Skip to main content

Antibiotikaprophylaxe in Gynäkologie und Geburtshilfe aus der Sicht des Gynäkologen

  • Conference paper
Operative Gynäkologie

Zusammenfassung

Die moderne perioperative Antibiotikaprophylaxe unterscheidet sich von der Antibiotikaprophylaxe früherer Jahre in 3 wesentlichen Punkten:

  • sie beginnt vor dem operativen Eingriff,

  • sie besteht nur aus wenigen Dosen: 3, 2 oder nur 1,

  • sie wird nur selektiv angewandt (Abb. 1).

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 54.99
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 69.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

Literatur

  • Arsura EL, Fazio RA, Wickremesinghe PC (1985) Pseudomembranous colitis following prophylactic antibiotic use in primary cesarean section. Am J Obstet Gynecol 151: 87–89

    PubMed  CAS  Google Scholar 

  • BeamTR Jr (1985) Perioperative prevention of infection in cardiac surgery. In: Schönfeld H (ed) Prevention of perioperative infections. Antibiotics and chemotherapy. Karger, Basel, p 114

    Google Scholar 

  • Berkely AS, Hirsch JC, Ledger WJ (1984) Intravenous versus lavage claforan for caesarean section prophylaxis in labor (Abstracts). Infectious Disease Society for obstetrics-gynecology. Annual Meeting, Asheville, NC, August 1–4

    Google Scholar 

  • Boothby R, Benrubi G, Ferrell E (1984) Comparison of intravenous cefoxitin prophylaxis with intraoperative cefoxitin irrigation for the prevention of post-cesarean-section endometritis. J Reprod Med 29: 830–832

    PubMed  CAS  Google Scholar 

  • Bräutigam HH, Hegerfeld R (1984) Qualitätssicherung in der operativen Frauenheilkunde. Bücherei des Frauenarztes, Bd 16. Enke, Stuttgart

    Google Scholar 

  • Burke JF (1961) The effective period of preventive antibiotic action in experimental incisions and dermal lesions. Surgery 50: 161–167

    PubMed  CAS  Google Scholar 

  • Burn C, Gasser D (1971) Der Vena-Cava-Katheter. Springer, Berlin Heidelberg New York (Anaesthesiology and resuscitation)

    Google Scholar 

  • Childs SJ (1985) Perioperative prevention of infection in genitourinary surgery. In: Schönfeld H (ed) Prevention of perioperative infections. Antibiotics and chemotherapy. Karger, Basel, p 1

    Google Scholar 

  • Chodak GW, Plaut ME (1979) Systemic antibiotics for prophylaxis in urologic surgery: A critical review. J Urol 121: 695–700

    PubMed  CAS  Google Scholar 

  • Creasman WT, Hill GB, Weed JC Jr, Gall SA (1982) A trial of prophylactic cefamandole in extended gynecologic surgery. Obstet Gynecol 59: 309–314

    PubMed  CAS  Google Scholar 

  • Crenshaw CA, Kelly L, Turner RJ, Enas D (1972) Bacteriologic nature and prevention of contamination to intravenous catheters. Am J Surg 123: 264–266

    Article  PubMed  CAS  Google Scholar 

  • Crossley K, Gardner LC (1981) Antimicrobial prophylaxis in surgical patients. JAMA 245: 722–726

    Article  PubMed  CAS  Google Scholar 

  • Daschner F, Adam D, Marget W (1974) Sepsis und Kontamination bei Nabel- und Venenkathetern. Monatsschr Kinderheilkd 122: 49–53

    PubMed  CAS  Google Scholar 

  • Decker K, Kadauke A, Hirsch HA (1979) Perioperative Kurzzeit-Antibiotika-Prophylaxe bei vaginalen und abdominalen Hysterektomien. Arch Gynecol 228: 617–618

    PubMed  CAS  Google Scholar 

  • Elek SD (1956) Experimental staphylococcal infections in the skin of man. Ann NY Acad Sei 65: 85–90

    Article  CAS  Google Scholar 

  • Elliott JP, Flaherty JF (1984) A randomized comparison of three methods of administering “prophylactic” antibiotics at c-section (Abstracts). Infectious Disease Society for obstetrics-gynecology. Annual Meeting Asheville, NC August 1–4

    Google Scholar 

  • Eron LJ (1985) Prevention of infection following orthopedic surgery. In: Schönfeld H (ed) Prevention of perioperative infections. Antibiotics and chemotherapy. Karger, Basel, p 140

    Google Scholar 

  • Faden H (1981) Prophylactic antibiotics in pediatric cardiovascular surgery: Current practices. Ann. Thorac Surg 31: 211–213

    Article  PubMed  CAS  Google Scholar 

  • Fry DE, Harbrecht PJ, Polk HC (1981) Systemic prophylactic antibiotics. Need the “cost” be so high? Arch Surg 116:466–469

    Article  PubMed  CAS  Google Scholar 

  • Gibbs RS, Weinstein AJ (1976) Bacteriologic effects of prophylactic antibiotics in cesarean section. Am J Obstet Gynecol 126: 226–229

    PubMed  CAS  Google Scholar 

  • Gonik B (1985) Single — versus three — dose cefotaxime prophylaxis for caesarean section. Obstet Gynecol 65: 189–193

    PubMed  CAS  Google Scholar 

  • Gordon HR, Phelps D, Blanchard K (1979) Prophylactic cesarean section antibiotics: Maternal and neonatal morbidity before or after cord clamping. Obstet Gynecol 53: 151–156

    PubMed  CAS  Google Scholar 

  • Grimes DA, Schulz KF, Cates W Jr (1984) Prophylactic antibiotics for curettage abortion. Am J Obstet Gynecol 150: 689–694

    PubMed  CAS  Google Scholar 

  • Grossman JH III, Greco TP, Minkin MJ, Adams RL, Hierholzer WJ Jr, Andriöle VT (1979) Prophylactic antibiotics in gynecologic surgery. Obstet Gynecol 53: 537–544

    PubMed  Google Scholar 

  • Hawrylyshyn PA, Bernstein P, Papsin FR (1983) Short-term antibiotic prophylaxis in high-risk patients following cesarean section. Am J Obstet Gynecol 145: 285–289

    PubMed  CAS  Google Scholar 

  • Hemsell DL (1985) Perioperative antibiotics for hysterectomy. In: Schönfeld H (ed) Prevention of perioperative infections. Antibiotics and chemotherapy. Karger, Basel, p 73

    Google Scholar 

  • Hemsell DL, Heard ML, Nobles J, Hemsell PG (1984) Single-dose cefoxitin prophylaxis for premenopausal women undergoing vaginal hysterectomy. Obstet Gynecol 63: 285–290

    PubMed  CAS  Google Scholar 

  • Henry-Suchet J, Catalan F, Loffredo V et al. (1981) Chlamydia trachomatis associated with chronic inflammation in abdominal specimens from women selected for tuboplasty. Fertil Steril 36: 599–605

    PubMed  CAS  Google Scholar 

  • Hirsch HA (1984) Antibiotikaprophylaxe in Gynäkologie und Geburtshilfe. Gynäkol Prax 8: 293 - 303

    Google Scholar 

  • Hirsch HA (1985) Prophylactic antibiotics in obstetrics and gynecology. Am J Med 78 (Suppl. 6 B): 170–176

    Article  PubMed  CAS  Google Scholar 

  • Kelley MJ (1980) Wound infection: A controlled clinical and experimental demonstration of synergy between aerobic (Escherichia coli) and anaerobic (Bacteroides fragilis) bacteria. Ann R Coll Surg Engl 62: 52–59

    Google Scholar 

  • Kunin CM (1980) Urinary tract infections. In: Alexander JW (ed) Symposium on surgical infections. Saunders, Philadelphia

    Google Scholar 

  • Ledger WJ, Gee C, Lewis WP (1975) Guidelines for antibiotic prophylaxis in gynecology. Am J Obstet Gynecol 121:1038–1045

    PubMed  CAS  Google Scholar 

  • Long WH, Rudd EG, Dillon MB (1980) Intrauterine irrigation with cefamandole nafate solution at cesarean section: A preliminary report. Am J Obstet Gynecol 138: 755–758

    PubMed  CAS  Google Scholar 

  • Madsen PO, Frimodt-Müller N, Nielson OS, Maigaard S (1980) Prophylaxis of infection in transurethral prostatectomy: A double blind study with cefoxitin versus placebo. In: Nelson JD, Grassi C (eds) Current chemotherapy and infectious disease, vol 2. American Society for Microbiology, Washington, pp 1209–1210

    Google Scholar 

  • Mead PhB (1982) Prophylactic antibiotics in gynecology. In: Ledger WJ (ed) Antibiotics in obstetrics and gynecology; in developments in perinatal medicine, vol 2. Nijhoff, The Hague Boston London

    Google Scholar 

  • Medical Letter (1981) Antimicrobial prophylaxis for surgery. Med Lett Drugs Ther 23: 77–80

    Google Scholar 

  • Miles AA, Miles EM, Burke J (1957) Value and duration of defence reactions of the skin to the primary lodgement of bacteria. Br J Exp Pathol 38: 79–96

    PubMed  CAS  Google Scholar 

  • Petersdorf RG, Curtin JA, Hoeprich PD, Peeler RN, Bennett IL (1957) A study of antibiotic prophylaxis in unconscious patients. N Engl J Med 257: 1001–1009

    Article  PubMed  CAS  Google Scholar 

  • Pichler H (1976) Über Antibiotikaprophylaxe bei Intensivpatienten. Wien Klin Wochenschr [Suppl 52] 88: 2–24

    Google Scholar 

  • Polk HC, Lopez-Mayor JF (1969) Postoperative wound infection: A prospective study of determinant factors and prevention. Surgery 66: 97–103

    PubMed  Google Scholar 

  • Price DE, Sleigh JD (1970) Control of infection due to Klebsiella aerogenes in a neurosurgical unit by withdrawal of all antibiotics. Lancet II: 1213–1215

    Article  Google Scholar 

  • Rosenshein NB, Ruth JC, Vilar J et al. (1983) A prospective randomized study of doxycycline as a prophylactic antibiotic in patients undergoing radical hysterectomy. Gynecol Oncol 15: 201–206

    Article  PubMed  CAS  Google Scholar 

  • Sevin BU, Ramos R, Lichtinger M, Girtanner E, Averette HE (1984) Antibiotic prevention of infections complicating radical abdominal hysterectomy. Obstet Gynecol 64: 539–545

    PubMed  CAS  Google Scholar 

  • Shulman ST, Amren DP, Bisno AL et al. (1984) A statement for health professionals by the committee on rheumatic fever and bacterial endocarditis of the council on cardiovascular diseases in the young. Circulation 70:1123 A–1127 A

    Google Scholar 

  • Stone HH, Hester TR Jr (1973) Incisional and peritoneal infection after emergency celiotomy. Ann Surg 177: 669–678

    Article  PubMed  CAS  Google Scholar 

  • Stone HH, Hooper A, Kolb LD, Geheber CE, Dawkins EJ (1976) Antibiotic prophylaxis in gastric, biliary and colonic surgery. Ann Surg 184: 443–452

    Article  PubMed  CAS  Google Scholar 

  • Stumpf PG, March CM (1980) Febrile morbidity following hysterosalpingography: Identification of risk factors and recommendations for prophylaxis. Fertil Steril 33: 487–492

    PubMed  CAS  Google Scholar 

  • Weinstein L, Goldfield M, Chang T (1954) Infections occurring during chemotherapy. N Engl J Med 251: 247–255

    Article  PubMed  CAS  Google Scholar 

  • Wilson AJ, Strachan CJL (1985) Perioperative prevention of infection in abdominal surgery. In: Schönfeld H (ed) Prevention of perioperative infections. Antibiotics and chemotherapy. Karger, Basel, p 30

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 1986 Springer-Verlag Berlin Heidelberg

About this paper

Cite this paper

Hirsch, H.A. (1986). Antibiotikaprophylaxe in Gynäkologie und Geburtshilfe aus der Sicht des Gynäkologen. In: Bender, H.G., Beck, L. (eds) Operative Gynäkologie. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-93304-2_13

Download citation

  • DOI: https://doi.org/10.1007/978-3-642-93304-2_13

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-93305-9

  • Online ISBN: 978-3-642-93304-2

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics