Antibiotics during Intrauterine Balloon Tamponade Is Associated with a Reduction in Endometritis...ACOG Annual Meeting, April 27, 2018, Austin, TX.
Objective To evaluate whether prophylactic antibiotics at the time of placement of an intrauterine balloon tamponade (IBT) is associated with a reduction in postpartum endometritis. Study Design Retrospective cohort study of patients who received an IBT from January 1, 2012, to December 12, 2016....
| Publicado en: | American Journal of Perinatology Vol. 36; no. 12; pp. 1211 - 1216 |
|---|---|
| Autores principales: | , , , |
| Formato: | proceedings research tables/charts Journal Article |
| Publicado: |
Thieme Medical Publishing Inc.
2019
|
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=138909703&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 138909703 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 07351631 GQK jtl: American Journal of Perinatology issn: 07351631 maglogo: N pubinfo: dt: 2019 vid: 36 iid: 12 pid: 2811 pub: Thieme Medical Publishing Inc. place: New York, New York artinfo: ui: 138909703 138909703 138909703 10.1055/s-0039-1683888 138909703 ppf: 1211 ppct: 5 formats: tig: atl: Antibiotics during Intrauterine Balloon Tamponade Is Associated with a Reduction in Endometritis...ACOG Annual Meeting, April 27, 2018, Austin, TX. aug: au: Wong, Melissa S. Dellapiana, Gabriela Greene, Naomi Gregory, Kimberly D. affil: Department of Obstetrics and Gynecology, Cedars-Sinai Medical Center 8635 West 3rd Street, Suite 160W, Los Angeles, CA 90048 sug: subj: Antibiotic Prophylaxis Hemostatic Techniques Postpartum Hemorrhage Therapy Endometrial Diseases Prevention and Control Postnatal Period Congresses and Conferences Texas Texas Human Retrospective Design Female Cesarean Section Descriptive Statistics Endometrial Diseases Risk Factors Odds Ratio Confidence Intervals Streptococcal Infections Drug Therapy Female ab: Objective To evaluate whether prophylactic antibiotics at the time of placement of an intrauterine balloon tamponade (IBT) is associated with a reduction in postpartum endometritis. Study Design Retrospective cohort study of patients who received an IBT from January 1, 2012, to December 12, 2016. Patients were included if the IBT remained in place at least 2 hours and excluded if chorioamnionitis was present. Patients who received prophylactic antibiotics at the time of IBT placement were compared with those who did not. Results A total of 149 subjects received an IBT; 36 were excluded due to early removal or chorioamnionitis. Of the remaining, 59 received prophylactic antibiotics and 54 did not. Baseline characteristics were similar between the groups except mode of delivery. The majority (65%) of those who did not receive prophylactic antibiotics had a cesarean delivery (p = 0.03). The overall incidence of endometritis was 15%. The incidence of endometritis was greater among those patients who did not receive prophylactic antibiotics compared with those who did (5 vs. 26%; p < 0.002; odds ratio [OR]: 6.53; 95% confidence interval [CI]: 1.76–24.25). This association remained after adjustment for mode of delivery and receiving group B Streptococcus antibiotics prior to delivery (adjusted OR: 5.9; 95% CI: 1.58–22.35). Conclusion Prophylactic antibiotics were associated with a reduction in postpartum endometritis among patients receiving an IBT. pubtype: Academic Journal doctype: proceedings research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
|---|