ArticleObstetrics and gynecology2013
Use of guideline-based antibiotic prophylaxis in women undergoing gynecologic surgery.
Article in Obstetrics and gynecology, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.
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Who cites it
11 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Adherence to guidelines for surgical antibiotic prophylaxis: a review.The Brazilian journal of infectious diseases : an official publication of the Brazilian Society of Infectious DiseasesPooled it
- Surgical Antibiotic Prophylaxis in an Era of Antibiotic Resistance: Common Resistant Bacteria and Wider Considerations for Practice.Infection and drug resistance · 2021Review
- Article
- Surgical Antibiotic Prophylaxis and Risk for Postoperative Antibiotic-Resistant Infections.Journal of the American College of Surgeons · 2017Article
- Patterns of Specialty-Based Referral and Perioperative Outcomes for Women With Endometrial Cancer Undergoing Hysterectomy.Obstetrics and gynecology · 2017Article
- Inappropriate use of antibiotics in patients undergoing gynecologic surgery.Proceedings (Baylor University. Medical Center) · 2017Article
- Prophylactic Antibiotic Choice and Risk of Surgical Site Infection After Hysterectomy.Obstetrics and gynecology · 2016Article
- Antibiotic Prophylaxis for Gynecologic Procedures prior to and during the Utilization of Assisted Reproductive Technologies: A Systematic Review.Journal of pathogens · 2016Review
- Engineered cationic antimicrobial peptides to overcome multidrug resistance by ESKAPE pathogens.Antimicrobial agents and chemotherapy · 2015Article
- Factors associated with 30-day hospital readmission after hysterectomy.Obstetrics and gynecology · 2015Article
- Improving Patient Outcomes in Gynecology: The Role of Large Data Registries and Big Data Analytics.Journal of minimally invasive gynecologyArticle
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9 authors.
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Abstract
objectiveTo examine guideline-based use of prophylactic antibiotics in patients who underwent gynecologic surgery.
methodsWe identified women who underwent gynecologic surgery between 2003 and 2010. Procedures were stratified as antibiotic-appropriate (abdominal, vaginal, or laparoscopically assisted vaginal hysterectomy) or antibiotic-inappropriate (oophorectomy, cystectomy, tubal ligation, dilation and curettage, myomectomy, and tubal ligation). Antibiotic use was examined using hierarchical regression models.
resultsAmong 545,332 women who underwent procedures for which antibiotics were recommended, 87.1% received appropriate antibiotic prophylaxis, 2.3% received nonguideline-recommended antibiotics, and 10.6% received no prophylaxis. Use of antibiotics increased from 88.0% in 2003 to 90.7% in 2010 (P<.001). Among 491,071, who underwent operations for which antibiotics were not recommended, antibiotics were administered to 197,226 (40.2%) women. Use of nonguideline-based antibiotics also increased over time from 33.4% in 2003 to 43.7% in 2010 (P<.001). Year of diagnosis, surgeon and hospital procedural volume, and area of residence were the strongest predictors of guideline-based and nonguideline-based antibiotic use.
conclusionAlthough use of antibiotics is high for women who should receive antibiotics, antibiotics are increasingly being administered to women for whom the drugs are of unproven benefit. LEVEL OF EVIDENCE: : III.
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