Evidence map›Paper›PMID 29564033›Full record

ArticleThe Pan African medical journal2017

[Treatment of perineal wounds during the post partum period: evaluation of whether or not antibiotic should be systematically prescribed].

Florent Ymele Fouelifack, Filbert Eko Eko, Claude Odile Vanessa Ebode Ko'A, Jeanne Hortence Fouedjio, Robinson Enow Mbu

Open access · goldAbstract readComparative Study
In one paragraph

Article in The Pan African medical journal, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.9field-weighted citation impact, top 24% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 8 citations in OpenAlex.

  1. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 2 institutions in 1 country.

Florent Ymele FouelifackDépartement de Gynécologie et Obstétriques de l'Institut Supérieur de Technologie Médicale de Nkolondom à Yaoundé, Unité de Gynécologie et Obstétriques de l'Hôpital Central de Yaoundé, Cameroun.
Filbert Eko EkoDépartement de Gynécologie et Obstétriques de l'Institut Supérieur de Technologie Médicale de Nkolondom à Yaoundé, Unité de Gynécologie et Obstétriques de l'Hôpital Central de Yaoundé, Cameroun.
Claude Odile Vanessa Ebode Ko'AInstitut Supérieur de Technologie Médicale de Nkolondom à Yaoundé, Faculté de Médecine et des Sciences Biomédicales de l'Université de Yaoundé I, Cameroun.
Jeanne Hortence FouedjioDépartement de Gynécologie et Obstétriques de la Faculté de Médecine et des Sciences Biomédicales de l'Université de Yaoundé I, Unité de Gynécologie et d'Obstétrique de l'Hôpital Central de Yaoundé, Cameroun.
Robinson Enow MbuDépartement de Gynécologie et Obstétriques de la Faculté de Médecine et des Sciences Biomédicales de l'Université de Yaoundé I, Unité de Gynécologie et d'Obstétrique de l'Hôpital Central de Yaoundé, Cameroun.
Université de Yaoundé I · CMYaoundé Gynaecology, Obstetrics and Pediatrics Hospital · CM

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionGenital tract integrity is not always mantained during childbirth. No treatment protocol for post-partum perineal wounds (tears and episiotomies) existed in our Department, thus their management depends upon clinician. This study aimed to establish the role of antibiotic in the treatment of post-partum perineal wounds as well as the impact of antibioprophylaxis on wound healing and on prevention of infectious complications after repair.

methodsWe conducted a prospective cohort study in the Department of Gynecology and Obstetrics at the Central Hospital of Yaoundé over a period of 6 months, from 1 January to 31 May 2016. Post-partum women with perineal tear and/or episiotomy were divided into two groups (A and B) and followed up. The group A was composed by 85 post-partum women under treatment protocol based on compresses soaked in Betadine

resultsThe average age was 26.32 ± 6.5 years, ranging between 15 and 43 years. Primiparous women accouted for 55.9% of the study population. At day 0 post-partum the main symptom was pain, without significant predominance of a group (OR = 0.9; CI = 0.14-7.19; p = 1). Swollen wounds were the second complaint, without significant variation between the two groups (OR = 1.69; CI = 0.88-3.24; p = 0.13). At day 0, day 2 and day 9 no significant variation was observed between the two treatment protocols with regard to the indicators analyzed: pain evolution, infection, swelling and average healing time. At day 9 the healing was complete in both groups and the two treatment protocols were shown to be equivalent in their effectiveness and prevention of infections.

conclusionAt the end of this study the two treatment protocols were shown to be equivalent. Antibiotics should not be prescribed for perineal wounds in order to contain the healthcare costs.

Indexed as

AdolescentAdultAmoxicillin-Potassium Clavulanate CombinationAnti-Bacterial AgentsCameroonCohort StudiesDelivery, ObstetricEpisiotomyFemaleFollow-Up StudiesHumansInfectionsLacerationsPainPerineumPostpartum PeriodAmoxicillin-Potassium Clavulanate CombinationAnti-Bacterial AgentsPovidone-IodineantibioticEffectivenessepisiotomyperineal woundstearstreatment

Identifiers

PMID29564033
PMCPMC5851669
OpenAlexW2765834721

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.