R: Antibiotic prophilaxis with Pereyra BNS

From: Mario Colombo, MD (emmecol@tin.it)
Sun May 28 07:16:41 2000


So, do you agree with me that a single preoperative dose of cefazolin (2 g IV) should be enough for Pereyra suspensions?

--
Mario Colombo, MD
Italy

>John Robertson MD wrote: >Most studies on antibiotic prophylaxis show that it is the preoperative >dose which has the positive effect, and that the post operative doses do >not make any difference. I do burch repairs, and do not prophylax for >them. I only prophylax when I enter the peritoneal cavity and the >vagina in the same surgery.

>>Mario Colombo, MD wrote: >>Is there someone of you still performing the Pereyra bladder neck suspension >>in patients with urogenital prolapse? I would like to know what type of >>antibiotic prophilaxis do you use in these patients. >>We have always administered three doses of cefazolin (the first 30 minutes >>before surgery and the remaining two doses every eight hours) without >>relevant infectious problems. However, I believe that a single preoperative >>dose should be enough and I am going to change that for a trial period.





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