Guidelines for the Diagnosis, Treatment and Preventionof Postoperative Infections

[摘要] Bacterial contamination of the operative site is a common occurrence in obstetrics and gynecology. The widespreaduse of antibiotic prophylaxis has reduced but not eliminated serious postoperative infections. For mostoperations, a single dose of a limited-spectrum drug has been as effective as a multidose regimen. In the differentialdiagnosis it is important to consider cellulitis, abscess, necrotizing fasciitis and septic pelvic thrombophlebitis.Abscess and necrotizing fasciitis are expected to require invasive therapy in addition to antibiotics, while cellulitisand septic pelvic thrombophlebitis should respond to medical management alone. Although a postoperative fever isa warning sign of possible infection, it may also be caused by the antibiotics that are given for treatment. The use ofprolonged courses of antibiotics once the patient is clinically well is discouraged.While clinical guidelines are provided for use in the diagnosis and management of postoperative infections,these recommendations are intended for general direction and not as an exclusive management plan.

[学科分类] 妇产科学