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Re: Prophy ABX for Elective C/S was Re: No Posts! From: Dr Eberhard Lisse (el@lisse.NA) Thu Nov 29 00:33:09 2007 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Dr Eberhard Lisse: "Re: GBS" Previous message: DMECNM@aol.com: "Re: Gyn:  Progestin intolerance" In reply to: R. Daniel Braun: "Prophy ABX for Elective C/S was Re: No Posts!" Next in thread: art fougner, md: "Re: Prophy ABX for Elective C/S was Re: No Posts!" Reply: art fougner, md: "Re: Prophy ABX for Elective C/S was Re: No Posts!" Reply: Andrew Folley: "Re: Prophy ABX for Elective C/S was Re: No Posts!" Unless my memory fails me, this has been discussed ad nauseam here and Cochrane unequivocally states that a one shot intra-operative prophylaxis reduces infection rates, bothe for emergencies (ie C/S) and (supposedly) clean operationes (TAH). And, if I am not mistaken low income (:-)-O) Antibiotics do as well as expensive ones. Our ICU honcho suggested Augmentin and if that's not available (in the Public Hospital) Ampicillin. Works very well for me. el on 11/29/07 3:05 AM R. Daniel Braun said the following: > What is your infection rate on elective sections who don't get > antibiotics? If it is less than 5%, giving prophylactic antibiotics is > probably not justified. > In a healthy upper S-E population, and with a surgeon who handles tissue > gently and hardly ever takes more than 25 minutes, less than 5% > puerperal morbidity should be expected without antibiotics. > > Dan > > On Nov 28, 2007 5:10 PM, Andrew Folley <agfolley@hotmail.com > <mailto:agfolley@hotmail.com>> wrote: > > No we do not. My understanding is it is not necessary. However we > are doing surgical antibiotic prophylaxis on all c-sections elective > and emergency. agf > > <http://www.windowslive.com/connect.html?ocid=TXT_TAGLM_Wave2_newways_112007> > > -- > R. Daniel Braun, MD FACOG(L) CMT > Professor Emeritus > Dept. of Obstetrics and Gynecology > Indiana U. School of Medicine > > R. Daniel Braun > > "Science without Religion is LAME; Religion without Science is BLIND" > Einstein 1941 -- Dr. Eberhard W. Lisse \ / Obstetrician & Gynaecologist (Saar) el@lisse.NA el108-ARIN / * | Telephone: +264 81 124 6733 (cell) PO Box 8421 \ / Please do NOT email to this address Bachbrecht, Namibia ;____/ if it is DNS related in ANY way Next message: Dr Eberhard Lisse: "Re: GBS" Previous message: DMECNM@aol.com: "Re: Gyn:  Progestin intolerance" In reply to: R. Daniel Braun: "Prophy ABX for Elective C/S was Re: No Posts!" Next in thread: art fougner, md: "Re: Prophy ABX for Elective C/S was Re: No Posts!" Reply: art fougner, md: "Re: Prophy ABX for Elective C/S was Re: No Posts!" Reply: Andrew Folley: "Re: Prophy ABX for Elective C/S was Re: No Posts!"

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