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Re: Prophy ABX for Elective C/S was Re: No Posts!From: Andrew Folley (agfolley@hotmail.com)Thu Nov 29 13:09:55 2007
Dan the problem is that antibiotic prophylaxis is a recommended guideline from ACOG sine 2004. We use one dose one time of Ancef 2 grams although one is sufficient for women less than 200 pounds and procedure less than 1 hour. We give it 15 minutes to 1 hour prio to c-section incision.> Date: Thu, 29 Nov 2007 01:34:55 -0600> From: el@lisse.NA> To: ob-gyn-l@dns.obgyn.net> Subject: 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>> > > > > > > > ne: +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 PC_MediaCtr_bigscreen_102007
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