Zusammenfassung
Infektionen sind im Rahmen einer gestörten Frühschwangerschaft oder eines Schwangerschaftsabbruchs insgesamt sehr selten. Dies gilt für alle Vorgehensweisen. Lediglich für das operative Verfahren wird in den meisten Leitlinien eine kurze prophylaktische Antibiotikagabe empfohlen. Da eine aszendierende Infektion sowohl eine akut bedrohliche Situation werden als auch Folgeerscheinungen wie Tubenadhäsionen haben kann, muss zeitnah antibiotisch therapiert werden.
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Literatur
Chen MJ, Creinin MD (2015) Mifepristone With Buccal Misoprostol for Medical Abortion. Obstetrics and Gynecology. Lippincott Williams and Wilkins. https://doi.org/10.1097/AOG.0000000000000897. (2015, July 23)
Cleland K, Creinin MD, Nucatola D, Nshom M, Trussell J (2013) Significant adverse events and outcomes after medical abortion. Obstetrics and Gynecology. NIH Public Access. https://doi.org/10.1097/AOG.0b013e3182755763. (2013, January)
Achilles SL, Reeves MF (2011) Society of family planning. Prevention of infection after induced abortion: release date October 2010: SFP guideline 20102. Contraception 83(4):295–309. https://doi.org/10.1016/j.contraception.2010.11.006. Epub 2011 Feb 12. PMID: 21397086. (2011 Apr)
Abortion care NICE guideline [NG140] (2019). https://www.nice.org.uk/guidance/ng140. Zugegriffen: 11. März 2021
ACOG Clinical guidance: Medication Abortion Up to 70 Days of Gestation. https://www.acog.org/clinical/clinical-guidance/practice-bulletin/articles/2020/10/medication-abortion-up-to-70-days-of-gestation. Zugegriffen: 11. März 2021
Lissauer D, Wilson A, Hewitt CA, Middleton L, Bishop JRB, Daniels J, Merriel A, Weeks A, Mhango C, Mataya R, Taulo F, Ngalawesa T, Chirwa A, Mphasa C, Tambala T, Chiudzu G, Mwalwanda C, Mboma A, Qureshi R, Ahmed I, Ismail H, Oladapo OT, Mbaruku G, Chibwana J, Watts G, Simon B, Ditai J, Otim TC, Acam J, Ekunait J, Unzia H, Iyaku M, Makiika JJ, Zamora J, Roberts T, Goranitis I, Bar-Zeev S, Desmond N, Arulkumaran S, Bhutta ZA, Gulmezoglu AM, Coomarasamy A (2019) A randomized trial of prophylactic antibiotics for miscarriage surgery. N Engl J Med 380(11):1012–1021. https://doi.org/10.1056/NEJMoa1808817 PMID: 30865795. (2019 Mar 14)
Sawaya GF, Grady D, Kerlikowske K, Grimes DA (1996) Antibiotics at the time of induced abortion: the case for universal prophylaxis based on a meta-analysis. Obstet Gynecol 87(5 Pt 2):884–890. PMID: 8677129. (1996 May)
Low N, Mueller M, Van Vliet HA, Kapp N (2012) Perioperative antibiotics to prevent infection after first-trimester abortion. Cochrane Database Syst Rev 2012(3):CD005217. Published 2012 Mar 14. https://doi.org/10.1002/14651858.CD005217.pub2
AWMF Leitlinie Infektionen mit Chlamydia Trachomatis (2016). https://www.awmf.org/uploads/tx_szleitlinien/059-005l_S2k_Chlamydia-trachomatis_Infektionen_2016-12-abgelaufen.pdf
Deutsche STI-Gesellschaft: STI-Leitfaden für die Kitteltasche 2020/21, Stand Februar 2020
Cohen AL, Bhatnagar J, Reagan S, Zane SB, D’Angeli MA, Fischer M, Killgore G, Kwan-Gett TS, Blossom DB, Shieh WJ, Guarner J, Jernigan J, Duchin JS, Zaki SR, McDonald LC (2007) Toxic shock associated with Clostridium sordellii and Clostridium perfringens after medical and spontaneous abortion. Obstet Gynecol 110(5):1027–1033. https://doi.org/10.1097/01.AOG.0000287291.19230.ba PMID: 17978116. (2007 Nov)
Udoh A, Effa EE, Oduwole O, Okusanya BO, Okafo O (2016) Antibiotics for treating septic abortion. Cochrane Database Syst Rev (7). Art. No.: CD011528. https://doi.org/10.1002/14651858.CD011528.pub2. Zugeriffen 20. Feb. 2021
Rouse CE, Eckert LO, Munoz FM, Stringer JSA, Kochhar S, Bartlett L, Sanicas M, Dudley DJ, Harper DM, Bittaye M, Meller L, Jehan F, Maltezou HC, Subelj M,Bardaji A, Kachikis A, Beigi R, Gravett MG and for the Global Alignment of Immunization Safety in Pregnancy (GAIA) Postpartum Endometritis, Infection following Incomplete or Complete Abortion Work Group (2019) Postpartum endometritis and infection following incomplete or complete abortion: case definition & guidelines for data collection, analysis, and presentation of maternal immunization safety data; Vaccine journal: www.elsevier.com/locate/vaccine10.1016/j.vaccine.2019.09.1010264-410X/ 2019 Published by Elsevier Ltd. This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/)
Centers for Disease Control and Prevention (CDC) Sexually Transmitted Diseases Treatment Guidelines (2015). https://www.cdc.gov/std/tg2015/default.htm. Zugegriffen 28.Mai 21
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Maeffert, J., Tennhardt, C. (2021). Infektionen – Prophylaxe und Therapie. In: Schwangerschaftsabbruch und gestörte Frühschwangerschaft. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-63517-9_12
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