Is Antibiotic Prophylaxis Necessary for Hysteroscopy?

  • Pasquale Florio
  • Raffaele Fimiani
  • Mario Franchini
  • Giampietro Gubbini


Antibiotic prophylaxis for gynecologic surgery has become a widely accepted practice for reducing postsurgical complications such as wound infections, vaginal cuff cellulitis, endometritis, urinary tract infections, and foreign body infections. Due to the abundance of lower genital tract flora, surgical procedures through or adjacent this area could be subjected to a moderate to high incidence of infection. No clear indications exist whether or not antibiotic prophylaxis might help in preventing infections in minimally invasive surgery. Several reports suggest that incidence of infectious complications both after diagnostic and operative office hysteroscopic procedures is very low, and it cannot be modified by prophylactic antibiotic administration. Therefore, available data support the concept that there is no convincing evidence that antibiotics are of value in this clinical setting. Based on these published studies, most professional societies recommend against routine antibiotic prophylaxis for hysteroscopy in the general patient population.


Office hysteroscopy Polipectomy Infection Tubal abscess Endometritis 


Conflict of Interest

All the authors declare that they have no financial and personal relationships that could be viewed as presenting a potential conflict of interest.


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Copyright information

© Springer International Publishing AG 2018

Authors and Affiliations

  • Pasquale Florio
    • 1
  • Raffaele Fimiani
    • 1
  • Mario Franchini
    • 2
  • Giampietro Gubbini
    • 3
  1. 1.Division of Gynecology and Obstetrics“San Jacopo” HospitalPistoiaItaly
  2. 2.Regional Health Agency of TuscanyFlorenceItaly
  3. 3.Division of Gynecology“Madre Fortunata Toniolo” HospitalBolognaItaly

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