Abstract
In a prospective randomized clinical trial 103 patients undergoing elective colorectal surgery received either cefoxitin or a combination of metronidazole and gentamicin. Six of 52 patients in the cefoxitin group (11.5 per cent) and six of 48 patients in the metronidazole/gentamicin group (12.5 per cent) developed serious wound infections. Two patients (3.8 per cent) in the cefoxitin group and one patient (2.1 per cent) in the metronidazole/gentamicin group developed deep sepsis. These results suggest that cefoxitin is as effective as the combination of metronidazole and gentamicin for prophylaxis against serious postoperative septic complications.
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An erratum to this article is available at http://dx.doi.org/10.1007/BF02555666.
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McDonald, P.J., Karran, S.J. & Chir, M. A comparison of intravenous cefoxitin and a combination of gentamicin and metronidazole as prophylaxis in colorectal surgery. Dis Colon Rectum 26, 661–664 (1983). https://doi.org/10.1007/BF02553338
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DOI: https://doi.org/10.1007/BF02553338