gynecol Reprod Biol 2014;181:37-40.
• Referans23 Chi AC, Mc Guire BB, Nadler RB. Modern Guidelines for Bowel Preparation and Antimicrobial Prophylaxis for Open and Laparoscopic Urologic Surgery. Uro Clin N Am 2015;42:429-40.
• Referans24 Swartz M, Ching C, Gill B, Li J, Rackley R et all. Risk of infection after midurethral synthetic sling surgery: are postoperative antibiotics necessary. Urology 2010;75:1305–9.
• Referans25 Morrill MY, Schimpf MO, Abed H, Carberry C, Margulies RU et all. Antibiotic prophylaxis for selected gynecologic surgeries. Gynecol Obstet 2013;(120):10-15.
• Referans26 Pereira N, Hutchinson AP, Lekovich JV, Hobeika E,Elias RT. Antibiotic Prophylaxis for Gynecologic Procedures prior to and during the Utilization of Assisted Reproductive Technologies: A Systematic Review. J Pathog 2016:1-8.
• Referans27 Schimpf MO, Morrill MY, Margulies RU, Ward RM, Carberry CLet all. Antibiotics prior to embryo transfer in ART. Cochrane Database Syst Rev 2012;3:CD008995.
• Referans28 Nappi L, Di Spiezio Sardo A, Spinelli M, Guida M, Mencaglia L et all. A multicenter, double-blind, randomized, placebo-controlled study to assess whether antibiotic administration should be recommended during office operative hysteroscopy. Female Pelvic Med Reconstr Surg 2012;18:281-5.
• Referans29 Seshadri S, El-Toukhy T, Douiri A, Jayaprakasan K, Khalaf Y. Diagnostic accuracy of saline infusion sonography in the evaluation of uterine cavity abnormalities prior to assisted reproductive techniques: a systematic review and meta-analyses. Reprod Sci 2013;20:755-61.
• Referans30 Thinkhamrop J, Laopaiboon M, Lumbiganon P. Prophylactic antibiotics for transcervical intrauterine procedures. Hum Reprod Update 2015;21:262-74.
• Referans31 Uppal S, Harris J, Al-Niaimi A, Swenson CW, Pearlman MD et all. Prophylactic Antibiotic Choice and Risk of Surgical Site Infection After Hysterectomy. Obstet Gynecol 2016;127(2):321-9.
• Referans32 Morgan DM, Swenson CW, Streifel KM, Kamdar NS, Uppal S et all. Surgical site infection following hysterectomy: adjusted rankings in a regional collaborative. Am J Obstet Gynecol 2016;214:259.e1-8.
• Referans33 Edwards JR, Peterson KD, Mu Y, Banerjee S, Allen-Bridson K et all. National Healthcare Safety Network (NHSN) report: data summary for 2006 through 2008, issued December 2009. Am J Infect Control 2009;37:783-805.
• Referans34 Gibbons C, Bruce J, Carpenter J, Wilson AP, Wilson J et all. Identification of risk factors by systematic review and development of risk-adjusted models for surgical site infection. Health Technol Assess 2011;15:1-156.
• Referans35 Colling KP, Glover JK, Statz CA, Geller MA, Beilman GJ. Abdominal Hysterectomy: Reduced Risk of Surgical Site Infection Associated with Robotic and Laparoscopic Technique. Surg Infect (Larchmt) 2015;16:498-503.
• Referans36 Lachiewicz MP, Moulton LJ, Jaiyeoba O. Infection Prevention and Evaluation of Fever After Laparoscopic Hysterectomy. JSLS 2015;19(3).
• Referans37 Mahdi H, Goodrich S, Lockhart D, DeBernardo R, Moslemi-Kebria M. Predictors of surgical site infection in women undergoing hysterectomy for benign gynecologic disease: a multicenter analysis using the national surgical quality improvement program data. J Minim Invasive Gynecol 2014;21:901-9.
• Referans38 Paraiso MF. Robotic-assisted laparoscopic surgery for hysterectomy and pelvic organ prolapse repair. Fertil Steril 2014;102:933-8.
• Referans39 Lachiewicz MP, Moulton LJ, Jaiyeoba O. Pelvic surgical site infections in gynecologic surgery. Infect Dis Obstet Gynecol 2015;2015:614950.
• Referans40 Faro C, Faro S. Postoperative pelvic infections. Infect Dis Clin North Am 2008; 22(4):653-63.
• Referans41 Lazenby GB, Soper DE. Prevention, diagnosis, and treatment of gynecologic surgical site infections. Obstet Gynecol Clin North Am 2010;37:379-86.
• Referans42 ACOG Committee on Practice Bulletins--Gynecology. ACOG practice bulletin No. 104: antibiotic prophylaxis for gynecologic procedures. Obstet Gynecol 2009;113:1180-9. Referans43 Su HY, Ding DC, Chen DC, Lu MF, Liu JY et all. Prospective randomized comparison of single-dose versus 1-day cefazolin for prophylaxis in gynecologic surgery. 2005;84:384-9.
• Referans44 El-Nashar SA, Diehl CL, Swanson CL, Thompson RL, Cliby WA et all. Extended antibiotic prophylaxis for prevention of surgical-site infections in morbidly obese women who undergo combined hysterectomy and medically indicated panniculectomy: a cohort study. Am J Obstet Gynecol 2010;202:306.e1-9.
• Referans45 Wright JD, Hassan K, Ananth CV, Herzog TJ, Lewin SN et all. Use of guideline-based antibiotic prophylaxis in women undergoing gynecologic surgery. Obstet Gynecol 2013;122:1145-53.
• Referans46 Teillant A, Gandra S, Barter D, Morgan DJ, Laxminarayan R. Potential burden of antibiotic resistance on surgery and cancer chemotherapy antibiotic prophylaxis in the USA: a literature review and modelling study. Lancet Infect Dis 2015;15:1429-37.